Using hybrid consistent fuzzy preference relations–importance‐performance analysis model to improve shared decision‐making quality based on orthopaedic nurses' perceptions.
Purpose: To understand key factors for shared decision‐making (SDM) and the quality improvement of nursing decisions in the orthopaedic clinical environment. Method: This study applied the consistent consistent fuzzy preference relations (CFPRs) and importance‐performance analysis (IPA) methods to e...
| Publicado en: | Journal of Clinical Nursing (John Wiley & Sons, Inc.) Vol. 32; no. 13/14; pp. 3568 - 3576 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
John Wiley & Sons, Inc.
Jul2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=164135982&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 164135982 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09621067 LVDZ jtl: Journal of Clinical Nursing (John Wiley & Sons, Inc.) issn: 09621067 maglogo: N pubinfo: dt: Jul2023 vid: 32 iid: 13/14 pid: 52269 pub: John Wiley & Sons, Inc. artinfo: ui: 164135982 157725477 164135982 164135982 10.1111/jocn.16427 164135982 ppf: 3568 ppct: 8 formats: tig: atl: Using hybrid consistent fuzzy preference relations–importance‐performance analysis model to improve shared decision‐making quality based on orthopaedic nurses' perceptions. aug: au: Chuang, Yen‐Ching Zhu, Zhong Jin, Yanjun Chien, Ching‐Wen Tung, Tao‐Hsin affil: Institute of Public Health and Emergency Management, Taizhou University, Taizhou Zhejiang,, China sug: subj: Decision Making, Shared Quality Improvement Orthopedic Nurses Nurse Attitudes Orthopedic Nursing Quality of Nursing Care Nurse-Patient Relations Professional-Family Relations Patient Preference Family Attitudes Human Hospitals, Public China Work Experiences Confidence Quantitative Studies Nursing Models, Theoretical Questionnaires Male Female Summated Rating Scaling Coefficient alpha Adult Middle Age Descriptive Statistics Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Purpose: To understand key factors for shared decision‐making (SDM) and the quality improvement of nursing decisions in the orthopaedic clinical environment. Method: This study applied the consistent consistent fuzzy preference relations (CFPRs) and importance‐performance analysis (IPA) methods to explore the attribute weights and SDM performance, respectively. The dataset was collected from 16 orthopaedic clinical nurses' experiences in a third‐grade and first‐level general hospital in Taizhou, China. This study was performed according to the STrengthening the Reporting of OBservational studies in Epidemiology (STROBE) guidelines. Results: The results showed that "I made clear to my patient or patient's family that a nursing care decision needs to be made", "I explained the advantages and disadvantages of the nursing care options to my patient or patient's family" and "I told my patient or patient's family that there are different nursing care options for caring his/her medical condition" were key factors for affecting SDM. The statistical significance confidence and difference error of weight results were 98.321% and 1.679%, respectively. In addition, "I asked my patient or patient's family which nursing care option he/she prefers" was the key factor for improving orthopaedic clinical nursing in the case hospital. Conclusion: The hybrid CFPRs‐IPA model can help hospital managers effectively understand the key factors of SDM quality and improve the orthopaedic clinical nursing performance from nurses' perspectives. Relevance to Clinical Practice: A quantitative decision‐making model can help nurses understand the key factors affecting the quality of SDM in nursing decision‐making and promote nursing decision‐making and patient‐centred nursing service quality. A series of corresponding SDM training courses (i.e. concepts, knowledge and skills) can be provided for hospital and nursing department managers to maximise the potentially available resources. Patient or Public Contribution: The clinical care process should be committed to involving patients in their care decisions and also provide an opportunity for patients to gain a comprehensive understanding of the care decision‐making process in order to inform future patient contributions to care decisions. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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