Shared Decision-Making and Family Meetings in Neurocritical Care
Purpose of Review Shared decision-making (SDM) can enhance communication between healthcare providers and families in neurocritical care units (neuroICUs). This review summarizes the current state of SDM and family meetings in neuroICUs and discusses interventions that can improve the involvement of patients’ surrogates in the decision-making process. Recent Findings Surrogates of critically ill patients often wish to be more involved in decision-making. Several interventions, including information leaflets, family support interventions, and decision aids, have been developed and tested in ICUs, with some tailored to patients and surrogates in neuroICUs. Ongoing research will determine whether these tools improve patient-centered and patient-goal-concordant care. Future studies will need to evaluate the effectiveness and implementation of these interventions in neuroICUs. Web-based decision aids are likely to improve portability and accessibility. Summary Despite some challenges, these interventions show promise in enhancing patient-centered care and supporting the involvement of families in neuroICUs..
| Medienart: |
Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:25 |
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| Enthalten in: |
Current treatment options in neurology - 25(2023), 10 vom: 12. Sept., Seite 387-406 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Meraj, Shazeb [VerfasserIn] |
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| Links: |
Volltext [lizenzpflichtig] |
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| Themen: |
Acute ischemic stroke |
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| Anmerkungen: |
© The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. |
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| doi: |
10.1007/s11940-023-00765-4 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
OLC2145627219 |
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| 520 | |a Purpose of Review Shared decision-making (SDM) can enhance communication between healthcare providers and families in neurocritical care units (neuroICUs). This review summarizes the current state of SDM and family meetings in neuroICUs and discusses interventions that can improve the involvement of patients’ surrogates in the decision-making process. Recent Findings Surrogates of critically ill patients often wish to be more involved in decision-making. Several interventions, including information leaflets, family support interventions, and decision aids, have been developed and tested in ICUs, with some tailored to patients and surrogates in neuroICUs. Ongoing research will determine whether these tools improve patient-centered and patient-goal-concordant care. Future studies will need to evaluate the effectiveness and implementation of these interventions in neuroICUs. Web-based decision aids are likely to improve portability and accessibility. Summary Despite some challenges, these interventions show promise in enhancing patient-centered care and supporting the involvement of families in neuroICUs. | ||
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