Development and Pilot Testing of a Simulation to Study How Physicians Facilitate Surrogate Decision Making Based on Critically Ill Patients' Values and Preferences.

ABSTRACT:

Context

There are no evidence-based programs to train physicians to facilitate shared decision making based on incapacitated intensive care unit patients' values and preferences.

Objectives

The objective of this study was to develop a high-fidelity simulation to fill this gap.

Methods

Case development involved six steps: 1) drafting a case about an elderly patient receiving prolonged mechanical ventilation; 2) engaging an expert advisory board to optimize case content; 3) revising the case based on advisory board input; 4) training actors to portray the case patient's daughter; 5) obtaining physician feedback on the simulation; and 6) revising the case based on their feedback. We conducted a cross-sectional pilot study with 50 physicians to assess feasibility and acce

SUBMITTER: Scheunemann LP 

PROVIDER: S-EPMC6348012 | biostudies-literature | 2019 Feb

REPOSITORIES: biostudies-literature