与复杂护理需求的患者共享决策:一个范围审查.
M E Perron1,2,3, C Hudon4,5, P H Roux-Levy4,6,7
1Department of Family Medicine and Emergency Medicine, Université de Sherbrooke, Sherbrooke, QC, Canada. Marie-Eve.Perron5@USherbrooke.ca.
BMC primary care
|November 5, 2024
概括
复杂护理需求患者的共享决策 (SDM) 需要认识到独特的因素. 这涉及到处理多个同时做出的决定和他们的护理的跨学科性质,以确保积极的健康结果.
科学领域:
- 医疗保健研究的研究.
- 患者为中心的护理
- 决策科学科学 决策科学
背景情况:
- 复杂护理需求患者 (PCCN) 面临多病症,心理健康问题和社会脆弱性等挑战.
- 这些因素显著影响医疗保健和医疗服务决策.
- 共享决策 (SDM) 提高了决策质量,但给PCCNs带来了独特的挑战.
研究的目的:
- 确定与复杂护理需求患者 (PCCN) 共享决策 (SDM) 的特点.
主要方法:
- 使用乔安娜·布里格斯研究所 (JBI) 方法的范围审查.
- 在MEDLINE,CINAHL,PsycINFO和学术搜索完整版 (1997-2023) 的系统搜索.
- 混合主题分析 (演和归纳) 与专家咨询.
主要成果:
- 包括12项研究.
- 关键的特点包括管理同时多个决策.
- 承认PCCN护理的多学科和跨部门性质.
结论:
- 对PCCN的SDM具有需要考虑的独特特征.
- 解决这些特点对于保持SDM好处至关重要.
- 确保PCCNs的积极健康和决策结果.
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