Bias in team decision-making for advanced heart failure therapies: model application.
Bias in advanced heart failure therapy allocation results in inequitable outcomes for minoritized populations. The purpose of this study was to examine how bias is introduced during group decision-making with an interprofessional team using Breathett's Model of Heart Failure Decision-Making. This wa...
| Publicado en: | Journal of Interprofessional Care Vol. 38; no. 4; pp. 695 - 705 |
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| Autores principales: | , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Jul/Aug2024
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| 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=177561150&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 177561150 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13561820 57N jtl: Journal of Interprofessional Care issn: 13561820 maglogo: Y pubinfo: dt: Jul/Aug2024 vid: 38 iid: 4 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 177561150 177143043 177561150 177561150 10.1080/13561820.2024.2346934 177561150 ppf: 695 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Bias in team decision-making for advanced heart failure therapies: model application. aug: au: Hebdon, Megan Pool, Natalie Yee, Ryan Herrera-Theut, Kathryn Yee, Erika Allen, Larry A. Hasan, Ayesha Lindenfeld, JoAnn Calhoun, Elizabeth Sweitzer, Nancy K. Welling, Anna Breathett, Khadijah affil: School of Nursing, University of Texas-Austin, Austin, TX, USA sug: subj: Heart Failure Therapy Decision Making, Clinical Implicit Bias Multidisciplinary Care Team Models, Theoretical Human Male Female Descriptive Statistics Secondary Analysis Qualitative Studies Minority Groups Interprofessional Relations Personality Social Determinants of Health Joint Practice Collaboration Patient Advocacy Patient Centered Care Funding Source Male Female ab: Bias in advanced heart failure therapy allocation results in inequitable outcomes for minoritized populations. The purpose of this study was to examine how bias is introduced during group decision-making with an interprofessional team using Breathett's Model of Heart Failure Decision-Making. This was a secondary qualitative descriptive analysis from a study focused on bias in advanced heart failure therapy allocation. Team meetings were recorded and transcribed from four heart failure centers. Breathett's Model was applied both deductively and inductively to transcripts (n = 12). Bias was identified during discussions about patient characteristics, clinical fragility, and prior clinical decision-making. Some patients were labeled as "good citizens" or as adherent/non-adherent while others benefited from strong advocacy from interprofessional team members. Social determinants of health also impacted therapy allocation. Interprofessional collaboration with advanced heart failure therapy allocation may be enhanced with the inclusion of patient advocates and limit of clinical decision-making using subjective data. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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