Critical Illness, Decision Making
Conditions
Keywords
Intensive Care Units, Judgment, Disability Evaluation, Autonomy
Brief summary
How to determine the decision-making capacity of critically-ill patients remain unclear. The investigator study the differences between standardised evaluation and subjective medical evaluation.
Detailed description
After written information and consent, an independent, specially trained investigator interviews patients with a standardised test. After written information and consent, an independent, specially trained investigator interviews residents, doctors and nurses in charge of the patient and ask them how they rates patients capacity.
Interventions
OTHERPatient's capacity
Sponsors
University Hospital, Clermont-Ferrand
Study design
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Caregivers : Doctors, hospital interns, nurses state of both sexes, aged 18 years or more working in Intensive Care, members of a social security system engaged in a clinic on the day of the assessment * Patients : Patients of both sexes, aged 18 years or more hospitalized in Intensive Care, members of a social security system
Exclusion criteria
\-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| correlation between the decision-making capacity and the decision-making capacity assessed by standardized methods | at day 1 | standardized methods (patient has decision-making capacity yes/no) as described by Sessums LL, Zembrzuska H, Jackson JL. Does this patient have medical decision-making capacity? JAMA. 2011;306(4):420-427. doi:10.1001/jama.2011.1023. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| correlation between the global decision-making capacity evaluated by the physician in charge of the patient and the specific decision-making capacity assessed by physician in charge of the patient | at day 1 | Ability to designate a person of confidence, capacity to consent to inclusion in a research protocol, ability to participate in a discussion on the limitation therapy |
| association between burnout in evaluators and consistency of their decision-making capacity assessments | at day 1 | — |
| Correlation between the decision-making capacity evaluated by the physician in charge of the patient, the nurse in charge of the patient and a physician not in charge of the patient | at day 1 | — |
Countries
France
Outcome results
None listed