通过患者价值观重新定义基于证据的实践:以人为中心,以价值为基础的护理的理论创新
Sandra D Shapiro1, Ilana Logvinov2, Rachel McMahan Thomas3
1School of Nursing, UNF Brooks College of Health School of Nursing, Jacksonville, Florida, USA.
这项研究重新构想了以证据为基础的实践 (EBP),以中心患者的价值观,确保护理与个人目标保持一致. 优先考虑"为什么"可以增强治疗关系,并支持个性化,以人为中心的护理.
科学领域:
- 医疗保健实践 医疗保健实践
- 护理研究 护理研究
- 健康心理学 心理健康心理学
背景情况:
- 传统的基于证据的实践 (EBP) 整合了证据,专业知识和患者价值观.
- 然而,EBP经常优先考虑经验证据而不是患者价值,冒着非个性化护理的风险.
- 这可能会破坏个性化的患者治疗和结果.
研究的目的:
- 提出EBP的重新概念化,将患者价值置于其核心.
- 利用西蒙·西内克 (Simon Sinek) 的金圆模型,强调医疗保健决策中的目的.
- 确保护理计划与患者的个人目标和健康定义保持一致.
主要方法:
- 以西蒙·西内克的金圆模型为指导的概念分析.
- 在经验证据和临床专业知识之前检查患者价值的整合.
- 开发一个以人为中心的EBP框架.
主要成果:
- 一个重新概念化的EBP框架将患者价值观作为护理的基础.
- 将干预措施与患者价值观相结合,可以加强治疗关系.
- 这种方法支持真正个性化和以人为中心的护理.
结论:
- 护士和领导者必须采用患者优先的EBP方法.
- 实现以人为中心的护理需要优先考虑患者价值观.
- 这尊重患者的不同需求和改善健康结果的动机.
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