頁籤選單縮合
題名 | 決策衝突之論述=Discourse of Decision Conflict |
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作者 | 孫婉娜; 許心恬; Sun, Wan-na; Hsu, Hsin-tien; |
期刊 | 高雄護理雜誌 |
出版日期 | 20170400 |
卷期 | 34:1 2017.04[民106.04] |
頁次 | 頁25-35 |
分類號 | 419.83 |
語文 | chi |
關鍵詞 | 決策衝突; Decision conflict; |
中文摘要 | 現今全球提倡病人自主權且在病人意識抬頭下,臨床醫療工作者在決策過程中,不再以醫師做臨床決策及治療之中心,反以尊重決策者之意願為主,但在現今的醫療決策選項多元下,往往引起決策者在決策過程中有衝突產生,而使決策者產生一連串生、心、靈的負向反應。在現今國內文獻大多針對決策共享或決策技巧上探討與琢磨,對於決策衝突議題鮮少探討,尚無針對此議題做整合性了解及運用,故本文希望藉由文獻搜尋統整決策衝突之定義、理論架構、並介紹決策衝突量表 (Decision Conflict Scale, DCS)、處理策略及成效,提供臨床醫護人員相關實證以面對醫療決策時實務運用之參考。 |
英文摘要 | Because of raising the awareness of patient autonomy, physicians are not the key person to make clinical decisions as well as respect the wishes of patients or other decision-makers. There are a wide variety of medical treatments available, and decision makers have often caused conflicts in the decision-making process, resulting in a series of negative reactions on health, psychological parameters and the spirit. In most of the literature on shared decision-making or decision-making skills, decision conflict issues have rarely been discussed, integrated and applied to this topic in practice. This article will conduct and organize literature to define the concept, address a theoretical framework of decision conflict, and provide a decision-making conflict scale and management support for effectiveness as a reference to health professionals when they face the process of medical decision-making. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。