Best case/worst case for the trauma ICU: Development and pilot testing of a communication tool for older adults with traumatic injury.

ABSTRACT:

Background

"Best Case/Worst Case" (BC/WC) is a communication tool to support shared decision making in older adults with surgical illness. We aimed to adapt and test BC/WC for use with critically ill older adult trauma patients.

Methods

We conducted focus groups with 48 trauma clinicians in Wisconsin, Texas, and Oregon. We used qualitative content analysis to characterize feedback and adapted the tool to fit this setting. Using rapid sequence iterative design, we developed an implementation tool kit. We pilot tested this intervention at two trauma centers using a pre-post study design with older trauma patients in the intensive care unit (ICU). Main outcome measures included study feasibility, intervention acceptability, quality of communication, and clinician moral distress

SUBMITTER: Zimmermann CJ 

PROVIDER: S-EPMC8939782 | biostudies-literature | 2021 Sep

REPOSITORIES: biostudies-literature