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

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The value of uncertainty in critical illness? An ethnographic study of patterns and conflicts in care and decision-making trajectories. / Higginson, I. J.; Rumble, C.; Shipman, C.; Koffman, J.; Sleeman, K. E.; Morgan, M.; Hopkins, P.; Noble, J.; Bernal, W.; Leonard, S.; Dampier, O.; Prentice, W.; Burman, R.; Costantini, M.

In: Anesthesiology, Vol. 16, No. 1, 09.02.2016.

Research output: Contribution to journalArticle

Harvard

Higginson, IJ, Rumble, C, Shipman, C, Koffman, J, Sleeman, KE, Morgan, M, Hopkins, P, Noble, J, Bernal, W, Leonard, S, Dampier, O, Prentice, W, Burman, R & Costantini, M 2016, 'The value of uncertainty in critical illness? An ethnographic study of patterns and conflicts in care and decision-making trajectories', Anesthesiology, vol. 16, no. 1. https://doi.org/10.1186/s12871-016-0177-2

APA

Higginson, I. J., Rumble, C., Shipman, C., Koffman, J., Sleeman, K. E., Morgan, M., Hopkins, P., Noble, J., Bernal, W., Leonard, S., Dampier, O., Prentice, W., Burman, R., & Costantini, M. (2016). The value of uncertainty in critical illness? An ethnographic study of patterns and conflicts in care and decision-making trajectories. Anesthesiology, 16(1). https://doi.org/10.1186/s12871-016-0177-2

Vancouver

Higginson IJ, Rumble C, Shipman C, Koffman J, Sleeman KE, Morgan M et al. The value of uncertainty in critical illness? An ethnographic study of patterns and conflicts in care and decision-making trajectories. Anesthesiology. 2016 Feb 9;16(1). https://doi.org/10.1186/s12871-016-0177-2

Author

Higginson, I. J. ; Rumble, C. ; Shipman, C. ; Koffman, J. ; Sleeman, K. E. ; Morgan, M. ; Hopkins, P. ; Noble, J. ; Bernal, W. ; Leonard, S. ; Dampier, O. ; Prentice, W. ; Burman, R. ; Costantini, M. / The value of uncertainty in critical illness? An ethnographic study of patterns and conflicts in care and decision-making trajectories. In: Anesthesiology. 2016 ; Vol. 16, No. 1.

Bibtex Download

@article{0de1d826d183421aa1096484b36fdac8,
title = "The value of uncertainty in critical illness?: An ethnographic study of patterns and conflicts in care and decision-making trajectories",
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 ",
keywords = "Critical care, Decision-making, DNACPR, End-of-life care, Intensive care unit, Palliative care, Pathways, Uncertainty",
author = "Higginson, {I. J.} and C. Rumble and C. Shipman and J. Koffman and Sleeman, {K. E.} and M. Morgan and P. Hopkins and J. Noble and W. Bernal and S. Leonard and O. Dampier and W. Prentice and R. Burman and M. Costantini",
year = "2016",
month = feb,
day = "9",
doi = "10.1186/s12871-016-0177-2",
language = "English",
volume = "16",
journal = "Anesthesiology",
issn = "0003-3022",
publisher = "Lippincott Williams and Wilkins",
number = "1",

}

RIS (suitable for import to EndNote) Download

TY - JOUR

T1 - The value of uncertainty in critical illness?

T2 - An ethnographic study of patterns and conflicts in care and decision-making trajectories

AU - Higginson, I. J.

AU - Rumble, C.

AU - Shipman, C.

AU - Koffman, J.

AU - Sleeman, K. E.

AU - Morgan, M.

AU - Hopkins, P.

AU - Noble, J.

AU - Bernal, W.

AU - Leonard, S.

AU - Dampier, O.

AU - Prentice, W.

AU - Burman, R.

AU - Costantini, M.

PY - 2016/2/9

Y1 - 2016/2/9

N2 - 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

AB - 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

KW - Critical care

KW - Decision-making

KW - DNACPR

KW - End-of-life care

KW - Intensive care unit

KW - Palliative care

KW - Pathways

KW - Uncertainty

UR - http://www.scopus.com/inward/record.url?scp=84957812594&partnerID=8YFLogxK

U2 - 10.1186/s12871-016-0177-2

DO - 10.1186/s12871-016-0177-2

M3 - Article

VL - 16

JO - Anesthesiology

JF - Anesthesiology

SN - 0003-3022

IS - 1

ER -

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