在日本实施太华决策支持框架:对护士的决策指导研讨会的评估
Satoko Ono1, Misae Ito1, Keiko Matsumoto2
1Yamaguchi University Graduate School of Medicine, 1-1-1 Minami-Kogushi, Ube, Yamaguchi 755-8505, Japan.
Patient education and counseling
|February 6, 2026
概括
决策指导研讨会提高了护士对共享决策 (SDM) 的信心,并且在日本在文化上是可行的. 这项培训支持集体主义医疗机构的以患者和家庭为中心的护理.
科学领域:
- 医疗保健教育 医疗保健教育
- 护理实践 护理实践
- 共享的决策方式
背景情况:
- 护士需要有效的策略来支持共享决策 (SDM).
- 对SDM干预措施的文化适应对于各种医疗保健环境至关重要.
研究的目的:
- 评估日本护士决策指导研讨会的文化可行性和影响.
- 评估研讨会对护士对SDM概念,技能和信心的理解的影响.
主要方法:
- 采用前后研究设计来评估基于太华决策支持框架 (ODSF) 的四小时研讨会.
- 研讨会包括讲座,视频和角色扮演,通过自我报告的利克特尺度和定性反来衡量结果.
- 使用配对t测试分析了定量数据,并以主题方式总结了定性反.
主要成果:
- 研讨会后,对ODSF的理解增加到87.0%,使用决策支持工具的能力增加到72.2%,对SDM技能的自我评估增加到50.0%.
- 护士对SDM参与的信心显著提高 (p < .001),对SDM技能自我评估的信心也显著提高 (p < .001).
- 参与者发现角色扮演和视频演示对于文化相关性特别有效,特别是在以家庭为中心的决策中.
结论:
- 决策指导研讨会显著提高了护士对SDM的信心.
- 该培训在文化上是可行的,并支持日本医疗保健中的以患者和家庭为中心的护理.
- 适应的决策指导可以加强集体主义文化的SDM培训,促进以患者为中心的国际护理.
相关概念视频
01:20Decision Making
994
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...
994
01:09Decision Making: P-value Method
7.0K
The process of hypothesis testing based on the P-value method includes calculating the P- value using the sample data and interpreting it.
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...
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...
7.0K
01:15Nursing Implementation
6.2K
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
6.2K
01:14Decision Making: Traditional Method
5.5K
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...
5.5K
01:15Nursing Evaluation
4.4K
The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
4.4K
01:25Role of Communication in the Nursing Process II: Planning and Implementation
2.7K
Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time...
2.7K