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首页> 外文期刊>Western journal of nursing research >Barriers and Promoters to Participation in the Era of Shared Treatment Decision-Making
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Barriers and Promoters to Participation in the Era of Shared Treatment Decision-Making

机译：参与共享治疗决策时代的障碍和推动者

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摘要

This study aimed to identify the barriers and promoters for participation in cancer treatment decision in the era of shared decision-making (SDM) process. A qualitative design was utilized. Nineteen nurses and 11 nurse practitioners from oncology inpatient and outpatient settings participated in semi-structured interviews. Data were analyzed using directed content analysis. The findings include practice barrier, patient barrier, institutional policy barrier, professional barrier, scope of practice barrier, insurance coverage barrier, and administrative barrier. Multidisciplinary team approach, having a nursing voice during SDM, high level of knowledge of the disease and treatment, and personal valuation of SDM participation were perceived as promoters. Oncology nurses and nurse practitioners face many barriers to their participation during SDM. Organizational support and system-wide culture of SDM are essential to achieve better cancer treatment decisions outcome. Additional studies are needed to determine the factors that can promote more participation among nurses and nurse practitioners.
机译：这项研究旨在确定在共享决策制定（SDM）流程时代参与癌症治疗决策的障碍和推动者。利用定性设计。来自肿瘤科住院和门诊场所的19名护士和11名护士从业人员参加了半结构化访谈。使用定向内容分析对数据进行分析。研究结果包括实践障碍，患者障碍，制度政策障碍，专业障碍，实践范围障碍，保险覆盖范围障碍和行政障碍。多学科团队方法，在SDM期间具有护理声音，对疾病和治疗的高度了解以及对SDM参与的个人评估被认为是促进者。在SDM期间，肿瘤科护士和执业护士面临许多障碍。 SDM的组织支持和全系统文化对于实现更好的癌症治疗决策结果至关重要。需要进行其他研究以确定可以促进护士和护士从业者更多参与的因素。

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