Abstract：
OBJECTIVE: To examine the approaches that are being used in New Zealand when conducting decision-making capacity (DMC) assessments among the healthcare professionals that commonly conduct DMC assessments and those that are involved in, but do not conduct, the assessments.
METHODS: An online quantitative survey was conducted, lasting 10 minutes, including a mix of closed- and open-ended questions. The survey garnered responses from a total of n=78 participants.
RESULTS: Bedside cognitive tests were found to be the most commonly reported tool used to assess DMC among those conducting and those contributing to DMC assessments. Nearly a third (31.9%) of participants conducting DMC assessments used a structured clinical interview as one of their most common approaches while 27.5% of this same group reported not being aware of this approach. It was reported by both those conducting and those contributing to DMC assessments that the current standards lack quality and consistency, with partial capacity being poorly understood and identified, and supported decision making often being overlooked for substitute decision making.
CONCLUSIONS: Current approaches to DMC assessment lack standardisation and consistency, with assessment approaches being widely varied. This article serves as a call for the development of and adherence to nationally recognised standards for DMC assessments.
METHODS: An online quantitative survey was conducted, lasting 10 minutes, including a mix of closed- and open-ended questions. The survey garnered responses from a total of n=78 participants.
RESULTS: Bedside cognitive tests were found to be the most commonly reported tool used to assess DMC among those conducting and those contributing to DMC assessments. Nearly a third (31.9%) of participants conducting DMC assessments used a structured clinical interview as one of their most common approaches while 27.5% of this same group reported not being aware of this approach. It was reported by both those conducting and those contributing to DMC assessments that the current standards lack quality and consistency, with partial capacity being poorly understood and identified, and supported decision making often being overlooked for substitute decision making.
CONCLUSIONS: Current approaches to DMC assessment lack standardisation and consistency, with assessment approaches being widely varied. This article serves as a call for the development of and adherence to nationally recognised standards for DMC assessments.
摘要：
目的：为了检查在新西兰进行决策能力（DMC）评估时使用的方法，通常进行DMC评估的医疗保健专业人员和参与，但不要进行，评估。
方法：进行了在线定量调查，持续10分钟,包括封闭式和开放式问题的混合。该调查获得了总共78名参与者的回答。
结果：床边认知测试被发现是最常用于评估DMC的工具。近三分之一（31.9％）进行DMC评估的参与者使用结构化临床访谈作为他们最常见的方法之一，而同一组中的27.5％报告没有意识到这种方法。进行和参与DMC评估的人都报告说，目前的标准缺乏质量和一致性，由于对部分容量的了解和识别不足，支持决策往往被替代决策忽视。
结论：目前的DMC评估方法缺乏标准化和一致性，评估方法千差万别。本文呼吁制定和遵守国家认可的DMC评估标准。
方法：进行了在线定量调查，持续10分钟,包括封闭式和开放式问题的混合。该调查获得了总共78名参与者的回答。
结果：床边认知测试被发现是最常用于评估DMC的工具。近三分之一（31.9％）进行DMC评估的参与者使用结构化临床访谈作为他们最常见的方法之一，而同一组中的27.5％报告没有意识到这种方法。进行和参与DMC评估的人都报告说，目前的标准缺乏质量和一致性，由于对部分容量的了解和识别不足，支持决策往往被替代决策忽视。
结论：目前的DMC评估方法缺乏标准化和一致性，评估方法千差万别。本文呼吁制定和遵守国家认可的DMC评估标准。
