scholarly journals PSY123 - IDENTIFICATION OF THE TREATMENT ATTRIBUTES TO BE CONSIDERED IN SHARED DECISION MAKING FOR ANKYLOSING SPONDYLITIS PATIENTS: A SYSTEMATIC LITERATURE REVIEW

2018 ◽  
Vol 21 ◽  
pp. S457
Author(s):  
S. Kwon ◽  
Y.J. Park ◽  
H.G. Kim ◽  
J. Kim ◽  
S.Y. Jeong
2018 ◽  
Vol 23 (4) ◽  
pp. 295-306 ◽  
Author(s):  
Ann Porter ◽  
Peter Creed ◽  
Michelle Hood ◽  
Teresa Y C Ching

Abstract Parents or caregivers of children who are deaf or hard of hearing are required to make complex and rational decisions soon after the confirmation of hearing loss. Ways of facilitating decision-making have been a focus within the healthcare sector for two decades and shared decision-making is now widely viewed as the standard for good clinical care. A systematic literature review was undertaken to identify the extent to which the principles of shared decision-making and informed choice have been implemented for parents when they make decisions related to their children with permanent hearing loss. Five databases were searched for peer-reviewed papers describing the results of original research published from 2000 to 2017, yielding 37 relevant papers. Studies were reviewed using the three phases of decision-making—information exchange, deliberation, and implementation. Two decisions dominated these studies—implantable devices and communication modality. Most papers dealt with decision-making in the context of bilateral hearing loss, with only one study focusing on unilateral hearing loss. The review identified gaps where further research is needed to ensure the lessons learnt in the broader decision-making literature are implemented when parents make decisions regarding their child who is deaf or hard of hearing.


2019 ◽  
Author(s):  
Intan Nurul Ainun

Latar Belakang : Tindakan kolaborasi merupakan kondisi dimana berbagai profesi kesehatan bekerjasama dengan pasien, keluarga pasien, masyarakat, dan profesi kesehatan lain untuk memberikan pelayanan kesehatan dengan kualitas yang terbaik. Tujuan : Untuk mengetahui bahwa dokter merupakan mitra perawat sebagai salah satu rekan dalam melakukan tindakan kesehatan dan Untuk mengetahui bahwasanya profesi lain terlibat dalam urusan keperwatan dalam mengasuh pasien agar menciptakan kesejahteraan dan kesembuhan pada keluhan pasien. Metode : Jurnal ini menggunakan metode literature review, melalui jurnal-jurnal 10 tahun terakhir yang terkait dengan interprofesi perawat dengan profesi lain dalam mewujudkan patient safety. Hasil : Berdasarkan penelitian yang dilakukan diperoleh empat komponen penting dalam meningkatkan kebijakan keselamatan pasien dirumah sakit yaitu partnerhip, cooperation, coordiation dan shared decision making. Kesimpulan : Kegiatan kolaboratif dalam asuhan keperawatan untuk mewujudkan keselamatan pasien sangatlah dibutuhkan. Kegaiatn kolaboratif bukan hanya dengan petugas kesehatan inti saja seperti dokter dan perawat, melainkan segala sumbaer daya di rumah sakit itu sendiri. Saran : Tindakan kolaboratif harus memaksimalkan asuhan yang diberikan pada pasien dan menghindari munculnya perasaan tidak dihargai pada tim lainnya agar tidak terjadi kesejangan antar profesi yang satu dengan yang lainnya.


2013 ◽  
Vol 40 (5) ◽  
pp. 454-463 ◽  
Author(s):  
Rana F. Obeidat ◽  
Gregory G. Homish ◽  
Robin M. Lally

2018 ◽  
Vol 34 (S1) ◽  
pp. 67-67
Author(s):  
Laurie Lambert ◽  
Lucy Boothroyd ◽  
Leila Azzi ◽  
Caroline Collette ◽  
Philippe Brouillard ◽  
...  

Introduction:Decision-making about replacement or modification of an implantable cardioverter defibrillator (ICD) must be patient-centered and clinically appropriate. We engaged both patients and health care professionals in a multi-method approach in order to recommend structures and processes that facilitate informed and shared decision-making.Methods:A systematic literature review (2000 to 2017) was performed focusing on the patient's perspective and the optimal organization of structures and processes for decision-making. A province-wide field evaluation based on medical chart review was carried out to provide ‘real world’ evidence in Québec's six ICD implanting centers (1 July to 31 December, 2016; N = 418). Patients and health care professionals reviewed the findings of the review and field evaluation, and deliberated recommendations in an anonymous manner by electronic mail. A joint meeting focused on proposed recommendations concerning shared decision-making.Results:The patients provided feedback on the literature review based on their ICD experience, and highlighted the need for better and more interactive decision aids, clinical information and time, and a private space for sensitive discussions. The field evaluation underlined the variability of treatment choices at the time of replacement and that more than one in ten patients had undergone ICD deactivation. Proposed recommendations focus on multi-disciplinary, integrated follow-up of patients and outline best practice for incorporating patient wishes and life objectives when discussing treatment options. The multi-round consultation process allowed both patients and professionals to co-construct recommendations with our evaluation team.Conclusions:This multi-method approach enriched our interpretation of literature and ‘real world’ data and facilitated identification and prioritization of important themes. Partnership with both patients and clinicians added a new and energizing dynamic to our evaluation and recommendation processes. We acknowledge the contribution of the members of the patient committee and the clinical experts committee.


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