醫病共享決策之實證知識轉譯經驗：以自然產婦是否要施行減痛分娩為例

Knowledge Translation Experience of Shared Decision Making: Take Whether Parturient Should Perform Epidural Analgesia for Example

10.29494/LN.202106_22(2).0002

郭素真(Shu-Chen Kuo)；陳尹甄(Yin-Chen Chen)；鍾侑倫(Yu-Lun Chung)；林思妤(Szu-Yu Lin)；陳淑芬(Shu-Fen Chen)

醫病共享決策 ； 減痛分娩 ； share decision making ； epidural analgesia

領導護理

22卷2期（2021 / 06 / 01）

13 - 29

繁體中文

實證健康照護之核心目標為促進全球人民健康之實務照護，將最佳最新實證證據應用於臨床，知識轉譯則是執行策略，醫病共享決策則是提供實證臨床照護的一種方式，本團隊透過自然產婦最常經歷的決策，是否要接受減痛分娩為主題，首先調查使用者意見，藉由實證照護之系統性搜尋文獻方式建置本主題之決策輔助工具，再透過建置流程，使工作人員了解實際應用方式，在真實環境下使用後，再藉由3次品質改善方式，修正流程，改版決策輔助工具，最後終能達成目標，落實臨床使用，成為臨床服務內涵，希望本文能提供其他團隊作為醫病共享決策實證知識轉譯之參考。

The ultimate goal of empirical health care is to provide contemporary finest evidence on clinical practical care for general health of people around the world. Knowledge translation is an implementation strategy, and share decision making is a way of providing empirical clinical care. The team of this article chose the most decision-making experienced by women of natural birth when they chose to accept epidural analgesia during labor as a topic. Firstly, survey the opinions of users, and construct the decision-making aids for this topic through the systematic literature search method of empirical care. Hence construct the procedure in order to enable staff to understand the actual application method. After applying it in an actual environment, and through three quality improvement methods; amendments to the procedure; revision of decision-making aids; and we finally achieve the goal to implement clinical application, and fulfill the clinical service. We hope this article can provide other teams as a reference for the translation of empirical knowledge when shared decision-making between the clinical practice and patients.

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