摘要
医患共同决策是一种以患者为中心的决策模式,护士应在其中扮演重要角色。然而,不同的文化背景会对医患共同决策产生影响,医疗伦理观念和法律差异也对医患共同决策的实施提出了挑战。在中国的家庭主义传统下,实现理想的患者自主决策模式存在一定难度。基于此,文章提出未来我国护理研究应更多关注医患共同决策过程中的跨文化调试,强调医患共同决策过程中护士的参与和作用,寻找文化平衡来构建有多角色参与的中国的医患共同决策模式和工具。
The concept of Shared Decision-Making in healthcare is a patient-centered approach,wherein nurses play a vital role.However,varying cultural backgrounds significantly influence the implementation of Shared Decision-Making,with distinct medical ethics and legal disparities posing additional challenges.In the context of China's familialism tradition,achieving an ideal model of autonomous decision-making can be particularly challenging.Therefore,this paper proposes that future nursing research in China should focus more on cross-cultural adjustments within the Shared Decision-Making process and emphasize the involvement and impact of nurses.It suggests to find a cultural balance to develop a multi-faceted Shared Decision-Making model and tools that are suitable for Chinese contexts.
作者
李学靖
孟美琪
陈思涵
张静渊
杨丹
尹依依
郝玉芳
LI Xuejing;MENG Meiqi;CHEN Sihan;ZHANG Jingyuan;YANG Dan;YIN Yiyi;HAO Yufang(School of Nursing,Beijing University of Chinese Medicine,Beijing,102488,China)
出处
《中国护理管理》
CSCD
北大核心
2024年第6期956-960,共5页
Chinese Nursing Management
基金
北京中医药大学2023年度基本科研业务费项目(2023-JYB-XJSJJ019)。
关键词
医患共同决策
本土化
文化
决策辅助
决策教练
家庭
Shared Decision-Making
cultural adaptation
culture
decision aids
decision coaching
family
