| Title: |
Clinicians’ Perspectives on Strengthening Interprofessional Teamwork to Support Surrogate Decision-Makers of Critically Ill Patients in ICUs |
| Authors: |
Moale, Amanda C.; Razskazovskiy, Vlad; Rak, Kimberly J.; Richardson, Aaron; Dhole, Neha; Butler, Rachel A.; Nouraie, S. Mehdi; Ragavan, Maya I.; McGuier, Elizabeth A.; White, Douglas B. |
| Source: |
Critical Care Explorations ; volume 8, issue 1, page e1365 ; ISSN 2639-8028 |
| Publisher Information: |
Ovid Technologies (Wolters Kluwer Health) |
| Publication Year: |
2026 |
| Description: |
IMPORTANCE: Professional societies recommend interprofessional collaboration to support ICU surrogate decision-makers, yet little is known about how to operationalize it. OBJECTIVES: Determine clinicians’ perceived acceptability of interprofessional collaboration to support surrogates of ICU patients facing goals-of-care (GOC) decisions and identify barriers/facilitators to implementing a proposed interprofessional collaboration intervention. DESIGN, SETTING, AND PARTICIPANTS: Mixed-methods study with ICU clinicians from four hospitals in Pennsylvania and Ohio. Surveys assessed acceptability across three domains: perceived effectiveness, self-efficacy, and attitudes. Clinicians from two ICUs without an interprofessional collaboration program also answered interview questions eliciting barriers/facilitators to implementing a proposed interprofessional collaboration intervention. ANALYSIS: Descriptive statistics for survey data and content analysis of interview transcripts. RESULTS: We surveyed 56 clinicians: 25 physicians and advanced practice providers (APPs), and 31 other healthcare professionals (22 nurses, 3 social workers, 6 others), and interviewed 24. Ninety-eight percent agreed that enhanced interprofessional collaboration improves surrogate support. Among other healthcare professionals, 61% wanted a larger role in GOC decisions, 97% felt confident providing emotional support, and more than 74% were confident in reinforcing prognostic information and discussing values/preferences and GOC. ICU physicians/APPs were all comfortable with nurses and social workers providing emotional support, and most were comfortable with nurses (> 80%) and social workers (> 60%) reinforcing prognostic information and discussing values/preferences, and GOC. Although more than 95% of nurses and others were confident discussing physician-proposed treatment options, only 33% of social workers were, and less than or equal to 50% ICU physicians/APPs were comfortable with nurses/social workers doing so. 94% of ICU ... |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| DOI: |
10.1097/cce.0000000000001365 |
| DOI: |
10.1097/CCE.0000000000001365 |
| Availability: |
https://doi.org/10.1097/cce.0000000000001365; https://journals.lww.com/10.1097/CCE.0000000000001365 |
| Rights: |
http://creativecommons.org/licenses/by/4.0/ |
| Accession Number: |
edsbas.5B965207 |
| Database: |
BASE |