超越口头宣传:一个立场文件,真正刺激共享决策
Maureen Thodé1, Jeroen Dikken2,3, Prabath W B Nanayakkara1
1Department of Internal Medicine, Section General Internal Medicine, Amsterdam UMC Location Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
Journal of advanced nursing
|July 23, 2025
概括
本文提出了一项五步计划,以改善医院的共享决策 (SDM),强调护士的关键作用. 实施该计划可以加强以患者为中心的护理和治疗决策.
科学领域:
- 医疗保健管理的管理
- 临床实践 临床实践
- 患者参与 患者参与
背景情况:
- 共享决策 (SDM) 是以患者为中心的护理的组成部分,特别是在终身治疗决策中.
- 护士在医院环境中促进包容性SDM方面发挥着至关重要的,但经常被忽视的作用.
- 目前的SDM实践需要加强,以充分赋予患者在治疗选择中的权力.
研究的目的:
- 检查当前基于医院的共享决策 (SDM) 实践.
- 强调护士在关键治疗决策中对包容性SDM的重要贡献.
- 引入一个五步实施策略,以加强患者参与SDM.
主要方法:
- 采用了立场论文方法,合成了六项实证研究的发现.
- 最近的文献被批判性地评估,以告知拟议的SDM实施计划.
- 该方法专注于开发可操作的战略,以加强SDM.
主要成果:
- 为了促进SDM,制定了五步计划:明确角色,组织协调,全面培训,定制实施计划和可持续整合.
- 该计划为医疗保健组织提供了一个结构化的框架,以便将SDM嵌入日常实践中.
- 将护士纳入SDM流程被认为是加强决策支持的关键.
结论:
- 拟议的计划为医疗机构推进SDM提供了一条实用且雄心勃勃的途径.
- 成功实施需要在多个组织层面协调行动,以实现包容性,以患者为中心的护理.
- 该战略旨在将SDM的雄心壮志转化为有形的实践,改善医疗保健部门的患者结果.
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