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Interprofessional Shared Decision-Making

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Compelling Ethical Challenges in Critical Care and Emergency Medicine

Abstract

Numerous clinical decisions ranging from simple to complex are made every day within emergency department and intensive care unit teams worldwide. Some of these decisions have far-reaching consequences for patients, families, and clinicians. Therefore, they require exemplary interprofessional collaboration and communication. The accomplishment of these two tasks can be facilitated through interprofessional shared decision-making. This chapter provides the definition, the rationale, and practice recommendations regarding this joint decision-making process within interprofessional teams of clinicians.

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References

  1. Lobo SM, De Simoni FHB, Jakob SM, et al. Decision-making on withholding or withdrawing life support in the ICU: a worldwide perspective. Chest. 2017;152:321–9.

    Article  Google Scholar 

  2. Orford NR, Milnes SL, Lambert N, et al. Prevalence, goals of care and long-term outcomes of patients with life-limiting illness referred to a tertiary ICU. Crit Care Resusc. 2016;18:181–8.

    PubMed  Google Scholar 

  3. Le Conte P, Riochet D, Batard E, et al. Death in emergency departments: a multicenter cross-sectional survey with analysis of withholding and withdrawing life support. Intensive Care Med. 2010;36:765–72.

    Article  Google Scholar 

  4. Roessler M, Eulitz N. Palliative medicine in emergency medical services. Anaesthesist. 2018;67:366–74.

    Article  CAS  Google Scholar 

  5. Cameron JI, Chu ML, Matte A, et al. One-year outcomes in care givers of critically ill patients. N Engl J Med. 2016;374:18313–41.

    Article  Google Scholar 

  6. Schmidt M, Azoulay E. Having a loved one in the ICU: the forgotten family. Curr Opin Crit Care. 2012;18:540–7.

    Article  Google Scholar 

  7. Oeyen SG, Vandijck DM, Benoit DD, et al. Quality of life after intensive care: a systematic review of the literature. Crit Care Med. 2010;38:2386–400.

    Article  Google Scholar 

  8. Maio G. The lost art of abstaining. Dtsch Med Wochenschr. 2015;140:1014–8.

    Article  Google Scholar 

  9. Benoit DD, Jensen HI, Malmgren J, et al. Outcome in patients perceived as receiving excessive care across different ethical climates: a prospective study in 68 intensive care units in Europe and the USA. Intensive Care Med. 2018;44:1039–49.

    Article  CAS  Google Scholar 

  10. Dzeng E, Curtis JR. Understanding ethical climate, moral distress, and burnout: a novel tool and conceptual framework. BMJ Qual Saf. 2018;27:766–70.

    Article  Google Scholar 

  11. Moss M, Good VS, Gozal D, et al. An official critical care societies collaborative statement: burnout syndrome in critical care healthcare professionals: a call for action. Crit Care Med. 2016;44:1414–21.

    Article  Google Scholar 

  12. Valentin A. Approaches to decreasing medication and other care errors in the ICU. Curr Opin Crit Care. 2013;19:474–9.

    Article  Google Scholar 

  13. Smith AK, White DB, Arnold RM. Uncertainty-the other side of prognosis. N Engl J Med. 2013;368:2448–50.

    Google Scholar 

  14. Smith AK, Fisher J, Schonberg MA, et al. Am I doing the right thing? Provider perspectives on improving palliative care in the emergency department. Ann Emerg Med. 2009;54:86–93.

    Article  Google Scholar 

  15. Michalsen A, Long AC, DeKeyser-Ganz F, et al. Interprofessional shared decision-making in the ICU: a systematic review and recommendations from an expert panel. Crit Care Med. 2019;47:1258–66.

    Article  Google Scholar 

  16. Long AC, Brumback LC, Curtis JR, et al. Agreement with statements on end-of-life care: a description of variability at the level of the provider, hospital, and country. Crit Care Med. 2019;47:1396–401.

    Google Scholar 

  17. Richardson PG, Greenslade J, Isoardi J, et al. End-of-life issues: withdrawal and withholding of life-sustaining healthcare in the emergency department: a comparison between emergency physicians and emergency registrars: a sub-study. Emerg Med Australas. 2016;28:684–90.

