Patient-reported limitations to surgical buy-in: A qualitative study of patients facing high-risk surgery

Annals of Surgery

Volumn 265, Issue 1, 2017, Pages 97-102

  Nabozny, Michael J ^a   Kruser, Jacqueline M ^b   Steffens, Nicole M ^a   Pecanac, Kristen E ^c   Brasel, Karen J ^d   Chittenden, Eva H ^e   Cooper, Zara ^f   McKneally, Martin F ^g,h   Schwarze, Margaret L ^a,c  

^a UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE AND PUBLIC HEALTH   (United States)

^b NORTHWESTERN UNIVERSITY   (United States)

^c UNIVERSITY OF WISCONSIN MADISON   (United States)

^d OREGON HEALTH AND SCIENCE UNIVERSITY   (United States)

^e MASSACHUSETTS GENERAL HOSPITAL   (United States)

^f BRIGHAM AND WOMEN S HOSPITAL   (United States)

^g UNIVERSITY OF TORONTO   (Canada)

^h UNIVERSITY OF TORONTO   (Canada)

Author keywords

Advance directives; High risk surgery; Intensive care conflict; Medical ethics; Palliative care; Patient communication; Surgical buy in

Indexed keywords

ABDOMINAL SURGERY; ADULT; AGED; ANEURYSM SURGERY; AORTA ANEURYSM; ARTICLE; BRAIN SURGERY; CLINICAL ARTICLE; CONTENT ANALYSIS; DOCTOR PATIENT RELATION; FEMALE; HEART ARREST; HEART ARRHYTHMIA; HEART SURGERY; HIGH RISK PATIENT; HUMAN; LIFE SUPPORT EQUIPMENT; LIVING WILL; MALE; MIDDLE AGED; NEUROSURGERY; OPERATING ROOM; OPERATIVE BLOOD LOSS; POSTOPERATIVE COMPLICATION; POSTOPERATIVE PAIN; POSTOPERATIVE PERIOD; PREOPERATIVE PERIOD; PRIORITY JOURNAL; QUALITATIVE RESEARCH; REOPERATION; SEMI STRUCTURED INTERVIEW; SEPSIS; SURGEON; SURGERY; THORACOSTOMY; VASCULAR SURGERY; VERY ELDERLY; INTERVIEW; LONG TERM CARE; MASSACHUSETTS; ONTARIO; PALLIATIVE THERAPY; PATIENT ATTITUDE; POSTOPERATIVE CARE; POSTOPERATIVE COMPLICATIONS; PROCEDURES; PSYCHOLOGY; RISK; TRUST; WISCONSIN;

ADVANCE DIRECTIVES; AGED; AGED, 80 AND OVER; FEMALE; HUMANS; INTERVIEWS AS TOPIC; LIFE SUPPORT CARE; MALE; MASSACHUSETTS; MIDDLE AGED; ONTARIO; PALLIATIVE CARE; PATIENT ACCEPTANCE OF HEALTH CARE; PHYSICIAN-PATIENT RELATIONS; POSTOPERATIVE CARE; POSTOPERATIVE COMPLICATIONS; QUALITATIVE RESEARCH; RISK; TRUST; WISCONSIN;

EID: 84954520196     PISSN: 00034932     EISSN: 15281140     Source Type: Journal    
DOI: 10.1097/SLA.0000000000001645     Document Type: Article

References (29)

