Strategies for effective goals of care discussions and decision-making: Perspectives from a multi-centre survey of Canadian hospital-based healthcare providers

BMC Palliative Care

Volumn 14, Issue 1, 2015, Pages

  Roze Des Ordons, Amanda L ^a   Sharma, Nishan ^a   Heyland, Daren K ^b   You, John J ^c  

^a UNIVERSITY OF CALGARY   (Canada)

^b QUEEN S UNIVERSITY   (Canada)

^c MCMASTER UNIVERSITY   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CANADIAN; CLINICAL DECISION MAKING; CLINICAL PRACTICE; CROSS-SECTIONAL STUDY; DOCTOR PATIENT RELATION; FAMILY HEALTH; HEALTH CARE PERSONNEL; HEALTH CARE PLANNING; HEALTH CARE SYSTEM; HUMAN; INTERPERSONAL COMMUNICATION; MEDICAL EDUCATION; NURSE; PATIENT CARE; PHYSICIAN; QUESTIONNAIRE; RESIDENT; CANADA; COOPERATION; DECISION MAKING; HOSPITAL; PATIENT CARE PLANNING; STANDARDS;

CANADA; COMMUNICATION; COOPERATIVE BEHAVIOR; CROSS-SECTIONAL STUDIES; DECISION MAKING; HEALTH PERSONNEL; HOSPITALS; HUMANS; PATIENT CARE PLANNING; SURVEYS AND QUESTIONNAIRES;

EID: 84939217317     PISSN: None     EISSN: 1472684X     Source Type: Journal    
DOI: 10.1186/s12904-015-0035-x     Document Type: Article

References (32)

