{"title":"植入式心律转复除颤器发生器更换的相关方法:护理在共同决策中的作用的综合回顾。","authors":"Krystina B Lewis, Rosalie Starzomski, Lynne Young","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Implantable cardioverter defibrillator (ICD) implantation rates are increasing as advances in heart failure and arrhythmia management progress. Consequently, the number of ICD generator replacements is rising and ICD replacement is an opportune time for shared decision-making (SDM). Nurses should have distinct roles and responsibilities in SDM processes.</p><p><strong>Objectives: </strong>To use a relational lens to localize the role of the nurse in SDM, and recommend ways in which nurses can be involved in SDM.</p><p><strong>Methods: </strong>An integrative review of 17 articles was conducted to determine the role of nurses in SDM.</p><p><strong>Results: </strong>Our analysis revealedfour themes that helped us articulate nurse involvement in SDM; knowledge as a basis for SDM, sharing power in the nurse-patient relationship, utilization of decisional support strategies, and communication.</p><p><strong>Conclusion: </strong>Our findings support the participation of nurses in SDM. Nursing implications are offered, specifically for the management of patients facing ICD replacement.</p>","PeriodicalId":77057,"journal":{"name":"Canadian journal of cardiovascular nursing = Journal canadien en soins infirmiers cardio-vasculaires","volume":"24 3","pages":"6-14"},"PeriodicalIF":0.0000,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A Relational Approach to Implantable Cardioverter-Defibrillator Generator Replacement: An Integrative Review of the Role of Nursing in Shared Decision-Making.\",\"authors\":\"Krystina B Lewis, Rosalie Starzomski, Lynne Young\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Implantable cardioverter defibrillator (ICD) implantation rates are increasing as advances in heart failure and arrhythmia management progress. Consequently, the number of ICD generator replacements is rising and ICD replacement is an opportune time for shared decision-making (SDM). Nurses should have distinct roles and responsibilities in SDM processes.</p><p><strong>Objectives: </strong>To use a relational lens to localize the role of the nurse in SDM, and recommend ways in which nurses can be involved in SDM.</p><p><strong>Methods: </strong>An integrative review of 17 articles was conducted to determine the role of nurses in SDM.</p><p><strong>Results: </strong>Our analysis revealedfour themes that helped us articulate nurse involvement in SDM; knowledge as a basis for SDM, sharing power in the nurse-patient relationship, utilization of decisional support strategies, and communication.</p><p><strong>Conclusion: </strong>Our findings support the participation of nurses in SDM. Nursing implications are offered, specifically for the management of patients facing ICD replacement.</p>\",\"PeriodicalId\":77057,\"journal\":{\"name\":\"Canadian journal of cardiovascular nursing = Journal canadien en soins infirmiers cardio-vasculaires\",\"volume\":\"24 3\",\"pages\":\"6-14\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2014-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Canadian journal of cardiovascular nursing = Journal canadien en soins infirmiers cardio-vasculaires\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Canadian journal of cardiovascular nursing = Journal canadien en soins infirmiers cardio-vasculaires","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
A Relational Approach to Implantable Cardioverter-Defibrillator Generator Replacement: An Integrative Review of the Role of Nursing in Shared Decision-Making.
Background: Implantable cardioverter defibrillator (ICD) implantation rates are increasing as advances in heart failure and arrhythmia management progress. Consequently, the number of ICD generator replacements is rising and ICD replacement is an opportune time for shared decision-making (SDM). Nurses should have distinct roles and responsibilities in SDM processes.
Objectives: To use a relational lens to localize the role of the nurse in SDM, and recommend ways in which nurses can be involved in SDM.
Methods: An integrative review of 17 articles was conducted to determine the role of nurses in SDM.
Results: Our analysis revealedfour themes that helped us articulate nurse involvement in SDM; knowledge as a basis for SDM, sharing power in the nurse-patient relationship, utilization of decisional support strategies, and communication.
Conclusion: Our findings support the participation of nurses in SDM. Nursing implications are offered, specifically for the management of patients facing ICD replacement.
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