Application progress of shared decision-making in ICU

doi:10.3761/j.issn.0254-1769.2021.02.023

Abstract

Abstract:

Shared decision-making,the core in patient-centered care,is a collaborative decision-making process between healthcare providers and patients or their surrogates,taking into account the best available scientific evi-dence,while considering the patient’s values,goals and preferences. Shared decision-making helps patients or their surrogates formulate more informed decisions through active participation in the decision and enhanced unders-tanding of prognosis,various treatment and nursing interventions. In order to provide references for the application of shared decision-making in ICU,this article introduces significances and applications of shared decision-making in ICU,analyzes the influencing factors from 3 aspects including patients,healthcare providers and assessment tools,and proposes suggestions for the application of shared decision-making in the ICU.

Key words: Shared Decision-Making, Intensive Care Units, Decision Aid, Nursing Care

摘要：

共享决策作为“以患者为中心的护理”的核心,是医患之间通过参考现有的最佳临床证据并考虑患者的价值观和偏好,协同合作制订决策的过程。共享决策通过促进患方参与决策,并增强其对预后和治疗护理措施的理解,来制订更加明智的决策。该文介绍共享决策在ICU的实施意义及应用情况,针对患者/家属因素、医疗相关人员因素和评估工具因素3个方面的影响因素进行分析,提出了共享决策在ICU实施的建议,以期为共享决策在ICU中的应用提供参考。

关键词: 共享决策, 重症监护病房, 决策辅助, 护理

ZHU Yizhen, ZHANG Shuang, GUAN Yuzhu, MENG Meng, LI Lezhi. Application progress of shared decision-making in ICU[J]. Chinese Journal of Nursing, 2021, 56(2): 289-294.

朱懿珍, 张爽, 关玉珠, 孟萌, 李乐之. 共享决策在ICU中的应用进展[J]. 中华护理杂志, 2021, 56(2): 289-294.

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