A brief educational intervention to teach residents shared decision making in the intensive care unit. Academic Article uri icon

Overview

MeSH

  • Adult
  • Female
  • Humans
  • Intensive Care Units
  • Intervention Studies
  • Male
  • Pilot Projects
  • Questionnaires

MeSH Major

  • Communication
  • Critical Illness
  • Decision Making
  • Inservice Training
  • Internal Medicine
  • Internship and Residency

abstract

  • Effective communication is essential for shared decision making with families of critically ill patients in the intensive care unit (ICU), yet there is limited evidence on effective strategies to teach these skills. The study's objective was to pilot test an educational intervention to teach internal medicine interns skills in discussing goals of care and treatment decisions with families of critically ill patients using the shared decision making framework. The intervention consisted of a PowerPoint online module followed by a four-hour workshop implemented at a retreat for medicine interns training at an urban, academic medical center. Participants (N=33) completed post-intervention questionnaires that included self-assessed skills learned, an open-ended question on the most important learning points from the workshop, and retrospective pre- and post-workshop comfort level with ICU communication skills. Participants rated their satisfaction with the workshop. Twenty-nine interns (88%) completed the questionnaires. Important self-assessed communication skills learned reflect key components of shared decision making, which include assessing the family's understanding of the patient's condition (endorsed by 100%) and obtaining an understanding of the patient/family's perspectives, values, and goals (100%). Interns reported significant improvement in their comfort level with ICU communication skills (pre 3.26, post 3.73 on a five-point scale, p=0.004). Overall satisfaction with the intervention was high (mean 4.45 on a five-point scale). The findings suggest that a brief intervention designed to teach residents communication skills in conducting goals of care and treatment discussions in the ICU is feasible and can improve their comfort level with these conversations.

publication date

  • May 2013

has subject area

  • Adult
  • Communication
  • Critical Illness
  • Decision Making
  • Female
  • Humans
  • Inservice Training
  • Intensive Care Units
  • Internal Medicine
  • Internship and Residency
  • Intervention Studies
  • Male
  • Pilot Projects
  • Questionnaires

Research

keywords

  • Journal Article

Identity

Language

  • eng

PubMed Central ID

  • PMC3941840

Digital Object Identifier (DOI)

  • 10.1089/jpm.2012.0356

PubMed ID

  • 23621707

Additional Document Info

start page

  • 531

end page

  • 536

volume

  • 16

number

  • 5