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Patient and Caregiver Perception of Shared Decision Making in the Serious Illness Conversation

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서명/저자사항Patient and Caregiver Perception of Shared Decision Making in the Serious Illness Conversation.
개인저자Diamse, Eleanor.
단체저자명The University of Arizona. Nursing.
발행사항[S.l.]: The University of Arizona., 2018.
발행사항Ann Arbor: ProQuest Dissertations & Theses, 2018.
형태사항83 p.
기본자료 저록Dissertation Abstracts International 79-12A(E).
Dissertation Abstract International
ISBN9780438285392
학위논문주기Thesis (D.N.P.)--The University of Arizona, 2018.
일반주기 Source: Dissertation Abstracts International, Volume: 79-12(E), Section: A.
Adviser: Kimberly Shea.
요약Background: The Institute of Medicine finds that patients facing serious illness have higher end-of-life quality when care plans incorporate their values, goals and preferences. A higher quality of life can be achieved by care that includes effe
요약Objective: To evaluate patient and caregiver perception of shared decision making (SDM) when discussing goals of care, in the context of a serious illness, between the patient and clinician using a systematic tool to guide the conversation.
요약Design: Program evaluation with observational and quantitative descriptive methodologies Setting: Neuroscience and medical-oncology acute care floors in a medium-sized hospital in rural Colorado Participants: Five patients and 13 caregivers took
요약Measurement: Patient and caregiver perception of SDM measured with the CollaboRATE survey. This validated survey evaluates three dimensions of SDM: explanation of health issue, listening for what matters most to the patient, and integration of w
요약Results: Mean survey score for all participants is 8.50 with a standard deviation of 0.84. Maximum mean score is 9. Percentage of participants who gave perfect scores is 67%.
요약Conclusion: From the patient and caregiver perspectives, SDM is achieved when providers use the SIC Guide to facilitate the goals of care discussion.
일반주제명Communication.
Health education.
Health care management.
언어영어
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