1. HRSDC calculations based on Statistics Canada. Estimates of population, by age group and sex for July 1, Canada, provinces and territories, annual (CANSIM Table 051-0001); and Statistics Canada. Projected population by projection scenario, sex and age group as of July 1, Canada, provinces and territories, annual (CANSIM Table 052-0005). Ottawa: Statistics Canada, 2011.
2. Heyland DK, Lavery JV, Tranmer JE, Shortt SE, Taylor SJ. Dying in Canada: is it an institutionalized, technologically supported experience? J Palliat Care. 2000;16(Suppl):S10-6.
3. Hofmann JC, Wenger NS, Davis RB, Teno J, Connors Jr AF, Desbiens N, et al. Patient preferences for communication with physicians about end-of-life decisions. SUPPORT Investigators. Study to Understand Prognoses and Preference for Outcomes and Risks of Treatment. Ann Intern Med. 1997;127:1-12.
4. Anderson WG, Chase R, Pantilat SZ, Tulsky JA, Auerbach AD. Code status discussions between attending hospitalist physicians and medical patients at hospital admission. J Gen Intern Med. 2011;26:359-66.
5. Deep KS, Griffith CH, Wilson JF. Communication and decision making about life-sustaining treatment: examining the experiences of resident physicians and seriously-ill hospitalized patients. J Gen Intern Med. 2008;23:1877-82.
6. Osborn TR, Curtis JR, Nielsen EL, Back AL, Shannon SE, Engelberg RA. Identifying elements of ICU care that families report as important but unsatisfactory: decision-making, control, and ICU atmosphere. Chest. 2012;142:1185-92.
7. Yuen JK, Reid MC, Fetters MD. Hospital do-not-resuscitate orders: why they have failed and how to fix them. J Gen Intern Med. 2011;26:791-7.
8. Covinsky KE, Fuller JD, Yaffe K, Johnston CB, Hamel MB, Lynn J, et al. Communication and decision-making in seriously ill patients: findings of the SUPPORT project. The Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments. J Am Geriatr Soc. 2000;48:S187-93.
9. A controlled trial to improve care for seriously ill hospitalized patients. The study to understand prognoses and preferences for outcomes and risks of treatments (SUPPORT). The SUPPORT Principal Investigators. JAMA. 1995; 274:1591-8.
10. Wenger NS, Phillips RS, Teno JM, Oye RK, Dawson NV, Liu H, et al. Physician understanding of patient resuscitation preferences: insights and clinical implications. J Am Geriatr Soc. 2000;48:S44-51.
11. Heyland DK, Dodek P, Rocker G, Groll D, Gafni A, Pichora D, et al. What matters most in end-of-life care: perceptions of seriously ill patients and their family members. CMAJ. 2006;174:627-33.
12. Sinuff T, Dodek P, You JJ, Barwich D, Tayler C, Downar J, et al. Improving end of life communication and decision-making: the development of a conceptual framework and quality indicators. J Pain Symptom Manage. 2015;49:1070-80.
13. Schroder C, Heyland D, Jiang X, Rocker G, Dodek P. Educating medical residents in end-of-life care: insights from a multicenter survey. J Palliat Med. 2009;12:459-70.
14. Van Nuland M, Thijs G, Van Royen P, Van den Noortgate W, Goedhuys J. Vocational trainees' views and experiences regarding the learning and teaching of communication skills in general practice. Patient Educ Counsel. 2010;78:65-71.
15. van den Eertwegh V, van Dalen J, van Dulmen S, van der Vleuten C, Scherpbier A. Residents' perceived barriers to communication skills learning: comparing two medical working contexts in postgraduate training. Patient Educ Couns. 2014;95:91-7.
16. Sarti AJ, Sutherland S, Landriault A, Fothergill-Bourbonnais F, Bouali R, Willett T, et al. Comprehensive assessment of critical care needs in a community hospital. Crit Care Med. 2014;42:831-40.
17. Heyland DK, Barwich D, Pichora D, Dodek P, Lamontagne F, You JJ, et al. Failure to engage hospitalized elderly patients and their families in advance care planning. JAMA Intern Med. 2013;173:778-87.
18. You JJ, Downar J, Fowler RA, Lamontagne F, Ma IW, Jayaraman D, et al. Barriers to goals of care discussions with seriously ill hospitalized patients and their families: a multi-center survey of clinicians. JAMA Int Med. 2015;175:549-56.
19. Green J, Thorogood N. Beginning data analysis. In: Qualitative Methods for Health Research. 3rd ed. London: SAGE Publications Ltd; 2013. p. 209-17.
20. Légaré F, Stacey D, Pouliot S, Gauvin F-P, Desroches S, Kryworuchko J, et al. Interprofessionalism and shared decision-making in primary care: a stepwise approach towards a new model. J Interprof Care. 2011;25:18-25.
21. Guenther CL, Timberlake EA. The motivated self: self-affirmation and the better-than-average effect. Pers Soc Psychol Bull. 2012. doi: 10.1177/01461672457074. [Epub ahead of print].
22. Simon J, Porterfield P, Raffin Bouchal S, Heyland D. ‘Not yet' and ‘just ask': barriers and facilitators to advance care planning - a qualitative descriptive study of the perspectives of seriously ill older patients and their families. Br J Support Palliat Care. 2015;5:54-62.
23. Weiner BJ. A theory of organizational readiness for change. J Implement Sci. 2009;4:67-75.
24. Graham ID, Logan J, Harrison MB, Straus SE, Tetroe J, Caswell W, et al. Lost in knowledge translation: time for a map? J Contin Educ Health Prof. 2006;26:13-24.
25. Curtis JR, White DB. Practical guidance for evidence-based ICU family conferences. Chest. 2008;134:835-43.
26. Sudore RL, Knight SJ, McMahan RD, Feuz M, Farrell D, Miao Y, et al. A novel website to prepare diverse older adults for decision making and advance care planning: a pilot study. J Pain Symptom Manage. 2014;47:674-86.
27. Butler M, Ratner E, McCreedy E, Shippee N, Kane RL. Decision aids for advance care planning: an overview of the state of the science. Ann Int Med. 2014;161:408-18.
28. Volandes AE, Levin TT, Slovin S, Carvajal RD, O'Reilly EM, Keohan ML, et al. Augmenting advance care planning in poor prognosis cancer with a video decision aid: a preintervention-postintervention study. Cancer. 2012;118:4331-8.
29. Clancy CM, Tornberg DN. TeamSTEPPS: assuring optimal teamwork in clinical settings. Am J Med Qual. 2007;22:214-7.
30. Speak Up. [http://www.advancecareplanning.ca]. Accessed August 14th, 2015.
31. The Conversation Project. [http://theconversationproject.org]. Accessed August 14th, 2015.
32. Conversations Matter. [http://www.albertahealthservices.ca/9098.asp]. Accessed August 14th, 2015.