ArticleIntensive & critical care nursing2014
Factors affecting stress experienced by surrogate decision makers for critically ill patients: implications for nursing practice.
Article in Intensive & critical care nursing, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
25 citing papers in PubMed, 80 citations in OpenAlex.
- Surrogate Decision Maker Stress in Advance Care Planning Conversations: A Mixed-Methods Analysis From a Randomized Controlled Trial.Journal of pain and symptom management · 2020Trial
- A phenomenological study on the lived experiences of families of ICU patients, Addis Ababa, Ethiopia.PloS one · 2020Trial
- A Randomized Controlled Trial of Strategies to Improve Family Members' Preparedness for Surrogate Decision-Making.The American journal of hospice & palliative care · 2018Trial
- Using Nurse Ratings of Physician Communication in the ICU To Identify Potential Targets for Interventions To Improve End-of-Life Care.Journal of palliative medicine · 2016Trial
- Racial and Ethnic Differences in Withdrawal of Life-Sustaining Treatment and Hospice Referral in Severe Traumatic Brain Injury.Journal of racial and ethnic health disparities · 2026Article
- Decision fatigue of surrogate decision-makers: a scoping review.BMC medical informatics and decision making · 2025Article
- Feasibility study protocol: implementing consultation-based high-quality palliative care services in intensive care units.BMJ open · 2025Article
- The relationship between state anxiety of surrogate decision-makers and decision-making duration in acute ischemic stroke thrombolysis.Scientific reports · 2025Article
- The Stresses of Surrogate Decision-Making: Contributing Factors and Clinicians' Role in Mitigation.The American journal of hospice & palliative care · 2024Article
- Family members' perceptions of counselling during visits to loved ones in an adult ICU.Nursing open · 2023Article
- Navigating disagreement and conflict in the context of a brain-based definition of death.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2023Review
- End-of-life Care in the Intesive Care Unit and Nursing Roles in Communicating with Families.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2023Article
- Article
- Article
- Mechanisms of defense in clinical ethics consultation.Medicine, health care, and philosophy · 2022Article
- Role Mismatch in Medical Decision-Making Participation Is Associated with Anxiety and Depression in Family Members of Patients in the Intensive Care Unit.Journal of tropical medicine · 2022Article
- A conceptual model of barriers and facilitators to primary clinical teams requesting pediatric palliative care consultation based upon a narrative review.BMC palliative care · 2019Review
- Comparing cognitive load levels among family members of the critically ill exposed to electronic decision aids.Applied nursing research : ANR · 2019Article
- Families of patients in ICU: A Scoping review of their needs and satisfaction with care.Nursing open · 2019Article
- Family Surrogate Decision-making in Chronic Critical Illness: A Qualitative Analysis.Critical care nurse · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 3 institutions in 1 country.
Funding
Abstract
objectivesThis study explores surrogate decision-makers' (SDMs) challenges making decisions related to the care of patients in critical care, to (1) characterise the SDM stress, (2) identify personal, social, care-related factors influencing stress and (3) consider implications of findings to improving critical care practice. METHODOLOGY: Semi-structured interviews were conducted with SDMs of critically ill patients receiving care in two tertiary care institutions. Transcripts were analysed using a grounded theory approach. Domains explored were: stress characteristics, stress mitigators, coping strategies, social networks, SDM decision-making role, decision-making concordance, knowledge of patient's preferences, experience with provider team, SDM-provider communication, patient outcome certainty. MAIN OUTCOMES: We interviewed 34 SDMs. Most were female and described long-term relationships with patients. SDMs described the strain of uncertain outcomes and decision-making without clear, consistent information from providers. Decision-making anxiety was buffered by SDMs' active engagement of social networks, faith and access to clear communication from providers.
conclusionStress is a very real factor influencing SDMs confidence and comfort making decisions. These findings suggest that stress can be minimised by improving communication between SDMs and medical providers. Nurses' central role in the ICU makes them uniquely poised to spearhead interventions to improve provider-SDM communication and reduce SDM decision-making anxiety.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.