开发一个解释性模型的复苏偏好决策的制定
Mark Goldszmidt1, Rachelle Lassaline2, Kristen A Bishop3
1Division of General Internal Medicine (M.G.), Department of Medicine, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada; London Health Sciences Centre, London, Ontario, Canada; Centre for Education Research and Innovation (CERI), Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.
Journal of pain and symptom management
|July 5, 2025
概括
了解患者的复苏偏好是协调护理的关键. 这项研究确定了对患者和替代者决策者选择的关键影响,并开发了一个改进这些关键对话的模型.
科学领域:
- 医学伦理 医学伦理
- 患者护理 患者护理
- 决策 决策 决策 决策
背景情况:
- 在紧急情况发生之前确定复苏偏好,确保患者的愿望指导护理.
- 然而,这些对话具有挑战性,对选择的影响仍然不清楚.
研究的目的:
- 为了确定对患者复苏偏好的影响.
- 了解这些影响之间的关系.
- 开发一个解释性模型,用于复苏偏好决策.
主要方法:
- 构造主义立足理论分析了107个临床笔记,这些笔记来自于复苏偏好对话.
- 采用了有目的的抽样,最大限度的变化.
- 循序渐进的数据收集,分析和持续的比较提高了严格度.
主要成果:
- 开发了一个复苏偏好对话模型,包含27个编码类别.
- 患者和替代决策者 (SDM) 的偏好是由"参与有意义活动的能力"",轨迹"和"感知和信念"决定的.
- SDM的选择进一步得到了"社会和知识"和"经验"的信息.
结论:
- 开发的模型解释了影响和偏好之间的关系,基于先前的工作.
- 整合患者和SDM的观点突出了SDM的复杂作用.
- 该模型可以增强现有的指南,以进行有效的复苏偏好讨论.
相关概念视频
Reason and Intuition
6.9K
The human brain processes information for decision-making using one of two routes: an intuitive system and a rational system (Epstein, 1994; popularized by Kahneman, 2011 as System 1 and System 2, respectively). The intuitive system is quick, impulsive, and operates with minimal effort, relying on emotions or habits to provide cues for what to do next, while the rational system is logical, analytical, deliberate, and methodical. Research in neuropsychology suggests that the...
6.9K
Models of Health Promotion and Illness Prevention I
2.2K
A model is a theoretical way to understand a concept or an idea. Models can overcome barriers to health regardless of diverse economic and cultural backgrounds. In addition, models make the task easier by providing different ways to approach complex issues. There are two major health promotion models: the health belief model and the health promotion model.
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
2.2K
Pharmacokinetic Models: Comparison and Selection Criterion
153
Physiological and compartmental models are valuable tools used in studying biological systems. These models rely on differential equations to maintain mass balance within the system, ensuring an accurate representation of the dynamic processes at play.
Physiological models take a detailed approach by considering specific molecular processes. They can predict drug distribution, metabolism, and elimination changes, providing a comprehensive understanding of how drugs interact with the body.
Physiological models take a detailed approach by considering specific molecular processes. They can predict drug distribution, metabolism, and elimination changes, providing a comprehensive understanding of how drugs interact with the body.
153
Decision Making
241
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...
241
Framing Effects
7.5K
Information is everywhere and its presentation—such as how and when items are presented—can impact our perceptions and decisions surrounding the info. This broad concept umbrellas framing effects—influences that occur due to the way information is framed in its appearance, whether it’s purely the order or the specific wording of a message. Let’s take a look at numerous ways in which two versions of something can objectively say the same thing, yet we respond in...
7.5K
Decision Making: Traditional Method
4.2K
The process of hypothesis testing based on the traditional method includes calculating the critical value, testing the value of the test statistic using the sample data, and interpreting these values.
First, a specific claim about the population parameter is decided based on the research question and is stated in a simple form. Further, an opposing statement to this claim is also stated. These statements can act as null and alternative hypotheses, out of which a null hypothesis would be a...
First, a specific claim about the population parameter is decided based on the research question and is stated in a simple form. Further, an opposing statement to this claim is also stated. These statements can act as null and alternative hypotheses, out of which a null hypothesis would be a...
4.2K


