Shared decision-making with older people on TReatment Escalation planning for Acute deterioration in the emergency Medical Setting: a qualitative study of Clinicians' perspectives (STREAMS-C).

ABSTRACT:

Background

Shared decision-making (SDM) is increasingly expected in healthcare systems prioritising patient autonomy. Treatment escalation plans (TEPs) outline contingency for medical intervention in the event of patient deterioration. This study aimed to understand clinicians' perspectives on SDM in TEP for older patients in the acute medical setting.

Methods

This was a qualitative study following a constructivist approach. Semistructured interviews with vignettes were conducted with 26 consultant and registrar doctors working in emergency medicine, general internal medicine, intensive care medicine and palliative care medicine. Reflexive thematic analysis was performed.

Results

There were three themes: 'An unequal partnership', 'Options without equipoise' and 'Decis

SUBMITTER: Warner BE 

PROVIDER: S-EPMC11424886 | biostudies-literature | 2024 Sep

REPOSITORIES: biostudies-literature