"开发一个工具SDM:KOMPASS. 支持共享决策的实施过程"
Lea Lund1,2, Dorte Gilså Hansen1,2, Lisa Korsbek3
1Center for Shared Decision Making, Lillebaelt Hospital, University Hospital of Southern Denmark, Vejle, Denmark.
PloS one
|November 18, 2024
概括
一个名为SDM:KOMPASS的新工具支持医院的共享决策 (SDM) 实施. 这项质量改进计划开发了一种工具,以帮助目标设定和进度可视化,以改善患者护理.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者参与策略 患者参与策略
- 临床实践实施实施
背景情况:
- 共享决策 (SDM) 提高了患者的参与度和满意度,但在临床实践中面临实施挑战.
- 需要一个支持工具来促进SDM在常规医院环境中的整合.
- 现有的SDM采用障碍需要医疗机构的创新解决方案.
研究的目的:
- 描述一种通用工具SDM:KOMPASS的开发,该工具旨在支持在医院中实施SDM.
- 为了促进形成进度的可视化和SDM倡议的目标设定.
- 评估医疗保健专业人员和患者对SDM:KOMPASS工具的可用性和可行性.
主要方法:
- 为了创建SDM:KOMPASS工具,采用了六个步骤的开发过程.
- 使用了包括观察和采访 (个人和重点小组) 在内的定性方法.
- 一项10项定量调查评估了用户的立即态度,N=20有意抽样参与者 (医疗保健专业人员和患者).
主要成果:
- SDM:KOMPASS工具是为了提高SDM实施的可管理性,目标设定和重点而开发的.
- 参与者发现该工具具有潜在的价值,有益,并且可以在体质和精神病院部门内嵌入SDM.
- 评估了该工具的可读性,清晰度,内容和感知可用性,显示有希望但注意到其全面性.
结论:
- SDM:KOMPASS对于旨在将共享决策纳入日常实践的医疗保健组织来说是一个潜在的有价值的资源.
- 该工具的结构化开发过程表明它有潜力提高SDM实施效率和有效性.
- 建议在临床实践中进行进一步的alpha测试,以验证该工具的可用性和影响.
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