Construction of Doctor-Nurse-Patient shared decision-making framwork for breast cancer patients undergoing surgery
10.3760/cma.j.cn211501-20220815-02589
- VernacularTitle:乳腺癌手术患者医护患共同决策框架的构建
- Author:
Qingyue ZHANG
1
;
Yan WANG
;
Di YAN
;
Xiaoyuan WANG
;
Jing HUA
;
Yue LIU
;
Jingya WEN
Author Information
1. 天津医科大学肿瘤医院 国家恶性肿瘤临床医学研究中心 天津市恶性肿瘤临床医学研究中心 天津市肿瘤防治重点实验室 乳腺癌防治教育部重点实验室 中俄乳腺肿瘤整形联合研究中心乳房再造科，天津 300060
- Keywords:
Breast neoplasms;
Delphi technique;
Surgical decision;
Shared decision-making
- From:
Chinese Journal of Practical Nursing
2023;39(6):418-424
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct Doctor-Nurse-Patient shared decision-making framwork for breast cancer surgery patients, so as to provide a foundation for clinical practice.Methods:The content of the shared decision-making framwork were initially constructed through systematic literature search and group discussion. From March to May 2021, 24 experts were consulted by the Delphi method, and the weight of each element would be determined by the analytic hierarchy process.Results:A total of 2 rounds of expert letter questionnaires were implemented. The authority coefficient of the experts in this study was 0.832, the Kendall coefficient of the experts in the first round was 0.130-0.261 ( P<0.01), and the Kendall coefficient of the experts in the second round was 0.130-0.272 ( P<0.01). The final shared decision-making framwork includes 5 first-level indicators, 15 second-level indicators and 52 third-level indicators. Conclusions:The Doctor-Nurse-Patient shared decision-making framwork of breast cancer surgery patients constructed in this study is scientific and practical, and provides a reference for clinical practice of shared decision-making in the future.
