Development of a video-based education and process change intervention to improve advance cardiopulmonary resuscitation decision-making
dc.contributor.author | Waldron, N. | |
dc.contributor.author | Johnson, C. | |
dc.contributor.author | Saul, P. | |
dc.contributor.author | Waldron, H. | |
dc.contributor.author | Chong, J. | |
dc.contributor.author | Hill, Anne-Marie | |
dc.contributor.author | Hayes, B. | |
dc.date.accessioned | 2017-11-20T08:49:55Z | |
dc.date.available | 2017-11-20T08:49:55Z | |
dc.date.created | 2017-11-20T08:13:37Z | |
dc.date.issued | 2016 | |
dc.identifier.citation | Waldron, N. and Johnson, C. and Saul, P. and Waldron, H. and Chong, J. and Hill, A. and Hayes, B. 2016. Development of a video-based education and process change intervention to improve advance cardiopulmonary resuscitation decision-making. BMC Health Services Research. 16: 555. | |
dc.identifier.uri | http://hdl.handle.net/20.500.11937/57970 | |
dc.identifier.doi | 10.1186/s12913-016-1803-x | |
dc.description.abstract |
BACKGROUND: Advance cardiopulmonary resuscitation (CPR) decision-making and escalation of care discussions are variable in routine clinical practice. We aimed to explore physician barriers to advance CPR decision-making in an inpatient hospital setting and develop a pragmatic intervention to support clinicians to undertake and document routine advance care planning discussions. METHODS: Two focus groups, which involved eight consultants and ten junior doctors, were conducted following a review of the current literature. A subsequent iterative consensus process developed two intervention elements: (i) an updated 'Goals of Patient Care' (GOPC) form and process; (ii) an education video and resources for teaching advance CPR decision-making and communication. A multidisciplinary group of health professionals and policy-makers with experience in systems development, education and research provided critical feedback. RESULTS: Three key themes emerged from the focus groups and the literature, which identified a structure for the intervention: (i) knowing what to say; (ii) knowing how to say it; (iii) wanting to say it. The themes informed the development of a video to provide education about advance CPR decision-making framework, improving communication and contextualising relevant clinical issues. Critical feedback assisted in refining the video and further guided development and evolution of a medical GOPC approach to discussing and recording medical treatment and advance care plans. CONCLUSION: Through an iterative process of consultation and review, video-based education and an expanded GOPC form and approach were developed to address physician and systemic barriers to advance CPR decision-making and documentation. Implementation and evaluation across hospital settings is required to examine utility and determine effect on quality of care. | |
dc.publisher | BioMed Central | |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | |
dc.title | Development of a video-based education and process change intervention to improve advance cardiopulmonary resuscitation decision-making | |
dc.type | Journal Article | |
dcterms.source.volume | 16 | |
dcterms.source.number | 1 | |
dcterms.source.issn | 1472-6963 | |
dcterms.source.title | BMC Health Services Research | |
curtin.department | School of Physiotherapy and Exercise Science | |
curtin.accessStatus | Open access |