Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-29562
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dc.contributor.authorGöcking, Beatrix-
dc.contributor.authorGloeckler, Sophie-
dc.contributor.authorFerrario, Andrea-
dc.contributor.authorBrandi, Giovanna-
dc.contributor.authorGlässel, Andrea-
dc.contributor.authorBiller-Andorno, Nikola-
dc.date.accessioned2024-01-12T14:15:21Z-
dc.date.available2024-01-12T14:15:21Z-
dc.date.issued2023-10-
dc.identifier.issn2673-253Xde_CH
dc.identifier.urihttps://digitalcollection.zhaw.ch/handle/11475/29562-
dc.description.abstractIn the intensive care unit, it can be challenging to determine which interventions align with the patients' preferences since patients are often incapacitated and other sources, such as advance directives and surrogate input, are integral. Managing treatment decisions in this context requires a process of shared decision-making and a keen awareness of the preference-sensitive instances over the course of treatment. The present paper examines the need for the development of preference-sensitive decision timelines, and, taking aneurysmal subarachnoid hemorrhage as a use case, proposes a model of one such timeline to illustrate their potential form and value. First, the paper draws on an overview of relevant literature to demonstrate the need for better guidance to (a) aid clinicians in determining when to elicit patient preference, (b) support the drafting of advance directives, and (c) prepare surrogates for their role representing the will of an incapacitated patient in clinical decision-making. This first section emphasizes that highlighting when patient (or surrogate) input is necessary can contribute valuably to shared decision-making, especially in the context of intensive care, and can support advance care planning. As an illustration, the paper offers a model preference-sensitive decision timeline-whose generation was informed by existing guidelines and a series of interviews with patients, surrogates, and neuro-intensive care clinicians-for a use case of aneurysmal subarachnoid hemorrhage. In the last section, the paper offers reflections on how such timelines could be integrated into digital tools to aid shared decision-making.de_CH
dc.language.isoende_CH
dc.publisherFrontiers Research Foundationde_CH
dc.relation.ispartofFrontiers in Digital Healthde_CH
dc.rightshttp://creativecommons.org/licenses/by/4.0/de_CH
dc.subjectAdvance care planningde_CH
dc.subjectCritical carede_CH
dc.subjectDecision aidde_CH
dc.subjectShared decision-makingde_CH
dc.subjectSubarachnoid hemorrhagede_CH
dc.subjectSurrogate decision-makerde_CH
dc.subject.ddc150: Psychologiede_CH
dc.subject.ddc616: Innere Medizin und Krankheitende_CH
dc.titleA case for preference-sensitive decision timelines to aid shared decision-making in intensive care : need and possible applicationde_CH
dc.typeBeitrag in wissenschaftlicher Zeitschriftde_CH
dcterms.typeTextde_CH
zhaw.departementGesundheitde_CH
zhaw.organisationalunitInstitut für Public Health (IPH)de_CH
dc.identifier.doi10.3389/fdgth.2023.1274717de_CH
dc.identifier.doi10.21256/zhaw-29562-
dc.identifier.pmid37881363de_CH
zhaw.funding.euNode_CH
zhaw.issue1274717de_CH
zhaw.originated.zhawYesde_CH
zhaw.publication.statuspublishedVersionde_CH
zhaw.volume5de_CH
zhaw.publication.reviewPeer review (Publikation)de_CH
zhaw.author.additionalNode_CH
zhaw.display.portraitYesde_CH
Appears in collections:Publikationen Gesundheit

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Göcking, B., Gloeckler, S., Ferrario, A., Brandi, G., Glässel, A., & Biller-Andorno, N. (2023). A case for preference-sensitive decision timelines to aid shared decision-making in intensive care : need and possible application. Frontiers in Digital Health, 5(1274717). https://doi.org/10.3389/fdgth.2023.1274717
Göcking, B. et al. (2023) ‘A case for preference-sensitive decision timelines to aid shared decision-making in intensive care : need and possible application’, Frontiers in Digital Health, 5(1274717). Available at: https://doi.org/10.3389/fdgth.2023.1274717.
B. Göcking, S. Gloeckler, A. Ferrario, G. Brandi, A. Glässel, and N. Biller-Andorno, “A case for preference-sensitive decision timelines to aid shared decision-making in intensive care : need and possible application,” Frontiers in Digital Health, vol. 5, no. 1274717, Oct. 2023, doi: 10.3389/fdgth.2023.1274717.
GÖCKING, Beatrix, Sophie GLOECKLER, Andrea FERRARIO, Giovanna BRANDI, Andrea GLÄSSEL und Nikola BILLER-ANDORNO, 2023. A case for preference-sensitive decision timelines to aid shared decision-making in intensive care : need and possible application. Frontiers in Digital Health. Oktober 2023. Bd. 5, Nr. 1274717. DOI 10.3389/fdgth.2023.1274717
Göcking, Beatrix, Sophie Gloeckler, Andrea Ferrario, Giovanna Brandi, Andrea Glässel, and Nikola Biller-Andorno. 2023. “A Case for Preference-Sensitive Decision Timelines to Aid Shared Decision-Making in Intensive Care : Need and Possible Application.” Frontiers in Digital Health 5 (1274717). https://doi.org/10.3389/fdgth.2023.1274717.
Göcking, Beatrix, et al. “A Case for Preference-Sensitive Decision Timelines to Aid Shared Decision-Making in Intensive Care : Need and Possible Application.” Frontiers in Digital Health, vol. 5, no. 1274717, Oct. 2023, https://doi.org/10.3389/fdgth.2023.1274717.


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