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首页> 外文期刊>Journal of clinical nursing >Clinical decision-making: predictors of patient participation in nursing care.
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Clinical decision-making: predictors of patient participation in nursing care.

机译：临床决策：患者参与护理的预测指标。

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AIM: To investigate predictors of patients' preferences for participation in clinical decision-making in inpatient nursing care. BACKGROUND: Patient participation in decision-making in nursing care is regarded as a prerequisite for good clinical practice regarding the person's autonomy and integrity. DESIGN: A cross-sectional survey of 428 persons, newly discharged from inpatient care. METHODS: The survey was conducted using the Control Preference Scale. Multiple logistic regression analysis was used for testing the association of patient characteristics with preferences for participation. RESULTS: Patients, in general, preferred adopting a passive role. However, predictors for adopting an active participatory role were the patient's gender (odds ratio = 1.8), education (odds ratio = 2.2), living condition (odds ratio = 1.8) and occupational status (odds ratio = 2.0). A probability of 53% was estimated, which female senior citizens with at least a high school degree and who lived alone would prefer an active role in clinical decision-making. At the same time, a working cohabiting male with less than a high school degree had a probability of 8% for active participation in clinical decision making in nursing care. CONCLUSIONS: Patient preferences for participation differed considerably and are best elicited by assessment of the individual patient. Relevance to clinical practice. The nurses have a professional responsibility to act in such a way that patients can participate and make decisions according to their own values from an informed position. Access to knowledge of patients'basic assumptions and preferences for participation is of great value for nurses in the care process. There is a need for nurses to use structured methods and tools for eliciting individual patient preferences regarding participation in clinical decision-making.
机译：目的：调查患者在住院护理中参与临床决策的偏好的预测因素。背景：患者参与护理决策被视为有关患者自主性和完整性的良好临床实践的前提。设计：一项对428名刚从住院治疗中出院的人进行的横断面调查。方法：调查采用对照偏好量表进行。多元逻辑回归分析用于测试患者特征与参与偏好的关联。结果：一般而言，患者更喜欢采用被动角色。然而，积极参与的预测因素是患者的性别（比值= 1.8），受教育程度（比值= 2.2），生活条件（比值= 1.8）和职业状况（比值= 2.0）。估计有53％的可能性，其中至少具有高中学历且独居的女性老年人更愿意在临床决策中发挥积极作用。同时，一名高中以下文化程度的同居男性，积极参与护理临床决策的可能性为8％。结论：患者对参与的偏好存在很大差异，最好通过对单个患者的评估来得出。与临床实践有关。护士有专业的责任，采取行动使患者可以在知情的位置根据自己的价值观参与并做出决定。获得患者基本假设和参与偏好的知识对护士在护理过程中具有重要价值。护士需要使用结构化的方法和工具来引起患者对参与临床决策的偏爱。

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