将共享决策和决策支持工具整合到临床实践指南中:需要什么? 一个定性研究
Lena Fischer1,2, Rahel Wollny1, Leon V Schewe3
1Institute for Health Services and Health System Research, Faculty of Health Sciences Brandenburg, Brandenburg Medical School (Theodor Fontane), Rüdersdorf, Germany.
将共享决策 (SDM) 整合到临床实践指南 (CPG) 中,需要确定患者喜欢的选择,并涉及患者合作伙伴. 克服资源限制和培养支持性文化是成功在医疗保健中实施SDM的关键.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 以患者为中心的护理
背景情况:
- 将共享决策 (SDM) 纳入临床实践指南 (CPG) 面临挑战.
- 需要专家的见解来改进SDM和决策支持工具的整合到CPG中.
研究的目的:
- 确定适合SDM的CPG建议.
- 确定阻碍或促进SDM和CPG中决策支持工具开发的因素.
主要方法:
- 与16名CPG和SDM专家进行了半结构化采访.
- 使用Mayring的定性内容分析分析了采访数据.
主要成果:
- SDM最适用于涉及多个选择的建议,其益处/危害不同,取决于患者的偏好.
- 优先考虑,类似于CPG范围,是确定SDM相关建议的关键策略.
- 患者合作伙伴至关重要,但需要支持的文化和充足的资源;目前的CPG格式是压倒性的.
结论:
- 确定的策略为CPG组织提供了一个基础,以整合SDM和决策支持工具.
- 解决特定背景的障碍和促进因素对于成功的整合至关重要.
- 需要进一步的研究,政策变化和合作来克服实施挑战.
更多相关视频
13:44Project-Based Learning Guidelines for Health Sciences Students: An Analysis with Data Mining and Qualitative Techniques
Published on: December 9, 2022
10:39Qualitative and Quantitative Validation of Tools with Rating Scales Aimed at Assessing the Quality of University Service-Learning
Published on: August 29, 2025
相关概念视频
Ethical Dilemmas II
Patient-centered Care
Methods of Documentation VI: Case Management Model
For example, a patient with a chronic...
Nursing Clinical Information System
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
Decision Making: P-value Method
First, a specific claim about the population parameter is proposed. The claim is based on the research question and is stated in a simple form. Further, an opposing statement to the claim is also stated. These statements can act as null and alternative hypotheses: a null hypothesis would be a neutral statement while the alternative hypothesis can...
Self-Help Support Groups
Accessibility and Cost-Effectiveness
One of the primary strengths of self-help...
