引导自决 - - "引导"在自决方面意味着什么?
Vibeke Zoffmann1, Jeanette Finderup2, Rikke Jørgensen3
1Juliane Marie Center, Rigshospitalet, Blegdamsvej 9, Copenhagen DK-2100, Denmark; Section for Health Services Research, Department of Public Health, Faculty of Health and Medical Sciences, University of Copenhagen, Blegdamsvej 3B, Copenhagen DK-2200, Denmark; School of Nursing and Midwifery, Deakin University, 1 Gheringhap St, Geelong, VIC 3220, Australia; Centre for Quality and Patient Safety Research in the Institute for Health Transformation, Deakin University, 1 Gheringhap St, Geelong, VIC 3220, Australia.
引导自决 (GSD) 通过促进医疗保健用户的自主权. 这种方法解决了"指导"自决的明显悖论,表明指导和自主性是有利于更好的决策的.
科学领域:
- 医疗保健的决策
- 患者的权力
- 翻译研究
背景情况:
- 在赋予医疗保健用户权力方面存在持续的挑战.
- 引导自决 (GSD) 是一种基于授权的决策和解决问题的方法.
- 在各种长期条件下确定了GSD的有效性.
研究的目的:
- 澄清GSD方法的"指导"和"自决"组成部分.
- 为了解决有关GSD方法名称的潜在误解.
- 提供关于GSD方法原则的科学讨论.
主要方法:
- 专家讨论涉及转化赋权,自决理论和GSD.
- 自决理论 (SDT) 的优势和实际局限性的分析.
- 用户准备和积极参与的GSD使用反射表的描述.
主要成果:
- 自决理论 (SDT) 具有强大的概念化,但缺乏实际的临床应用支持.
- GSD使用反思表来准备用户与医疗保健专业人员 (HCP) 积极参与.
- 通过价值观澄清,GSD促进了用户的自我洞察力,使其能够发现个人变革潜力和建设性决策.
结论:
- 尊重和促进自主权的指导会导致真正的自决权.
- 引导和自决是互补的, 而不是矛盾的.
- 基于授权的方法,如GSD在临床决策和解决问题的过程中增强了用户的自决能力.
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