RESUMO
OBJECTIVE: To test the reliability of the Chinese version of the OPTION12 (OPTION12-C) scale; and to evaluate the level of shared decision-making (SDM) in the preoperative conversations for high-risk procedures by using the OPTION12-C. METHODS: Two hundred and ninety-seven conversations were rated. Cronbach's alpha, Pearson's correlation coefficient and intraclass correlation coefficient (ICC) were used to assess the reliability of the OPTION12-C. Mean and median were applied to evaluate the scores. RESULTS: The Cronbach's alpha was 0.603. The Pearson's correlation coefficient of the sub-items ranged from 0.002 to 0.595; the inter-rater ICC was 0.992. The mean and median of the total scores were 9.61 ( ± 3.583) and 9 respectively. 430 family members appeared in the conversations. CONCLUSION: The reliability of the OPTION12-C was acceptable. The SDM behaviors of doctors were only scored at or close to the minimal skill level. High level of family involvement demonstrated the Chinese culture of family- centeredness. PRACTICE IMPLICATIONS: The OPTION12-C was proved to be applicable for testing the extent of SDM. The low level of SDM indicates a need to improve Chinese doctors' communication skills.
Assuntos
Tomada de Decisões , Participação do Paciente , China , Comunicação , Humanos , Psicometria , Reprodutibilidade dos TestesRESUMO
Se efectuó un estudio descriptivo y transversal de 9 centros hospitalarios situados en la ciudad de Santiago de Cuba, con vistas a determinar la prevalencia de infecciones asociadas a la asistencia sanitaria. Los epidemiólogos, residentes de Higiene y Epidemiología, así como las enfermeras de vigilancia de los hospitales realizaron entrevistas y revisión de historias clínicas a todos los pacientes ingresados. En el análisis estadístico se utilizaron distribuciones de frecuencias y como medidas de resumen las tasas, los porcentajes y las proporciones. La prevalencia de las citadas infecciones fue de 5,7 %. Predominaron la herida quirúrgica, vía respiratoria baja, piel y vías urinarias como localizaciones más frecuentes. Entre los factores de riesgo más importantes figuraron: herida quirúrgica, punción venosa y disección de la vena. A pesar de que 50,0 % de los pacientes infectados no se habían registrado, se encontraron la Klebsiella y el Staphylococcus como gérmenes más frecuentes.
A descriptive and cross-sectional study was carried out in 9 hospital centers in Santiago de Cuba city in order to determine the prevalence of infections associated with healthcare. Epidemiologists, residents of Hygiene and Epidemiology and surveillance nurses in hospitals conducted interviews and reviews of medical records from all patients admitted. In the statistical analysis frequency distributions were used and rates, percentages and ratios as summary measures as well. The prevalence of these infections was 5.7%. Surgical wound, lower respiratory airway, skin and urinary tract prevailed as the most frequent locations. Among the most important risk factors were surgical wound, venipuncture and vein dissection. Although 50% of infected patients were not registered, Klebsiella and Staphylococcus were found as the most frequent germs.