权益分类	功能权益	普通用户	{{item.name}}会员
{{category.name}}	{{benefitItem.name}}

Collaborative Decision Making in Nursing Practice

护理实践中的协作决策

基本信息

批准号：
02671079
负责人：
INAYOSHI Mitsuko
金额：
$ 1.41万
依托单位：
Kitasato University
依托单位国家：
日本
项目类别：
Grant-in-Aid for General Scientific Research (C)
财政年份：
1990
资助国家：
日本
起止时间：
1990 至 1992
项目状态：
已结题

项目摘要

The purpose of this study is to investigate patients' and nurses' attitudes and perceptions regarding collaboration in nursing care in acute care hospitals. This study is based on the theory that nurses' and patients' attitudes and perceptions may affect collaboration in nursing care decision making and may influence patient-care outcomes.The method used was a questionnaire-survey which was replicated in Norway, Japan, Finland, and the U.S., between 1988 and 1991. The same research procedures were used in each country. One set of nurse surveys and two sets of patient surveys, the first given at the admission and the second at the time of discharge, were carried out in each country. The survey questionnaires originally developed in English were translated into the respective native languages in Norway, Japan, and Finland.Findings from the survey indicate that while the patients and the nurses in these countries tend to lean toward the consumerist perspective in their attitudes, there were significant differences in the acculturation of these attitudes among the countries and between the patients and nurses. Two different models for the explanation of attitudes regarding collaborative decision making in nursing practice emerged for the patients and the nurses as groups. For both groups, however, age and the more general consumerist attitude have a bearing on their attitude regarding collaboration in nursing.Since the contemporary thrust is on valuing self-determinism and consumerism in health care, the next investigation should examine the relationships between consumerism attitudes and patients' and nurses' behaviors which exist and affect patient outcomes. However, since different patterns of health care negotiation and nurse-patient relationships may have been integrated into nursing practice in each country, it will also be important to investigate this issue in an international context.

本研究旨在探讨病患与护理人员对于急症医院护理合作的态度与认知。本研究的理论基础是，护士和病人的态度和看法可能会影响护理决策的合作，并可能影响病人的护理结果。所使用的方法是一个问卷调查，在挪威，日本，芬兰和美国复制，在1988年到1991年间。每个国家都采用了同样的研究程序。在每个国家进行了一组护士调查和两组患者调查，第一组在入院时进行，第二组在出院时进行。调查问卷最初是用英语编制的，在挪威、日本和芬兰被翻译成了各自的母语。调查结果显示，虽然这些国家的患者和护士在态度上倾向于消费主义观点，但这些态度的文化适应在各国之间以及患者和护士之间存在显著差异。两种不同的模式来解释护理实践中的合作决策的态度出现了病人和护士作为一个群体。然而，对于这两个群体，年龄和更普遍的消费主义态度有关系，他们的态度合作nursing.As当代的推力是重视自我决定论和消费主义在医疗保健，下一个调查应检查消费主义态度和病人和护士的行为之间的关系，存在和影响病人的结果。然而，由于不同的模式的医疗保健谈判和护患关系可能已被纳入护理实践中，在每个国家，它也将是重要的，在国际范围内调查这个问题。