Development of a video-based education and process change intervention to improve advance cardiopulmonary resuscitation decision-making
BACKGROUND: Advance cardiopulmonary resuscitation (CPR) decision-making and escalation of care discussions are variable in routine clinical practice. We aimed to explore physician barriers to advance CPR decision-making in an inpatient hospital setting and develop a pragmatic intervention to support...
| Main Authors: | , , , , , , |
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| Format: | Journal Article |
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BioMed Central
2016
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| Online Access: | http://hdl.handle.net/20.500.11937/57970 |
| _version_ | 1848760145579868160 |
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| author | Waldron, N. Johnson, C. Saul, P. Waldron, H. Chong, J. Hill, Anne-Marie Hayes, B. |
| author_facet | Waldron, N. Johnson, C. Saul, P. Waldron, H. Chong, J. Hill, Anne-Marie Hayes, B. |
| author_sort | Waldron, N. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | BACKGROUND: Advance cardiopulmonary resuscitation (CPR) decision-making and escalation of care discussions are variable in routine clinical practice. We aimed to explore physician barriers to advance CPR decision-making in an inpatient hospital setting and develop a pragmatic intervention to support clinicians to undertake and document routine advance care planning discussions. METHODS: Two focus groups, which involved eight consultants and ten junior doctors, were conducted following a review of the current literature. A subsequent iterative consensus process developed two intervention elements: (i) an updated 'Goals of Patient Care' (GOPC) form and process; (ii) an education video and resources for teaching advance CPR decision-making and communication. A multidisciplinary group of health professionals and policy-makers with experience in systems development, education and research provided critical feedback. RESULTS: Three key themes emerged from the focus groups and the literature, which identified a structure for the intervention: (i) knowing what to say; (ii) knowing how to say it; (iii) wanting to say it. The themes informed the development of a video to provide education about advance CPR decision-making framework, improving communication and contextualising relevant clinical issues. Critical feedback assisted in refining the video and further guided development and evolution of a medical GOPC approach to discussing and recording medical treatment and advance care plans. CONCLUSION: Through an iterative process of consultation and review, video-based education and an expanded GOPC form and approach were developed to address physician and systemic barriers to advance CPR decision-making and documentation. Implementation and evaluation across hospital settings is required to examine utility and determine effect on quality of care. |
| first_indexed | 2025-11-14T10:11:07Z |
| format | Journal Article |
| id | curtin-20.500.11937-57970 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T10:11:07Z |
| publishDate | 2016 |
| publisher | BioMed Central |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-579702018-01-12T03:41:01Z Development of a video-based education and process change intervention to improve advance cardiopulmonary resuscitation decision-making Waldron, N. Johnson, C. Saul, P. Waldron, H. Chong, J. Hill, Anne-Marie Hayes, B. BACKGROUND: Advance cardiopulmonary resuscitation (CPR) decision-making and escalation of care discussions are variable in routine clinical practice. We aimed to explore physician barriers to advance CPR decision-making in an inpatient hospital setting and develop a pragmatic intervention to support clinicians to undertake and document routine advance care planning discussions. METHODS: Two focus groups, which involved eight consultants and ten junior doctors, were conducted following a review of the current literature. A subsequent iterative consensus process developed two intervention elements: (i) an updated 'Goals of Patient Care' (GOPC) form and process; (ii) an education video and resources for teaching advance CPR decision-making and communication. A multidisciplinary group of health professionals and policy-makers with experience in systems development, education and research provided critical feedback. RESULTS: Three key themes emerged from the focus groups and the literature, which identified a structure for the intervention: (i) knowing what to say; (ii) knowing how to say it; (iii) wanting to say it. The themes informed the development of a video to provide education about advance CPR decision-making framework, improving communication and contextualising relevant clinical issues. Critical feedback assisted in refining the video and further guided development and evolution of a medical GOPC approach to discussing and recording medical treatment and advance care plans. CONCLUSION: Through an iterative process of consultation and review, video-based education and an expanded GOPC form and approach were developed to address physician and systemic barriers to advance CPR decision-making and documentation. Implementation and evaluation across hospital settings is required to examine utility and determine effect on quality of care. 2016 Journal Article http://hdl.handle.net/20.500.11937/57970 10.1186/s12913-016-1803-x http://creativecommons.org/licenses/by/4.0/ BioMed Central fulltext |
| spellingShingle | Waldron, N. Johnson, C. Saul, P. Waldron, H. Chong, J. Hill, Anne-Marie Hayes, B. Development of a video-based education and process change intervention to improve advance cardiopulmonary resuscitation decision-making |
| title | Development of a video-based education and process change intervention to improve advance cardiopulmonary resuscitation decision-making |
| title_full | Development of a video-based education and process change intervention to improve advance cardiopulmonary resuscitation decision-making |
| title_fullStr | Development of a video-based education and process change intervention to improve advance cardiopulmonary resuscitation decision-making |
| title_full_unstemmed | Development of a video-based education and process change intervention to improve advance cardiopulmonary resuscitation decision-making |
| title_short | Development of a video-based education and process change intervention to improve advance cardiopulmonary resuscitation decision-making |
| title_sort | development of a video-based education and process change intervention to improve advance cardiopulmonary resuscitation decision-making |
| url | http://hdl.handle.net/20.500.11937/57970 |