| Title: |
Factors influencing multidisciplinary clinical decision-making in the critical care unit: a systematic review and mixed-methods meta-synthesis. |
| Authors: |
Matsumoto, Kenki; Fazzini, Brigitta; Malcolm, Hannah; Eldridge, Jack; Puthucheary, Zudin; Osman, Magda; Stephens, Timothy J |
| Publisher Information: |
Elsevier; Judge Business School; //doi.org/10.1016/j.bjao.2025.100488 |
| Publication Year: |
2025 |
| Collection: |
Apollo - University of Cambridge Repository |
| Subject Terms: |
complex decisions; decision model; decision-making; multidisciplinary; organ support |
| Description: |
BACKGROUND: The intensive care unit (ICU) is a dynamic environment that necessitates daily clinical decisions regarding organ support treatments. The decision-making process varies significantly between clinicians (i.e. doctors, nurses, and allied healthcare practitioners), even where internationally accepted treatment guidance exists. The factors and the processes influencing clinical decision-making are poorly understood. This systematic review aims to generate a decision-making model by evaluating current evidence on the decision-making process and the factors that affect decisions on organ support treatments in the ICU. METHODS: We conducted a systematic search on three databases (PubMed, Embase, and CINAHL) including all papers exploring factors that influenced organ support decisions (PROSPERO: CRD42021283290). A mixed-methods meta-synthesis was performed to enable the generation of distinct themes and subthemes used to generate the decision-making model. RESULTS: After screening 8967 records, 33 studies met the inclusion criteria and were included in the analysis. The mixed-method interpretation of the data found that decision-making can be linear and primarily dictated by patient factors (i.e. patient's clinical parameters). However, the analysis identified 11 factors that can influence and strain clinician's decision-making. Four themes: 1) human, 2) team, 3) system, and 4) patient emerged as the potential modifiable factors to optimise the decision-making process. CONCLUSIONS: Decision-making surrounding organ support treatment is complex and dynamic. However, there are four distinctive potentially modifiable themes that influence the multidisciplinary decision-making process. Further studies should focus on understanding interventions to improve decision-making and if different decision-making processes directly affect patients' outcomes. SYSTEMATIC REVIEW PROTOCOL: PROSPERO (CRD42021283290). |
| Document Type: |
article in journal/newspaper |
| File Description: |
Electronic-eCollection; application/pdf |
| Language: |
English |
| Relation: |
https://www.repository.cam.ac.uk/handle/1810/392162 |
| Availability: |
https://www.repository.cam.ac.uk/handle/1810/392162 |
| Rights: |
Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) ; https://creativecommons.org/licenses/by-nc-nd/4.0/ |
| Accession Number: |
edsbas.C5B6BF0E |
| Database: |
BASE |