Nurse Participation in The Shared Decision-making Process for Patients with Advanced Heart Failure: Perceptions of The Certified Nurse Specialists in Critical Care Nursing

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  • Inagaki Noriko
    Kansai Medical University, Graduate School of Nursing, Doctoral Program

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  • 重症心不全患者の治療選択におけるシェアード・ディシジョンメイキングへの看護師参画に対する急性・重症患者看護専門看護師の認識
  • ジュウショウ シンフゼン カンジャ ノ チリョウ センタク ニ オケル シェアード ・ ディシジョンメイキング エ ノ カンゴシ サンカク ニ タイスル キュウセイ ・ ジュウショウ カンジャ カンゴ センモン カンゴシ ノ ニンシキ

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Abstract

<p>Objective: To clarify perceptions of the current situation of the certified nurse specialists in critical care nursing (CCNS) regarding nurse participation in the shared decision-making (SDM) process for patients with advanced heart failure to make treatment choices.</p><p>Methods: Semi-structured interviews were conducted with 10 CCNS, and the obtained data were analyzed adopting a qualitatively and integrative (KJ) method.</p><p>Results: The following categories outlined the status of nurse participation in SDM: [situations faced by nurses with difficulty participating in SDM], [independent nursing approaches adopted by CCNS to promote understanding of their activities among other professionals], [promotion of advance care planning and participation in SDM among nurses], [promotion of participation in SDM among nurses addressing distress in patients with advanced heart failure], [approaches to innovate medical teams’ decision-making patterns], [support for patients who choose ventricular assist device/heart transplantation], and [support for patients who choose palliative care, rather than transplantation].</p><p>Conclusion: The CCNS recognized the current situation, where both nursing and medical team approaches are required to resolve insufficient nurse participation in SDM.</p>

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