检查技术如何支持瘤咨询的共同决策:定性主题分析
Alan Yung1, Tim Shaw1, Judy Kay2
1Research in Implementation Science and eHealth Group, Faculty of Medicine and Health, University of Sydney, Sydney, Australia.
JMIR cancer
|June 11, 2025
概括
数字技术可以帮助癌症护理的共享决策 (SDM),但目前的系统需要改进. 优化这些工具需要深思熟虑地整合它们,以支持,而不是阻碍患者和临床医生的沟通和决策.
科学领域:
- 数字健康数字健康
- 在瘤学瘤学.
- 医疗信息学 医疗信息学
背景情况:
- 数字健康技术为增强癌症护理中共享决策 (SDM) 提供了潜力.
- 然而,关于它们的有效设计和集成到SDM的临床工作流程的证据有限.
- SDM是一个协作过程,需要支持人类互动的非侵入性技术.
研究的目的:
- 检查数字技术如何帮助癌症护理专业人员在瘤咨询期间改善SDM.
- 收集医疗保健专业人员关于优化SDM数字工具使用的见解.
主要方法:
- 在线联合设计重点小组和采访与9名癌症护理专业人员进行.
- 对转录的会话录音进行了定性主题分析.
- 3个谈话SDM模型 (团队谈话,选项谈话,决策谈话) 指导了框架和工作流讨论.
主要成果:
- 数字技术,如EHR和患者门户网站,被用来提高患者对癌症和治疗选择的了解.
- 当前的数字系统往往会因为设计不佳,数据集成和互操作性问题而阻碍SDM.
- 新兴技术,包括生成人工智能,对自动化信息共享和促进SDM充满希望.
结论:
- 数字技术有可能对瘤学中的SDM产生重大影响,但这尚未完全实现.
- 需要进行实质性修改,以优化以人为中心的SDM的数字工具.
- 技术补充了,但不能取代SDM中必不可少的人类沟通和多学科团队支持.
更多相关视频
相关概念视频
Cancer Survival Analysis
331
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
331
Nursing Ethical Principles II
932
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
932
Combination Therapies and Personalized Medicine
4.9K
Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
4.9K
Cancer Therapies
7.6K
Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
7.6K
Ethical Issues
870
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
870
Ethical Dilemmas II
957
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
957


