Conclusions
High-quality care for ICU patients and their families requires, among other qualities, exemplary interprofessional collaboration, and communication. The accomplishment of these tasks can be facilitated through IP-SDM. Therefore, clinicians should consider using an IP-SDM model that allows for the exchange of information, deliberation, and joint attainment of a treatment decision in a structured manner. IP-SDM is neither intended to be used for routine and straightforward decisions, nor is it intended to promote any specific decision, but rather provides a range of explicit approaches to decision-making within the interprofessional team. Further research is needed to determine the extent to which implementation of IP-SDM can improve outcomes for critically ill patients and their families. Ultimately, fostering the credibility of team decisions and the quality of ICU work environments will improve outcomes for patients, family members, and clinicians.
Acknowledgments
The support of the European Society of Intensive Care Medicine (ESICM) by providing facilities for the meetings of the panel during three ESICM congresses is gratefully acknowledged.
Drs. Michalsen, Ganz, White, Jensen, Metaxa, Latour, Truog, and Curtis conceptualized the article. Drs. Michalsen, Long, and Ganz reviewed the literature. All authors drafted and revised the article for important intellectual content as well as final approval for the version submitted.
Ethical standards
This research does not involve human participants or animals.
Crit Care Med. 2019;47(9):1258-1266. © 2019 Lippincott Williams & Wilkins
Cite this: Interprofessional Shared Decision-Making in the ICU - Medscape - Sep 01, 2019.
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