跨专业共享决策模式的研究进展

doi:10.3761/j.issn.1672-9234.2021.08.017

摘要/Abstract

摘要：

该文对跨专业共享决策模式的定义、影响医疗环境的3个层次水平（宏观、中观、微观）及跨专业共享决策模式在护理决策实践中的应用进行综述。同时,也提出国内学者进行跨专业共享决策实践时可考虑从丰富护理核心课程的内容和形式、构建以专科护士为主导的跨专业团队等方面入手,以推动跨专业共享决策模式在医疗实践中的运用。

关键词: 决策, 护理实践模式, 跨专业

Abstract:

This article summarizes the definition of the interprofessional shared decision-making model（IP-SDM）,the three levels that affect the medical environment,macro,meso,micro levels,and the application of IP-SDM in nursing decision-making practice. This paper suggests that nursing scholars in our country can consider enriching the contents and forms of nursing core courses and building a cross-professional team led by specialist nurses based on the IP-SDM.

Key words: Decision Making, Nurse’s Practice Patterns, Interprofessional

杨苏,黄丽华. 跨专业共享决策模式的研究进展[J]. 中华护理教育, 2021, 18(8): 755-758.

YANG Su,HUANG Li-hua. Research progress on interprofessional shared decision-making model[J]. Chinese Journal of Nursing Education, 2021, 18(8): 755-758.

