ArticleBMJ open2021
Shared decision-making in the ICU from the perspective of physicians, nurses and patients: a qualitative interview study.
Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.
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Who cites it
30 citing papers in PubMed, 2 syntheses or guidelines pooled it.
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- Discussing expected long-term quality of life in the ICU: effect on experiences and outcomes of patients, family, and clinicians-a randomized clinical trial.Intensive care medicine · 2025Trial
- Beyond the ICU: family resilience and emotional turmoil after intensive care - a qualitative study.International journal of qualitative studies on health and well-being · 2026Article
- Article
- A Living Ethics Project to Address Inappropriate Levels of Care: Process and Outcomes.Journal of bioethical inquiry · 2026Article
- Nurses' Role in Transitional Care During Intensive Care Unit Family Meetings for Patients With Prolonged Mechanical Ventilation.Journal of advanced nursing · 2026Article
- Time-limited trials for acute dialysis decision-making for critically ill older patients: rationale, communication strategies, and future research.Current opinion in nephrology and hypertension · 2026Review
- Article
- Relatives' Involvement in the Care Pathway of Patients With Acquired Brain Injury or Malignant Brain Tumour: An Observational Study.Nursing research and practice · 2026Article
- The Effect of Shared Decision-Making on Emergency Management Knowledge, Anxiety, and Mental Health Among Family Members of Terminally Ill Patients in the ICU: A Quasiexperimental Study.Nursing research and practice · 2026Article
- Voices from the ICU: a qualitative study of healthcare providers' decision-making experiences during the provision of life-sustaining treatment in intensive care units of public and private referral hospitals in Uganda.BMC medical ethics · 2025Article
- Investigating the level of nurses' participation in physicians' clinical decisions and the factors affecting it: evidence from a cross-sectional study from nurses' perspectives.BMC health services research · 2025Article
- How is caring paternalism feasible in the intensive care unit? - an ethnographic study.BMC nursing · 2025Article
- Implementation of an Evidence-Based Protocol for Blood Glucose Management in Critically Ill Adult Patients: A Pilot Study.Nursing in critical care · 2025Article
- Shared Decision-Making in Choosing Dialysis Modalities for Patients With Chronic Kidney Disease: An Evolutionary Concept Analysis.Nursing & health sciences · 2025Review
- Engagement and Perspectives regarding the family conference process when considering discontinuation of life-sustaining treatments among critical care specialist nurses: a nationwide cross-sectional survey in Japan.Acute and critical care · 2025Article
- Better end-of-life care in surgical patients: Veterans Affairs Bereaved Family Survey - a qualitative analysis.BMJ supportive & palliative care · 2025Article
- Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo identify views, experiences and needs for shared decision-making (SDM) in the intensive care unit (ICU) according to ICU physicians, ICU nurses and former ICU patients and their close family members.
designQualitative study.
settingTwo Dutch tertiary centres.
participants19 interviews were held with 29 participants: seven with ICU physicians from two tertiary centres, five with ICU nurses from one tertiary centre and nine with former ICU patients, of whom seven brought one or two of their close family members who had been involved in the ICU stay.
resultsThree themes, encompassing a total of 16 categories, were identified pertaining to struggles of ICU physicians, needs of former ICU patients and their family members and the preferred role of ICU nurses. The main struggles ICU physicians encountered with SDM include uncertainty about long-term health outcomes, time constraints, feeling pressure because of having final responsibility and a fear of losing control. Former patients and family members mainly expressed aspects they missed, such as not feeling included in ICU treatment decisions and a lack of information about long-term outcomes and recovery. ICU nurses reported mainly opportunities to strengthen their role in incorporating non-medical information in the ICU decision-making process and as liaison between physicians and patients and family.
conclusionsInterviewed stakeholders reported struggles, needs and an elucidation of their current and preferred role in the SDM process in the ICU. This study signals an essential need for more long-term outcome information, a more informal inclusion of patients and their family members in decision-making processes and a more substantial role for ICU nurses to integrate patients' values and needs in the decision-making process.
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