King's College London

Research portal

The value of uncertainty in critical illness? An ethnographic study of patterns and conflicts in care and decision-making trajectories

Research output: Contribution to journalArticle

I. J. Higginson, C. Rumble, C. Shipman, J. Koffman, K. E. Sleeman, M. Morgan, P. Hopkins, J. Noble, W. Bernal, S. Leonard, O. Dampier, W. Prentice, R. Burman, M. Costantini

Original languageEnglish
JournalAnesthesiology
Volume16
Issue number1
DOIs
Publication statusPublished - 9 Feb 2016

Documents

King's Authors

Abstract

Background: With increasingly intensive treatments and population ageing, more people face complex treatment and care decisions. We explored patterns of the decision-making processes during critical care, and sources of conflict and resolution. 

Methods: Ethnographic study in two Intensive Care Units (ICUs) in an inner city hospital comprising: non-participant observation of general care and decisions, followed by case studies where treatment limitation decisions, comfort care and/or end of life discussions were occurring. These involved: semi-structured interviews with consenting families, where possible, patients; direct observations of care; and review of medical records. 

Results: Initial non-participant observation included daytime, evenings, nights and weekends. The cases were 16 patients with varied diagnoses, aged 19-87 years; 19 family members were interviewed, aged 30-73 years. Cases were observed for

Download statistics

No data available

View graph of relations

© 2018 King's College London | Strand | London WC2R 2LS | England | United Kingdom | Tel +44 (0)20 7836 5454