Article type
Abstract
"Background: Palliative care coverage rates during the year before the death of patients in Taiwan was 29.4%. The coverage rate of palliative care in Ward where the researcher served in 2022 was 22.7%.This approach can optimize the effectiveness of palliative care and improve the quality of hospital-wide palliative care.
Purpose:This study to empirically applied shared decision-making communication with end-of-life patients to receive palliative care.
Method: Stage 1:This involved understanding the clinical practice implementation model of palliative care shared decision-making communication. Furthermore, we examined whether the treatment information and communication model aligned with the compliance rate of clinical evidence-based care guidelines. Stage 2: This included understanding the predicaments for end-of-life patients to receive shared decision-making communication regarding palliative care, resources, and gaps in clinical evidence-based care guidelines. Stage 3: We confirmed the compliance rate of the clinical practice operation model and evidence-based care guidelines.
Result: The results indicate that it is critical for patients to have timely and sensitive discussions with their physicians regarding their medical, psychosocial, and spiritual needs at the end-of-life stage. The compliance rate increased from 13.2% to 94.7% (Evaluation Guideline 1). Under the circumstances where the focus and concern of individuals and family were respected to make decisions using shared decision-making. The compliance rate increased from 5.3% to 94.7% (Evaluation Guideline 2). A structured approach to decision-making should include assessing the individuals’ physical, psychological, and spiritual needs, assessing the individuals’ support systems, discussion of prognosis, and assessing the individual-specific goals. The compliance rate increased from 0% to 78.9% (Evaluation Guideline 3). This suggests that providing communication training to healthcare professionals could help improve effective communication in palliative care. The compliance rate increased from 11.1% to 100% (Evaluation Guideline 4).
Discussion: This empirical study used the JBI PACES to implement shared decision-making communication care guidelines for palliative care. This enabled nurses to rapidly grasp the empirical evidence to implement systematic quality improvement and effectively improve care effectiveness. The medical teams used decision-making aids to discuss current medical issues with patients or families to jointly participate in treatment planning, reach a consensus, and make decisions on treatment and care.
"
Purpose:This study to empirically applied shared decision-making communication with end-of-life patients to receive palliative care.
Method: Stage 1:This involved understanding the clinical practice implementation model of palliative care shared decision-making communication. Furthermore, we examined whether the treatment information and communication model aligned with the compliance rate of clinical evidence-based care guidelines. Stage 2: This included understanding the predicaments for end-of-life patients to receive shared decision-making communication regarding palliative care, resources, and gaps in clinical evidence-based care guidelines. Stage 3: We confirmed the compliance rate of the clinical practice operation model and evidence-based care guidelines.
Result: The results indicate that it is critical for patients to have timely and sensitive discussions with their physicians regarding their medical, psychosocial, and spiritual needs at the end-of-life stage. The compliance rate increased from 13.2% to 94.7% (Evaluation Guideline 1). Under the circumstances where the focus and concern of individuals and family were respected to make decisions using shared decision-making. The compliance rate increased from 5.3% to 94.7% (Evaluation Guideline 2). A structured approach to decision-making should include assessing the individuals’ physical, psychological, and spiritual needs, assessing the individuals’ support systems, discussion of prognosis, and assessing the individual-specific goals. The compliance rate increased from 0% to 78.9% (Evaluation Guideline 3). This suggests that providing communication training to healthcare professionals could help improve effective communication in palliative care. The compliance rate increased from 11.1% to 100% (Evaluation Guideline 4).
Discussion: This empirical study used the JBI PACES to implement shared decision-making communication care guidelines for palliative care. This enabled nurses to rapidly grasp the empirical evidence to implement systematic quality improvement and effectively improve care effectiveness. The medical teams used decision-making aids to discuss current medical issues with patients or families to jointly participate in treatment planning, reach a consensus, and make decisions on treatment and care.
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