ArticleBMJ open2020
Secondary care consultant clinicians' experiences of conducting emergency care and treatment planning conversations in England: an interview-based analysis.
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 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
18 citing papers in PubMed.
- Shared decision-making with older people on TReatment Escalation planning for Acute deterioration in the emergency Medical Setting - Observed (STREAMS-O): an ethnographic study.BMC geriatrics · 2025Article
- Article
- Using the Recommended Summary Plan for Emergency Care and Treatment (ReSPECT) in a community setting: does it facilitate best interests decision-making?Journal of medical ethics · 2025Article
- Experiences of using the Recommended Summary Plan for Emergency Care and Treatment (ReSPECT) in English general practice: a qualitative study among key primary health and social care professionals, patients, and their relatives.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Article
- Are completed ReSPECT plans facilitating person-centred care? An evaluation of completed plans in UK general practice.Resuscitation plus · 2024Article
- Public attitudes to emergency care treatment plans: a population survey of Great Britain.BMJ open · 2024Article
- Article
- GPs' views on emergency care treatment plans: an online survey.BJGP open · 2024Article
- Patient and relative experiences of the ReSPECT process in the community: an interview-based study.BMC primary care · 2024Article
- Perspectives of healthcare professionals and older patients on shared decision-making for treatment escalation planning in the acute hospital setting: a systematic review and qualitative thematic synthesis.EClinicalMedicine · 2023Article
- The experiences of adult patients, families, and healthcare professionals of CPR decision-making conversations in the United Kingdom: A qualitative systematic review.Resuscitation plus · 2023Review
- Using the recommended summary plan for emergency care and treatment (ReSPECT) in care homes: a qualitative interview study.Age and ageing · 2022Article
- Article
- Why are some ReSPECT conversations left incomplete? A qualitative case study analysis.Resuscitation plus · 2022Article
- Article
- General practitioners' experiences of emergency care and treatment planning in England: a focus group study.BMC family practice · 2021Article
- Association between knowledge and attitudes towards advance directives in emergency services.BMC medical ethics · 2021Article
- Ethical conflicts during the process of deciding about ICU admission: an empirically driven ethical analysis.Journal of medical ethics · 2021Article
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.
Funding
Abstract
objectiveTo examine secondary care consultant clinicians' experiences of conducting conversations about treatment escalation with patients and their relatives, using the Recommended Summary Plan for Emergency Care and Treatment (ReSPECT) process.
designSemi-structured interviews following ward round observations.
settingTwo National Health Service hospitals in England.
participantsFifteen medical and surgical consultants from 10 specialties, observed in 14 wards. ANALYSIS: Interview transcripts were analysed using thematic analysis.
resultsThree themes were developed: (1) determining when and with whom to conduct a ReSPECT conversation; (2) framing the ReSPECT conversation to manage emotions and relationships and (3) reaching ReSPECT decisions. The results showed that when timing ReSPECT conversations, consultant clinicians rely on their predictions of a patient's short-term prognosis; when framing ReSPECT conversations, consultant clinicians seek to minimise distress and maximise rapport and when involving a patient or a patient's relatives in decision-making discussions, consultant clinicians are guided by their level of certainty about the patient's illness trajectory.
conclusionsThe management of uncertainty about prognoses and about patients' emotional reactions is central to secondary care consultant clinicians' experiences of timing and conducting ReSPECT conversations.
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.