A Patient Decision Aid （PtDA） is an important means in TCM practice to promote shared decision-making between doctor and patient, which is developed based on evidence-based and narrative medicine concepts. It is als...A Patient Decision Aid （PtDA） is an important means in TCM practice to promote shared decision-making between doctor and patient, which is developed based on evidence-based and narrative medicine concepts. It is also an important tool for individualized diagnosis and treatment in the context of precision medical care. With the rapid increase of interest on the PtDA, it is important to establish a unified quality evaluation standard and standardize the development process. This article aims to introduce the main content, development history and application of International Patient Decision Aid Standards （IPDAS）, and provide reference for the application of the evaluation standard in China.展开更多
Objective： By constructing a training system of quality evaluation standards for emergency nurse specialist（ENS）, we can ensure smooth operations and quality training for ENS.Methods： First, the frame structure of...Objective： By constructing a training system of quality evaluation standards for emergency nurse specialist（ENS）, we can ensure smooth operations and quality training for ENS.Methods： First, the frame structure of indicators was designed on the basis of system theory and the balanced scorecard method. Meanwhile, corresponding quantitative standard indicators were compiled through literature analysis and a review of training characteristics. Next, screening indicators were collected through consultation with experts and statistical calculations. The indicators weight coefficient was calculated using the analytic hierarchy process（AHP）. Finally, indicators were validated in two groups of nurses in two different training courses.Results：（1） We created a three-level indicator system： level-Ⅰ dimensions have 4 indicators, while level-Ⅱ dimensions and level-Ⅲ dimensions have 13 and 34 indicators, respectively;（2） The coefficient of expert＇s judgment is 0.840, familiarity is 0.914 and authority is 0.877, and the three rounds of coordination coefficient are 0.456, 0.553 and 0.715, respectively;（3） There are at least 56 indicators in alternative quantitative standards; and（4） The alpha reliability value of the indicator system in the two training course had no significant difference（P 〉 0.05）. The same result was observed when examining two groups of nurses in one training course（P 〉 0.05）.Conclusions： This study established a training system of quality evaluation standards for emergency nurse specialists that is objective, reliable, easy to operate and representative according to scientific selection and verification. This system can therefore provide a basis for quality evaluation and targeted improvement for ENS training in addition to promoting health.展开更多
文摘A Patient Decision Aid （PtDA） is an important means in TCM practice to promote shared decision-making between doctor and patient, which is developed based on evidence-based and narrative medicine concepts. It is also an important tool for individualized diagnosis and treatment in the context of precision medical care. With the rapid increase of interest on the PtDA, it is important to establish a unified quality evaluation standard and standardize the development process. This article aims to introduce the main content, development history and application of International Patient Decision Aid Standards （IPDAS）, and provide reference for the application of the evaluation standard in China.
基金supported by the nursing special items of Health and Family Planning Commission Research Fund in Hubei province(No.HL2012-15)
文摘Objective： By constructing a training system of quality evaluation standards for emergency nurse specialist（ENS）, we can ensure smooth operations and quality training for ENS.Methods： First, the frame structure of indicators was designed on the basis of system theory and the balanced scorecard method. Meanwhile, corresponding quantitative standard indicators were compiled through literature analysis and a review of training characteristics. Next, screening indicators were collected through consultation with experts and statistical calculations. The indicators weight coefficient was calculated using the analytic hierarchy process（AHP）. Finally, indicators were validated in two groups of nurses in two different training courses.Results：（1） We created a three-level indicator system： level-Ⅰ dimensions have 4 indicators, while level-Ⅱ dimensions and level-Ⅲ dimensions have 13 and 34 indicators, respectively;（2） The coefficient of expert＇s judgment is 0.840, familiarity is 0.914 and authority is 0.877, and the three rounds of coordination coefficient are 0.456, 0.553 and 0.715, respectively;（3） There are at least 56 indicators in alternative quantitative standards; and（4） The alpha reliability value of the indicator system in the two training course had no significant difference（P 〉 0.05）. The same result was observed when examining two groups of nurses in one training course（P 〉 0.05）.Conclusions： This study established a training system of quality evaluation standards for emergency nurse specialists that is objective, reliable, easy to operate and representative according to scientific selection and verification. This system can therefore provide a basis for quality evaluation and targeted improvement for ENS training in addition to promoting health.
