权力不对称和共享决策中的尬:预测参与偏好和决策冲突
Karin Antonia Scherer1, Björn Büdenbender1, Anja K Blum1
1Department of Psychology, School of Social Sciences, University of Mannheim, Mannheim, Germany.
BMC medical informatics and decision making
|March 11, 2025
概括
权力不对称和尬阻碍了泌尿器科的共同决策 (SDM). 解决这些障碍可以改善患者参与,减少决策冲突,增强SDM过程.
科学领域:
- 医学心理学 医学心理学
- 医疗保健服务研究 医疗服务研究
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 共享决策 (SDM) 对于以患者为中心的护理至关重要,但面临实施挑战.
- 患者参与医疗咨询的障碍,特别是患者与临床医生关系中的障碍,尚不清楚.
- 开发了新的尺度来评估医疗遭遇中的权力不对称性和尬.
研究的目的:
- 验证两个新的尺度:权力不对称-医疗遭遇 (PA-ME) 尺度和医疗遭遇中的尬 (EmMed) 尺度.
- 检查感知权力不对称和尬对患者参与偏好和决策冲突的影响.
- 专门在泌尿器科护理的背景下调查这些因素.
主要方法:
- 在107名泌尿病患者和250名非临床参与者中验证了PA-ME和EmMed尺度.
- 通过患者临床预约前后的自我报告问卷收集数据.
- 评估感知到的权力不对称,尬,参与偏好 (一般和泌尿器科),以及决策冲突.
主要成果:
- 两种PA-ME和EmMed尺度都表现出良好的内部一致性.
- 较高的感知权力不对称性与泌尿病患者较低的一般参与偏好和较高的决策冲突有关.
- 尬与咨询后的决策冲突增加有关,但与咨询前的一般参与偏好无关.
结论:
- PA-ME和EmMed尺度是评估患者与临床医生关系障碍的可靠工具.
- 建议解决权力不对称和尬,以减少决策冲突和促进患者参与.
- 这些因素对于成功的共同决策和患者积极参与医疗保健至关重要.
相关概念视频
02:45Self-Discrepancy Theory
18.3K
One influential perspective on what motivates people's behavior is detailed in Tory Higgin's self-discrepancy theory (Higgins, 1987). He proposed that people hold disagreeing internal representations of themselves that lead to different emotional states.
18.3K
01:14Frustration and Conflict: Avoidance-Avoidance, Double-Approach Avoidance
41
Avoidance-avoidance conflict refers to a psychological situation where a person must choose between two or more unpleasant alternatives. These conflicts are particularly stressful because neither option is desirable. This dilemma is often expressed in sayings like "caught between a rock and a hard place" or "between the devil and the deep blue sea." For instance, individuals who fear dental procedures may find themselves torn between enduring a painful toothache or facing the...
41
02:12Relationship Formation
39.6K
What do you think is the single most influential factor in determining with whom you become friends and whom you form romantic relationships? You might be surprised to learn that the answer is simple: the people with whom you have the most contact. This most important factor is proximity. You are more likely to be friends with people you have regular contact with. For example, there are decades of research that shows that you are more likely to become friends with people who live in your dorm,...
39.6K
04:49Robbers Cave
14.2K
During the 1950s, the landmark Robbers Cave experiment demonstrated that when groups must compete with one another, intergroup conflict, hostility, and even violence may result. At the Oklahoman summer camp, two troops of boys—termed the Rattlers and the Eagles—took part in a week-long tournament. During this time, their negativity culminated in derogatory name-calling, fistfights, and even vandalism and destruction of property. However, this work also revealed that such tension...
14.2K
01:20Frustration and Conflict: Approach-Approach, Approach-Avoidance
30
Frustration occurs when people are obstructed or prevented from achieving a desired goal or fulfilling a perceived need. For example, when someone's input is ignored in a discussion, it can lead to feelings of frustration. Conflict, however, arises from opposing interests, goals, or actions. Conflicts can take various forms based on the nature of these opposing desires or goals.
One common type of conflict is the Approach–Approach Conflict. In this case, a person faces two desirable...
One common type of conflict is the Approach–Approach Conflict. In this case, a person faces two desirable...
30
01:20Decision Making
78
Decision-making is a fundamental cognitive process that involves evaluating alternatives and selecting among them. This process can range from simple choices, such as deciding what to wear, to complex decisions, like choosing a major in college or a career path. The complexity of the decision often dictates the approach we use, which can be broadly categorized into two types: automatic and controlled decision-making.
Automatic decision-making is fast, intuitive, and relies on gut feelings...
Automatic decision-making is fast, intuitive, and relies on gut feelings...
78