    Article  Google Scholar 

  18. Mark NM, Rayner SG, Lee NJ, et al. Global variability in withholding and withdrawal of life-sustaining treatment in the intensive care unit: a systematic review. Intensive Care Med. 2015;41:1572–85.

    Article  CAS  Google Scholar 

  19. Sprung CL, Truog RD, Curtis JR, et al. Seeking worldwide professional consensus on the principles of end-of-life care for the critically ill. The consensus for worldwide end-of-life practice for patients in intensive care units (WELPICUS) study. Am J Resp Crit Care Med. 2014;190:855–66.

    Article  Google Scholar 

  20. DeKeyser GF, Engelberg R, Torres N, et al. Development of a model of interprofessional shared clinical decision making in the ICU: a mixed methods study. Crit Care Med. 2016;44:680–9.

    Article  Google Scholar 

  21. Davidson JA, Aslakson RA, Long AC, et al. Guidelines for family-centered care in the neonatal, pediatric, and adult ICU. Crit Care Med. 2017;45:103–28.

    Article  Google Scholar 

  22. Kon AA, Davidson JE, Morrison W, et al. Shared decision-making in ICUs: an American College of Critical Care Medicine and American Thoracic Society policy statement. Crit Care Med. 2016;44:188–201.

    Article  Google Scholar 

  23. Kraus CK, Marco CA. Shared decision-making in the ED: ethical considerations. Am J Emerg Med. 2016;34:1668–72.

    Article  Google Scholar 

  24. Frost DW, Cook DJ, Heyland DK, et al. Patient and healthcare professional factors influencing end-of-life decision-making during critical illness: a systematic review. Crit Care Med. 2011;39:1174–89.

    Article  Google Scholar 

  25. Sprung CL, Maia P, Bulow HH, et al. The importance of religious affiliation and culture on end-of-life decisions in European intensive care units. Intensive Care Med. 2007;33:1732–9.

    Article  Google Scholar 

  26. Van den Bulcke B, Piers R, Jensen HI, et al. Ethical decision-making climate in the ICU: theoretical framework and validation of a self-assessment tool. BMJ Qual Saf. 2018;27:781–9.

    Article  Google Scholar 

  27. Estryn-Behar M, Doppia MA, Guetarni K, et al. Emergency physicians accumulate more stress factors than other physiciansre-from the French SESMAT study. Emerg Med J. 2011;28:397–410.

    Google Scholar 

  28. Kozlowski SW, Ilgen DR. Enhancing the effectiveness of work groups and teams. Psychol Sci Public Interest. 2006;7:77–124.

    Article  Google Scholar 

  29. Van den Bulcke B, Metaxa V, Reyners AD, et al. Ethical climate and intention to leave among critical care clinicians: an observational study in 68 intensive care units across Europe and the United States. Intensive Care Med. 2020;46:46–56.

    Google Scholar 

  30. Curtis R, White DB. Practical guidance for evidence-based ICU family conferences. Chest. 2008;134:835–43.

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Anesthesiology and Critical Care, Tettnang Hospital at Medizin Campus Bodensee, Tettnang, Germany

    Andrej Michalsen

  2. Departments of Anaesthesiology and Intensive Care, Lillebaelt Hospital, University Hospital of Southern Denmark, Vejle, Denmark

    Hanne Irene Jensen

Authors
  1. Andrej Michalsen
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  2. Hanne Irene Jensen
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Editor information

Editors and Affiliations

  1. Department of Anesthesiology and Critical Care, Tettnang Hospital, Medizin Campus Bodensee, Tettnang, Germany

    Andrej Michalsen

  2. Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women’s Hospital Harvard Medical School, Boston, MA, USA

    Nicholas Sadovnikoff

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Michalsen, A., Jensen, H.I. (2020). Interprofessional Shared Decision-Making. In: Michalsen, A., Sadovnikoff, N. (eds) Compelling Ethical Challenges in Critical Care and Emergency Medicine. Springer, Cham. https://doi.org/10.1007/978-3-030-43127-3_6

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  • DOI: https://doi.org/10.1007/978-3-030-43127-3_6

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-43126-6

  • Online ISBN: 978-3-030-43127-3

  • eBook Packages: MedicineMedicine (R0)

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