影响医院病房共享决策的因素,由医疗保健专业人员所感知:一种定性研究
J Bakker1, E M Huntink2, L J Peters3
1Department of Oncology, Isala, 8025 AB Zwolle, the Netherlands; Nursing Science, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, 3584 CX Utrecht, the Netherlands.
Applied nursing research : ANR
|January 26, 2025
概括
医疗保健专业人员知道共享决策 (SDM) 对以患者为中心的护理很重要. 然而,组织,患者和专业因素阻碍了它在荷兰医院的一致应用.
科学领域:
- 医疗保健管理的管理
- 以患者为中心的护理
- 临床交流 临床沟通
背景情况:
- 对医院病房的共享决策 (SDM) 的应用在很大程度上仍未得到量化.
- 了解医疗保健专业人员的知识和对SDM的感知障碍对于改善住院护理至关重要.
研究的目的:
- 探索医疗保健专业人员在荷兰医院中对SDM的知识.
- 确定影响SDM在医院病房治疗和护理决策中的实施因素.
主要方法:
- 采用了一个探索性的定性设计.
- 与荷兰大学和教学医院的12个病房的23名医疗保健专业人员进行了半结构面试.
主要成果:
- 虽然大多数专业人士认识到SDM的重要性,但他们的理解有所不同.
- 确定的障碍包括组织问题 (例如,缺乏清晰的视力,时间限制),与患者相关的因素 (例如,患者状况,家庭参与) 和与专业相关的因素 (例如,工作量,沟通,教育).
结论:
- 医疗保健专业人员承认SDM提高了护理质量和以患者为中心.
- 在医院结构中嵌入SDM并建立明确的跨专业协议对于克服障碍和促进其实践至关重要.
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