Values, preferences and goals identified during shared decision making between critically ill patients and their doctors Milnes, Sharyn, Mantzaridis, Y, Simpson, Nick, Dunning, Patricia, Kerr, Debra, Ostaszkiewicz, JB, Keely, GT, Corke, C and Orford, Neil 2021, Values, preferences and goals identified during shared decision making between critically ill patients and their doctors, Critical Care and Resuscitation, vol. 23, no. 1, pp. 76-85, doi: 10.51893/2021.1.oa7. Attached Files Name Description MIMEType Size Downloads Title Values, preferences and goals identified during shared decision making between critically ill patients and their doctors Author(s) Milnes, Sharyn orcid.org/0000-0002-4625-1804 Mantzaridis, Y Simpson, Nick orcid.org/0000-0002-6530-9426 Dunning, Patricia orcid.org/0000-0002-0284-1706 Kerr, Debra orcid.org/0000-0002-2956-2432 Ostaszkiewicz, JB Keely, GT Corke, C Orford, Neil orcid.org/0000-0002-2285-9233 Journal name Critical Care and Resuscitation Volume number 23 Issue number 1 Start page 76 End page 85 Total pages 10 Publisher Australasian Med Pub Place of publication Melbourne, Vic. Publication date 2021-03 ISSN 1441-2772 2652-9335 Keyword(s) Science & Technology Life Sciences & Biomedicine Critical Care Medicine General & Internal Medicine OF-LIFE CARE HEALTH-CARE END DEATH OLDER COMMUNICATION OPPORTUNITIES SURROGATES CANCER WORSE Summary Objective: Examine values, preferences and goals elicited by doctors following goals-of-care (GOC) discussions with critically ill patients who had life-limiting illnesses. Design: Descriptive qualitative study using four-stage latent content analysis. Setting: Tertiary intensive care unit (ICU) in South Western Victoria. Participants: Adults who had life-limiting illnesses and were admitted to the ICU with documented GOC, between October 2016 and July 2018. Intervention: The iValidate program, a shared decision-making clinical communication education and clinical support program, for all ICU registrars in August 2015. Main outcome measures: Matrix of themes and subthemes categorised into values, preferences and goals. Results: A total of 354 GOC forms were analysed from 218 patients who had life-limiting illnesses and were admitted to the ICU. In the categories of values, preferences and goals, four themes were identified: connectedness and relational autonomy, autonomy of decision maker, balancing quality and quantity of life, and physical comfort. The subthemes — relationships, sense of place, enjoyment of activities, independence, dignity, cognitive function, quality of life, longevity and physical comfort — provided a matrix of issues identified as important to patients. Relationship, place, independence and physical comfort statements were most frequently identified; longevity was least frequently identified. Conclusion: Our analysis of GOC discussions between medical staff and patients who had life-limiting illnesses and were admitted to the ICU, using a shared decision-making training and support program, revealed a framework of values, preferences and goals that could provide a structure to assist clinicians to engage in shared decision making. Language eng DOI 10.51893/2021.1.oa7 Field of Research 1103 Clinical Sciences 1110 Nursing HERDC Research category C1 Refereed article in a scholarly journal Free to Read? Yes Persistent URL http://hdl.handle.net/10536/DRO/DU:30150770 Document type: Journal Article Collections: Faculty of Health School of Medicine Open Access Collection Related Links Link Description Link to full-text (open access)   Connect to Elements publication management system Go to link with your DU access privileges     Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved. Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au. Versions Version Filter Type Mon, 10 May 2021, 08:57:45 EST Mon, 10 May 2021, 19:34:52 EST Tue, 11 May 2021, 05:03:40 EST Tue, 11 May 2021, 07:58:11 EST Sat, 04 Dec 2021, 01:47:27 EST Wed, 15 Dec 2021, 05:08:37 EST Tue, 01 Mar 2022, 12:17:52 EST Tue, 01 Mar 2022, 14:06:58 EST Wed, 02 Mar 2022, 06:23:44 EST Wed, 02 Mar 2022, 06:31:54 EST Fri, 11 Mar 2022, 02:35:40 EST Filtered Full Citation counts:   Cited 0 times in TR Web of Science Cited 1 times in Scopus Search Google Scholar Access Statistics: 38 Abstract Views, 0 File Downloads  -  Detailed Statistics Created: Mon, 10 May 2021, 19:34:52 EST