A Scoping Review of the Application of Decision Aids on Patients'End-of-Life
ZHANG Shujiao
HOU Rong
XUE Yunzhen
WANG Lijuan
LIU Bingxin
Abstract：Objective To determinate the content elements,behavior change techniques and intervention effect of current decision aids(DA)which used on patients'end-of-life care decision-making through the scoping review.Methods Guided by the PRISMA-ScR framework for scoping reviews,a search was conducted in The Cochrane Library,PubMed,Embase,Web of Science,CINAHL,Chinese Biomedical Literature Database,CNKI,Wanfang Data Knowledge Service Platform and VIP Database,covering publications from database establishment to September 1,2025.Two researchers screened the literature and extracted data independently,and a descriptive analysis was performed to summarize the findings.Results A total of 21 articles were included,summarized the intervention forms,duration,content elements,behavior change techniques and intervention effects covered by DA.Conclusion Decision aids are beneficial,it can improve the efficiency of doctor-patient communication,optimize the decision-making path,enhance the quality of decision-making,and have feasibility,acceptability,and clinical applicability.In the future,it is necessary to explore the best intervention timing and improve evaluation indicators that based on actual conditions and develop the best decision support tools and intervention plans.
Keywords：decision aidsend-of-lifepatientsproxy decision-makingnursingscoping review
Publication Date：2025-12-10
Online Publishing Date：2026-01-05(First online date of this platform, not the publication date of the document)
Pages：7( 1053-1058,1090 )