#给大家推荐一个护理选题：临床决策主题
#给大家推荐一个护理选题：临床决策主题
首先，我们在知识星球社群中提到了好多次“临床决策”主题，详见：
今天要给大家分享的这篇文献源自《Journal of Advanced Nursing》：Wu, F, Zhuang, Y, Chen, X, et al. Decision-making among the substitute decision makers in intensive care units: An investigation of decision control preferences and decisional conflicts. J Adv Nurs. 2020; 76: 2323– 2335. https://doi.org/10.1111/jan.14451
文章作者是来自湖州师范学校和浙江大学医学院。文章讲述的是：探讨重症监护病房代理决策者决策行为偏好与决策冲突之间的关系。
感兴趣的老师可以根据下方的百度云链接下载查看原文和翻译版：
https://pan.baidu.com/s/1XkBhJRIwJWjNxgNn2ABALg
提取码: r7ah
# 以下是文章的摘要：
Abstract摘要
Aims研究目的
To explore decision control preferences and decisional conflicts and to analyse their association among the surrogate decision makers in the intensive care unit.
探讨重症监护病房代理决策者决策行为偏好与决策冲突之间的关系。
Design研究设计
The study carried out a cross‐sectional survey among the surrogates.
横断面研究
Methods研究方法
The participants were 115 surrogate decision makers of critical patients, from August to September 2019. A Chi‐squared test and logistic regression were used to assess decision control preferences and decisional conflicts, and Spearman's rank correlation coefficient was employed to examine their association.
于2019年8月-9月，选取115名危重患者的代理决策者为调查对象；调查其决策控制偏好和决策冲突现状，并分析其相关性。
Results研究结果
Of the 115 surrogate decision makers, 51.3% preferred a collaborative role, and 63.48% were somewhat unsure about making decisions. Logistic regression analysis identified decision control preferences was associated with surrogates’ age, education level, and personality traits, while decisional conflicts was associated with surrogates’ age, education level, character, medical expense burden, and Acute Physiology and Chronic Health Evaluation‐II score. Cohen's kappa statistics showed a bad concordance of decision‐making expectations and actuality, with kappa values of 0.158 (p < .05). Wherein surrogates who experienced discordance between their preferred and actual roles, have relatively higher decisional conflicts.
①在115名代理决策者中，其中51.3%的人更倾向于共同体决策，63.48%的人对决策持有不确定性。②Logistic回归分析结果显示，决行为偏好与决策代理人年龄、教育水平和人格特征相关，而决策冲突与决策代理人年龄、教育水平、性格、医疗费用负担和急性生理和慢性健康评估-II评分相关。③kappa一致性分析数据显示，决策预期与现实的一致性较差。其中，对决策期望较低的决策代理人，有相对较高的决策冲突。
Conclusion结论
This study identified individual differences of surrogate decision makers in decision control preferences and decisional conflicts. These results imply that incorporation of the individual decision preferences and communication styles into care plans is an important first step to develop high quality decision support.
本研究发现代理决策者在决策行为偏好和决策冲突上存在个体差异。这些结果表明，将个人决策偏好和沟通方式纳入护理计划是发展高质量决策支持的重要第一步。
大家也可以去检索一下知网上关于“临床决策”主题的文献，还是比较多的。
#简单提示这些，有更多问题和话题，大家可以加入我们的护理科研知识星球交流社群：护理科研Focus
#任何护理科研或者职业生涯中的问题，都可以在星球社群中提问。