1. Azoulay E, Timsit JF, Sprung CL, et al. Prevalence and factors of intensive care unit conflicts: The conflicus study. Am J Respir Crit Care Med. 2009; 180: 853-860.
2. Danjoux Meth N, Lawless B, Hawryluck L. Conflicts in the ICU: Perspectives of administrators and clinicians. Intensive Care Med. 2009; 35: 2068-2077.
3. Larochelle MR, Rodriguez KL, Arnold RM, et al. Hospital staff attributions of the causes of physician variation in end-of-life treatment intensity. Palliat Med. 2009; 23: 460-470.
4. Studdert DM, Mello MM, Burns JP, et al. Conflict in the care of patients with prolonged stay in the ICU: Types, sources, and predictors. Intensive Care Med. 2003; 29: 1489-1497.
5. Lemiale V, Kentish-Barnes N, Chaize M, et al. Health-related quality of life in family members of intensive care unit patients. J Palliat Med. 2010; 13: 1131-1137.
6. Embriaco N, Azoulay E, Barrau K, et al. High level of burnout in intensivists: Prevalence and associated factors. Am J Respir Crit Care Med. 2007; 175: 686-692.
7. Poncet MC, Toullic P, Papazian L, et al. Burnout syndrome in critical care nursing staff. Am J Respir Crit Care Med. 2007; 175: 698-704.
8. Maxwell BG, Wong JK, Miller DC, et al. Temporal changes in survival after cardiac surgery are associated with the thirty-day mortality benchmark. Health Serv Res. 2014; 49: 1659-1669.
9. Cassell J, Buchman TG, Streat S, et al. Surgeons, intensivists, and the covenant of care: Administrative models and values affecting care at the end of life: Updated. Crit Care Med. 2003; 31: 1551-1557.
10. Bosk CL. Error, Rank and Responsibility. Chicago: The University of Chicago Press; 1979, 36-70.
11. Schwarze ML, Redmann AJ, Brasel KJ, et al. The role of surgeon error in withdrawal of postoperative life support. Ann Surg. 2012; 256: 10-15.
12. Schwarze ML, Bradley CT, Brasel KJ. Surgical "buy-in": The contractual relationship between surgeons and patients that influences decisions regarding life-supporting therapy. Crit Care Med. 2010; 38: 843-848.
13. Redmann AJ, Brasel KJ, Alexander CG, et al. Use of advance directives for high-risk operations: A national survey of surgeons. Ann Surg. 2012; 255: 418-423.
14. Pecanac KE, Kehler JM, Brasel KJ, et al. It's big surgery: Preoperative expressions of risk, responsibility, and commitment to treatment after highrisk operations. Ann Surg. 2014; 259: 458-463.
15. Schwarze ML, Redmann AJ, Alexander GC, et al. Surgeons expect patients to buy-in to postoperative life support preoperatively: Results of a national survey. Crit Care Med. 2013; 41: 1-8.
16. Spradley JP. The Ethnographic Interview. New York: Holt, Rinehart and Winston; 1979.
17. Dunn AS, Shridharani KV, Lou W, et al. Physician-patient discussions of controversial cancer screening tests. Am J Prev Med. 2001; 20: 130-134.
18. Fallowfield L, Jenkins V, Farewell V, et al. Efficacy of a Cancer Research UK communication skills training model for oncologists: A randomised controlled trial. Lancet. 2002; 359: 650-656.
19. Lynn J, DeGrazia D. An outcomes model of medical decision making. Theor Med. 1991; 12: 325-343.
20. Schwarze ML, Kehler JM, Campbell TC. Navigating high risk procedures with more than just a street map. J Palliat Med. 2013; 16: 1169-1171.
21. Kruser JM, Nabozny MJ, Steffens NM, et al. Best case/worst case": Qualitative evaluation of a novel communication tool for difficult in-the-moment surgical decisions. J Am Geriatr Soc. 2015; 63: 1805-1811.
22. Investigators TSP. 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). JAMA. 1995; 274: 1591-1598.
23. Fagerlin A, Schneider CE. Enough. The failure of the living will. Hastings Cent Rep. 2004; 34: 30-42.
24. Perkins HS. Controlling death: The false promise of advance directives. Ann Intern Med. 2007; 147: 51-57.
25. Teno JM, Stevens M, Spernak S, et al. Role of written advance directives in decision making: Insights from qualitative and quantitative data. J Gen Intern Med. 1998; 13: 439-446.
26. Hardin SB, Yusufaly YA. Difficult end-of-life treatment decisions: Do other factors trump advance directives? Arch Intern Med. 2004; 164: 1531-1533.
27. Statement on advance directives by patients: "do not resuscitate" in the operating room. Bull Am Coll Surg. 2014; 99: 42-43.
28. Kruser JM, Pecanac KE, Brasel KJ, et al. "And I Think That We Can Fix It": Mental models used in high-risk surgical decision making. Ann Surg. 2015; 261: 678-684.
29. Winter L, Parker B. Current health and preferences for life-prolonging treatments: An application of prospect theory to end-of-life decision making. Soc Sci Med. 2007; 65: 1695-1707.