AI Article Synopsis
- Objective: The study aimed to understand the perspectives of seriously ill patients on different approaches to discussions about CPR in hospital settings.
- Methods: Researchers created two videos showcasing a doctor discussing CPR: one using a values-based approach with recommendations and the other using an information-focused approach without recommendations. They interviewed 20 patients after they viewed both videos to gather feedback.
- Results: Opinions varied, with half of the participants having no preference, while 35% favored the information-focused approach. Many patients felt uncomfortable with a doctor's recommendation in the values-based video, indicating a need for personalized CPR discussions tailored to individual comfort levels.
Article Abstract
Objective: To describe seriously ill patients' perspectives on expert-endorsed approaches for hospital cardiopulmonary resuscitation (CPR) discussions.
Methods: We created two videos depicting a hospital doctor discussing CPR with a seriously ill patient. One depicted a values-based approach with a doctor's recommendation, and one an information-focused approach without a recommendation. During semi-structured interviews, 20 seriously ill hospitalized patients viewed and commented on both videos. We conducted a thematic analysis to describe benefits and harms of specific discussion components.
Results: Half of participants reported no preference between the videos; 35% preferred the information-focused, and 15% the values-based. Participants' reactions to the discussion components varied. They identified both benefits and harms with components in both videos, though most felt comfortable with all components (range, 60-65%) except for the doctor's recommendation in the values-based video. Only 40% would feel comfortable receiving a recommendation, while 65% would feel comfortable with the doctor eliciting their CPR preference as in the information-focused video, p=0.03.
Conclusion: Participants' reactions to expert-endorsed discussion components varied. Most would feel uncomfortable receiving a doctor's recommendation about CPR.
Practice Implications: Participants' varied reactions suggest the need to tailor CPR discussions to individual patients. Many patients may find doctor's recommendations to be problematic.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3864765 | PMC |
| http://dx.doi.org/10.1016/j.pec.2013.08.003 | DOI Listing |
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