How do person-centered outcome measures enable shared decision-making for people with dementia and family carers?-A systematic review.
How do person-centered outcome measures enable shared decision-making for people with dementia and family carers?-A systematic review.
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DOI：
10.1002/trc2.12304
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发表时间：
2022
影响因子：
4.8
通讯作者：
Evans, Catherine J
中科院分区：
文献类型：
--
作者：
Aworinde, Jesutofunmi;Ellis-Smith, Clare;Gillam, Juliet;Roche, Moise;Coombes, Lucy;Yorganci, Emel;Evans, Catherine J
确定已发表的关于以人为中心的结果衡量标准(PCOM)用于痴呆症护理的证据，并探索PCOM如何促进共同决策和改善护理结果。根据研究结果建立逻辑模型，描述与PCOM影响机制和护理结果之间的联系。混合方法系统评价。我们从数据库中搜索了CogcINFO、MEDLINE、CINAHL和ASSIA，并纳入了报告痴呆症患者、家庭照顾者和/或从业者使用PCOM的经验和/或影响的研究。Groen Van de Ven的协作审议模型在数据的抽象、分析和解释中提供了痴呆症护理中共享决策的要素。数据被叙述性地综合起来，以建立逻辑模型。研究在长期护理、混合环境、急诊科、普通初级保健和老年诊所进行。共有1064名参与者参加了审查。共纳入10项研究。PCOM可以通过“了解个人”、“识别问题、护理和治疗的优先事项以及目标设定”、“评估决策”和“使用PCOM的实施考虑”来促进共享决策。关于PCOMS对改善个人与从业者之间的沟通、身体机能和日常生活活动的影响的证据不足。通过促进个人的家庭网络和从业者之间的协作工作，以识别和管理症状和关切，PCOMS可以实现共同的决策和影响结果。构建的逻辑模型展示了讨论护理和治疗的优先顺序以及评估决策和结果的关键机制。未来的一个研究领域是培训家庭照顾者与从业者一起使用PCOM。
To identify published evidence on person‐centered outcome measures (PCOMs) used in dementia care and to explore how PCOMs facilitate shared decision‐making and improve outcomes of care. To build a logic model based on the findings, depicting linkages with PCOM impact mechanisms and care outcomes. Mixed‐methods systematic review. We searched PsycINFO, MEDLINE, CINAHL, and ASSIA from databases and included studies reporting experiences and/or impact of PCOM use among people with dementia, family carers, and/or practitioners. Groen Van de Ven's model of collaborative deliberation informed the elements of shared decision‐making in dementia care in the abstraction, analysis, and interpretation of data. Data were narratively synthesized to develop the logic model. Studies were conducted in long‐term care, mixed settings, emergency department, general primary care, and geriatric clinics. A total of 1064 participants were included in the review. Ten studies were included. PCOMs can facilitate shared decision‐making through “knowing the person,” “identifying problems, priorities for care and treatment and goal setting,” “evaluating decisions”, and “implementation considerations for PCOM use.” Weak evidence on the impact of PCOMs to improve communication between individuals and practitioners, physical function, and activities of daily living. PCOMs can enable shared decision‐making and impact outcomes through facilitating collaborative working between the person's network of family and practitioners to identify and manage symptoms and concerns. The constructed logic model demonstrates the key mechanisms to discuss priorities for care and treatment, and to evaluate decisions and outcomes. A future area of research is training for family carers to use PCOMs with practitioners.