Conceptualizing surrogate decision making at end of life in the intensive care unit using cognitive task analysis.
Background Surrogate decision makers (SDMs) face difficult decisions at end of life (EOL) for decisionally incapacitated intensive care unit (ICU) patients. Purpose To identify and describe the underlying psychological processes of surrogate decision making for adults at EOL in the ICU. Methods Qual...
| Publicado en: | Nursing Outlook Vol. 63; no. 3; pp. 331 - 341 |
|---|---|
| Autores principales: | , , , , |
| Formato: | research Journal Article |
| Publicado: |
Elsevier B.V.
May/Jun2015
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103797908&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 103797908 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00296554 22Y jtl: Nursing Outlook issn: 00296554 maglogo: N pubinfo: dt: May/Jun2015 vid: 63 iid: 3 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 103797908 102658886 10.1016/j.outlook.2014.10.004 NLM25982772 103797908 ppf: 331 ppct: 10 formats: tig: atl: Conceptualizing surrogate decision making at end of life in the intensive care unit using cognitive task analysis. aug: au: Dionne-Odom, J. Nicholas Willis, Danny G. Bakitas, Marie Crandall, Beth Grace, Pamela J. affil: Boston College, William F. Connell School of Nursing, Chestnut Hill, MA sug: subj: Palliative Care Terminally Ill Patients Decision Making, Family Human Adult Intensive Care Units Qualitative Studies Case Studies Semi-Structured Interview New England Conceptual Framework Male Female Adult: 19-44 years Male Female ab: Background Surrogate decision makers (SDMs) face difficult decisions at end of life (EOL) for decisionally incapacitated intensive care unit (ICU) patients. Purpose To identify and describe the underlying psychological processes of surrogate decision making for adults at EOL in the ICU. Methods Qualitative case study design using a cognitive task analysis interviewing approach. Participants were recruited from October 2012 to June 2013 from an academic tertiary medical center's ICU located in the rural Northeastern United States. Nineteen SDMs for patients who had died in the ICU completed in-depth semistructured cognitive task analysis interviews. Discussion The conceptual framework formulated from data analysis reveals that three underlying, iterative, psychological dimensions (gist impressions, distressing emotions, and moral intuitions) impact an SDM's judgment about the acceptability of either the patient's medical treatments or his or her condition. Conclusion The framework offers initial insights about the underlying psychological processes of surrogate decision making and may facilitate enhanced decision support for SDMs. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|