ArticleAge and ageing2025
Cultural and religious influences on shared decision-making in treatment escalation planning with older adults in the acute setting: a qualitative secondary analysis of interview studies seeking clinician and patient perspectives.
Article in Age and ageing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Trauma as a critical condition in the very old: assessment, care pathways and outcome differences.European geriatric medicine · 2026Review
- Article
- Physical Activity Prescription in Primary Health Care: An Ethical Analysis.Healthcare (Basel, Switzerland) · 2026Article
- Review
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Authors and funding
3 authors.
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Abstract
backgroundTreatment escalation plans guide medical interventions during acute health deterioration. Professional guidance encourages shared decision-making in treatment escalation planning in the United Kingdom (UK). Cultural and religious beliefs are likely to influence patients' preferences for severe illness.
aimTo explore patients' and clinicians' perceptions of cultural and religious influences on shared decision-making in treatment escalation planning for older adults.
methodsThis study was a qualitative secondary analysis of two UK-based primary datasets exploring clinician and patient perspectives of shared decision-making in treatment escalation planning with older adults. Interviews were included where participants volunteered cultural and religious influences on treatment escalation decision-making (20 clinicians, 11 patients). Reflexive thematic analysis was conducted.
resultsThemes from clinician interviews were: 'Decisions informed by a "British medical way"', 'Cultural and clinical dissonance creates tension in treatment escalation planning discussions' and 'Convincing and compromising: negotiating a culturally acceptable decision'.Themes from patient interviews were: 'A relational decision made within a family network', 'Expectations built on experiences in different cultural contexts' and 'Expert plan, Divine outcome'.
conclusionsClinicians and patients approached the role of culture in treatment escalation discussions from distinct positions. Clinicians drew on shared professional norms and considered different cultural attitudes potentially challenging to notions of clinical benefit and individual autonomy. Patients described an approach centred on family, prior healthcare experiences and faith. Recognising these differing priorities helps identify potential challenges during treatment escalation planning and areas for enhancing current shared decision-making guidance to better support culturally sensitive care.
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