Abstract：
BACKGROUND: Health-related decision-making is a complex process given the variability of treatment options, conflicting treatment plans, time constraints and variable outcomes. This complexity may result in patients experiencing decisional regret following decision-making. Nonetheless, literature on decisional regret in the healthcare context indicates inconsistent characterization and operationalization of this concept.
OBJECTIVE: To conceptually define the phenomenon of decisional regret and synthesize the state of science on patients\' experiences with decisional regret.
METHODS: A concept analysis.
METHODS: Rodgers\' evolutionary method guided the conceptualization of this review. An interdisciplinary literature search was conducted from 2003 until 2023 using five databases, PubMed, CINAHL, Embase, PsycINFO and Web of Science. The search informed how the concept manifested across health-related literature. We used PRISMA-ScR checklist to guide the reporting of this review.
RESULTS: Based on the analysis of 25 included articles, a conceptual definition of decisional regret was proposed. Three defining attributes underscored the negative cognitive-emotional nature of this concept, post-decisional experience relating to the decision-making process, treatment option and/or treatment outcome and an immediate or delayed occurrence. Antecedents preceding decisional regret comprised initial psychological or emotional status, sociodemographic determinants, impaired decision-making process, role regret, conflicting treatment plans and adverse treatment outcomes. Consequences of this concept included positive and negative outcomes influencing quality of life, health expectations, patient-provider relationship and healthcare experience appraisal. A conceptual model was developed to summarize the concept\'s characteristics.
CONCLUSIONS: The current knowledge on decisional regret is expected to evolve with further exploration of this concept, particularly for the temporal dimension of regret experience. This review identified research, clinical and policy gaps informing our nursing recommendations for the concept\'s evolution.
UNASSIGNED: This concept analysis examines existing literature and does not require patient-related data collection. The methodological approach does not necessitate collaboration with the public.
OBJECTIVE: To conceptually define the phenomenon of decisional regret and synthesize the state of science on patients\' experiences with decisional regret.
METHODS: A concept analysis.
METHODS: Rodgers\' evolutionary method guided the conceptualization of this review. An interdisciplinary literature search was conducted from 2003 until 2023 using five databases, PubMed, CINAHL, Embase, PsycINFO and Web of Science. The search informed how the concept manifested across health-related literature. We used PRISMA-ScR checklist to guide the reporting of this review.
RESULTS: Based on the analysis of 25 included articles, a conceptual definition of decisional regret was proposed. Three defining attributes underscored the negative cognitive-emotional nature of this concept, post-decisional experience relating to the decision-making process, treatment option and/or treatment outcome and an immediate or delayed occurrence. Antecedents preceding decisional regret comprised initial psychological or emotional status, sociodemographic determinants, impaired decision-making process, role regret, conflicting treatment plans and adverse treatment outcomes. Consequences of this concept included positive and negative outcomes influencing quality of life, health expectations, patient-provider relationship and healthcare experience appraisal. A conceptual model was developed to summarize the concept\'s characteristics.
CONCLUSIONS: The current knowledge on decisional regret is expected to evolve with further exploration of this concept, particularly for the temporal dimension of regret experience. This review identified research, clinical and policy gaps informing our nursing recommendations for the concept\'s evolution.
UNASSIGNED: This concept analysis examines existing literature and does not require patient-related data collection. The methodological approach does not necessitate collaboration with the public.
摘要：
背景：考虑到治疗方案的可变性，与健康相关的决策是一个复杂的过程，相互矛盾的治疗计划，时间限制和可变结果。这种复杂性可能导致患者在决策后经历决策后悔。尽管如此，关于医疗保健背景下的决策遗憾的文献表明，这一概念的表征和可操作性不一致。
目的：从概念上定义决策后悔现象，并综合科学状态对患者的决策后悔经历。
方法：概念分析。
方法：罗杰斯的进化方法指导了这篇综述的概念化。从2003年到2023年，使用五个数据库进行了跨学科文献检索，PubMed,CINAHL,Embase,PsycINFO和WebofScience。该搜索了解了该概念在与健康相关的文献中的表现。我们使用PRISMA-ScR检查表来指导本次审查的报告。
结果：根据对25篇收录文章的分析，提出了决策遗憾的概念定义。三个定义属性强调了这一概念的消极认知情绪性质，与决策过程相关的决策后经验，治疗选择和/或治疗结果以及立即或延迟发生。决策后悔之前的前因包括最初的心理或情感状态，社会人口统计学决定因素，决策过程受损，角色遗憾,冲突的治疗计划和不良的治疗结果。这一概念的后果包括影响生活质量的积极和消极结果，健康期望,患者-提供者关系和医疗保健体验评估。开发了一个概念模型来总结概念的特征。
结论：当前关于决策遗憾的知识有望随着对这一概念的进一步探索而发展。特别是后悔体验的时间维度。这篇综述确定了研究，临床和政策差距为我们的护理建议提供了概念演变的信息。
■此概念分析检查了现有文献，不需要收集与患者相关的数据。方法论方法不需要与公众合作。
目的：从概念上定义决策后悔现象，并综合科学状态对患者的决策后悔经历。
方法：概念分析。
方法：罗杰斯的进化方法指导了这篇综述的概念化。从2003年到2023年，使用五个数据库进行了跨学科文献检索，PubMed,CINAHL,Embase,PsycINFO和WebofScience。该搜索了解了该概念在与健康相关的文献中的表现。我们使用PRISMA-ScR检查表来指导本次审查的报告。
结果：根据对25篇收录文章的分析，提出了决策遗憾的概念定义。三个定义属性强调了这一概念的消极认知情绪性质，与决策过程相关的决策后经验，治疗选择和/或治疗结果以及立即或延迟发生。决策后悔之前的前因包括最初的心理或情感状态，社会人口统计学决定因素，决策过程受损，角色遗憾,冲突的治疗计划和不良的治疗结果。这一概念的后果包括影响生活质量的积极和消极结果，健康期望,患者-提供者关系和医疗保健体验评估。开发了一个概念模型来总结概念的特征。
结论：当前关于决策遗憾的知识有望随着对这一概念的进一步探索而发展。特别是后悔体验的时间维度。这篇综述确定了研究，临床和政策差距为我们的护理建议提供了概念演变的信息。
■此概念分析检查了现有文献，不需要收集与患者相关的数据。方法论方法不需要与公众合作。