参考文献 20

[1]	Charles C, Gafni A, Whelan T. Decision-making in the physician-patient encounter:revisiting the shared treatment decision-making model[J]. Soc Sci Med, 1999, 49(5):651-661. pmid: 10452420
[2]	Légaré F, O’Connor AC, Graham I, et al. Supporting patients facing difficult health care decisions:use of the Ottawa Decision Support Framework[J]. Can Fam Physician Med De Fam Can, 2006, 52:476-477.
[3]	Stacey D, Brière N, Robitaille H, et al. A systematic process for creating and appraising clinical vignettes to illustrate interprofessional shared decision making[J]. J Interprof Care, 2014, 28(5):453-459. doi: 10.3109/13561820.2014.911157 pmid: 24766619
[4]	Amalakuhan B, Adams SG. Improving outcomes in chronic obstructive pulmonary disease:the role of the interprofessional app-roach[J]. Int J Chron Obstruct Pulmon Dis, 2015, 10:1225-1232.
[5]	Lenzen SA, Daniëls R, van Bokhoven MA, et al. What makes it so difficult for nurses to coach patients in shared decision making? A process evaluation[J]. Int J Nurs Stud, 2018, 80:1-11. doi: 10.1016/j.ijnurstu.2017.12.005
[6]	Joseph-Williams N, Elwyn G, Edwards A. Knowledge is not power for patients:a systematic review and thematic synjournal of patient-reported barriers and facilitators to shared decision making[J]. Patient Educ Couns, 2014, 94(3):291-309. doi: 10.1016/j.pec.2013.10.031 pmid: 24305642
	Joseph-Williams N, Elwyn G, Edwards A. Knowledge is not power for patients:a systematic review and thematic synjournal of patient-reported barriers and facilitators to shared decision making[J]. Patient Educ Couns, 2014, 94(3):291-309. doi: 10.1016/j.pec.2013.10.031 pmid: 24305642
[7]	Légaré F, Stacey D, Gagnon S, et al. Validating a conceptual model for an inter-professional approach to shared decision making:a mixed methods study[J]. J Eval Clin Pract, 2011, 17(4):554-564. doi: 10.1111/jep.2011.17.issue-4
	Légaré F, Stacey D, Gagnon S, et al. Validating a conceptual model for an inter-professional approach to shared decision making:a mixed methods study[J]. J Eval Clin Pract, 2011, 17(4):554-564. doi: 10.1111/jep.2011.17.issue-4
[8]	Härter MD, Moumjid N, Cornuz J, et al. Shared decision making in 2017:International accomplishments in policy,research and implementation[J]. Zeitschrift für Evidenz,Fortbildung und Qua-lität im Gesundheitswesen, 2017,123- 124:1-5.
	Härter MD, Moumjid N, Cornuz J, et al. Shared decision making in 2017:International accomplishments in policy,research and implementation[J]. Zeitschrift für Evidenz,Fortbildung und Qua-lität im Gesundheitswesen, 2017,123- 124:1-5.
[9]	Zou XN. Epidemic trend,screening,and early detection and treatment of cancer in Chinese population[J]. Cancer Biol Med, 2017, 14(1):50-59. doi: 10.20892/j.issn.2095-3941.2016.0047
	Zou XN. Epidemic trend,screening,and early detection and treatment of cancer in Chinese population[J]. Cancer Biol Med, 2017, 14(1):50-59. doi: 10.20892/j.issn.2095-3941.2016.0047
[10]	Tucker JD, Wong B, Nie JB, et al. Rebuilding patient-physician trust in China[J]. Lancet, 2016, 388(10046):755. doi: 10.1016/S0140-6736(16)31362-9
	Tucker JD, Wong B, Nie JB, et al. Rebuilding patient-physician trust in China[J]. Lancet, 2016, 388(10046):755. doi: 10.1016/S0140-6736(16)31362-9
[11]	Lühnen J, Mühlhauser I, Richter T. Informed decision-making with and for people with dementia:developing and pilot testing an education program for legal representatives(PRODECIDE)[J]. Dementia(London), 2019, 18(6):2303-2321.
	Lühnen J, Mühlhauser I, Richter T. Informed decision-making with and for people with dementia:developing and pilot testing an education program for legal representatives(PRODECIDE)[J]. Dementia(London), 2019, 18(6):2303-2321.
[12]	Yu CH, Ivers NM, Stacey D, et al. Impact of an interprofessional shared decision-making and goal-setting decision aid for patients with diabetes on decisional conflict:study protocol for a randomized controlled trial[J]. Trials, 2015, 16:286. doi: 10.1186/s13063-015-0797-8
	Yu CH, Ivers NM, Stacey D, et al. Impact of an interprofessional shared decision-making and goal-setting decision aid for patients with diabetes on decisional conflict:study protocol for a randomized controlled trial[J]. Trials, 2015, 16:286. doi: 10.1186/s13063-015-0797-8
[13]	Davies N, Schiowitz B, Rait G, et al. Decision aids to support decision-making in dementia care:a systematic review[J]. Int Psychogeriatr, 2019, 31(10):1403-1419. doi: 10.1017/S1041610219000826
	Davies N, Schiowitz B, Rait G, et al. Decision aids to support decision-making in dementia care:a systematic review[J]. Int Psychogeriatr, 2019, 31(10):1403-1419. doi: 10.1017/S1041610219000826
[14]	Keshmiri F, Rezai M, Tavakoli N. The effect of interprofessional education on healthcare providers’ intentions to engage in interprofessional shared decision-making:perspectives from the theory of planned behaviour[J]. Journal of Evaluation in Clinical Practice, 2020, 26(4):1153-1161. doi: 10.1111/jep.13379 pmid: 32114699
	Keshmiri F, Rezai M, Tavakoli N. The effect of interprofessional education on healthcare providers’ intentions to engage in interprofessional shared decision-making:perspectives from the theory of planned behaviour[J]. Journal of Evaluation in Clinical Practice, 2020, 26(4):1153-1161. doi: 10.1111/jep.13379 pmid: 32114699
[15]	Edwards ST, Hooker ER, Brienza R, et al. Association of a multisite interprofessional education initiative with quality of primary care[J]. JAMA Netw Open, 2019, 2(11):e1915943. doi: 10.1001/jamanetworkopen.2019.15943
	Edwards ST, Hooker ER, Brienza R, et al. Association of a multisite interprofessional education initiative with quality of primary care[J]. JAMA Netw Open, 2019, 2(11):e1915943. doi: 10.1001/jamanetworkopen.2019.15943
[16]	Michalsen A, Long AC, Dekeyser Ganz F, et al. Interprofessional shared decision-making in the ICU[J]. Critical Care Me-dicine, 2019, 47(9):1258-1266.
	Michalsen A, Long AC, Dekeyser Ganz F, et al. Interprofessional shared decision-making in the ICU[J]. Critical Care Me-dicine, 2019, 47(9):1258-1266.
[17]	Lee YK, Ng CJ. The state of shared decision making in Ma-laysia[J]. Z Evid Fortbild Qual Gesundhwes, 2017, 123/124:66-68. doi: 10.1016/j.zefq.2017.05.019
	Lee YK, Ng CJ. The state of shared decision making in Ma-laysia[J]. Z Evid Fortbild Qual Gesundhwes, 2017, 123/124:66-68. doi: 10.1016/j.zefq.2017.05.019
[18]	Van den Bulcke B, Vyt A, Vanheule S, et al. The perceived quality of interprofessional teamwork in an intensive care unit:a single centre intervention study[J]. J Interprof Care, 2016, 30(3):301-308. doi: 10.3109/13561820.2016.1146876 pmid: 27152533
	Van den Bulcke B, Vyt A, Vanheule S, et al. The perceived quality of interprofessional teamwork in an intensive care unit:a single centre intervention study[J]. J Interprof Care, 2016, 30(3):301-308. doi: 10.3109/13561820.2016.1146876 pmid: 27152533
[19]	Berger-Höger B, Liethmann K, Mühlhauser I, et al. Nurse-led coaching of shared decision-making for women with ductal carcinoma in situ in breast care centers:a cluster randomized controlled trial[J]. Int J Nurs Stud, 2019, 93:141-152. doi: S0020-7489(19)30027-6 pmid: 30925280
	Berger-Höger B, Liethmann K, Mühlhauser I, et al. Nurse-led coaching of shared decision-making for women with ductal carcinoma in situ in breast care centers:a cluster randomized controlled trial[J]. Int J Nurs Stud, 2019, 93:141-152. doi: S0020-7489(19)30027-6 pmid: 30925280
[20]	Buhse S, Kuniss N, Liethmann K, et al. Informed shared decision-making programme for patients with type 2 diabetes in primary care:cluster randomised controlled trial[J]. BMJ Open, 2018, 8(12):e024004. doi: 10.1136/bmjopen-2018-024004
	Buhse S, Kuniss N, Liethmann K, et al. Informed shared decision-making programme for patients with type 2 diabetes in primary care:cluster randomised controlled trial[J]. BMJ Open, 2018, 8(12):e024004. doi: 10.1136/bmjopen-2018-024004