Mixed methods analysis of hospice staff perceptions and shared decision making practices in hospice.
Mixed methods analysis of hospice staff perceptions and shared decision making practices in hospice.
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DOI：
10.1007/s00520-021-06631-w
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发表时间：
2022-03
影响因子：
3.1
通讯作者：
Demiris, George
中科院分区：
文献类型：
--
作者：
Oliver, Debra Parker;Washington, Karla T.;Pitzer, Kyle;Popejoy, Lori;White, Patrick;Wallace, Audrey S.;Grimsley, Amy;Demiris, George
共同决策一直是肿瘤学的一项长期实践，尽管缺乏对这一主题的研究，但它是临终关怀哲学基础的核心部分。本混合方法研究检视安宁疗护跨学科团队会议中，员工对共同决策的看法，以及他们对共同决策要素的使用。本研究采用修订的利兹共识态度量表（LATCon II）来测量安宁疗护人员对共同决策的态度。对包括家庭照护者在内的安宁疗护跨学科团队会议的现场记录和笔录进行编码，以确定9个理论驱动的共同决策要素。在比较态度和实践的矩阵分析中，结果是混合的。三份文字记录显示安宁疗护团队之间共同决策过程的差异。安宁疗护人员报告对共同决策的整体正面看法；然而，这些观点因参与者的年龄和职位而异。在安宁疗护跨学科团队会议中，员工意见与所观察到的共享决策要素的使用一致的程度各不相同。在安宁疗护跨学科团队会议期间，政策和实务条件可能使共同决策具有挑战性，尽管工作人员对过程提供支持。
Shared decision making has been a long-standing practice in oncology and, despite a lack of research on the subject, is a central part of the philosophical foundation of hospice. This mixed methods study examined the perceptions of staff regarding shared decision making and their use of shared decision elements in hospice interdisciplinary team meetings. The revised Leeds Attitude to Concordance scale (LATCon II) was used to measure the attitudes of hospice staff toward shared decision making. Field notes and transcripts of hospice interdisciplinary team meetings that included family caregivers as participants were coded to identify 9 theory-driven shared decision making elements. The results were mixed in a matrix analysis comparing attitudes with practice. Three transcripts demonstrate the variance in the shared decision making process between hospice teams. Hospice staff reported overall positive views on shared decision making; however, these views differed depending on participants’ age and position. The extent to which staff views were aligned with the observed use of shared decision making elements in hospice interdisciplinary team meetings varied. Policy and practice conditions can make shared decision making challenging during hospice interdisciplinary team meetings despite support for the process by staff.
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影响因子：
3.5
作者：
Makoul, G;Clayman, ML
通讯作者：
Clayman, ML
影响因子：
2.8
作者：
Bakitas, Marie;Kryworuchko, Jennifer;Volandes, Angelo E.
通讯作者：
Volandes, Angelo E.
影响因子：
4.7
作者：
Oliver, Debra Parker;Washington, Karla T.;White, Patrick
通讯作者：
White, Patrick
DOI：
10.1097/01.njh.0000319195.16778.ac
发表时间：
2008-01-01
期刊：
Journal of hospice and palliative nursing : JHPN : the official journal of the Hospice and Palliative Nurses Association
影响因子：
--
作者：
Demiris, George;Washington, Karla;Wittenberg-Lyles, Elaine
通讯作者：
Wittenberg-Lyles, Elaine
影响因子：
2.2
作者：
Yeh, Pi-Ming;Wierenga, Mary E.;Yuan, Su-Chuan
通讯作者：
Yuan, Su-Chuan