DECIsion-making about goals of care for hospitalized meDical patiEnts: A multicentre, mixed-methods study. The DECIDE Study.
What are Goals of Care?
In this study, we define communication and decision-making about goals of care as a conversation in which, ideally, a patient or family member and the healthcare team establish the goals of treatment (e.g., cure, prolongation of life, comfort) and agree upon the types of life sustaining technology that will (or will not) be used to achieve those goals (e.g., CPR, mechanical ventilation, dialysis, intensive care unit admission, feeding tubes, or intravenous hydration).
What is the DECIDE Study?
The primary objective of the DECIDE study is to identify barriers and potential solutions to improve communication and decision-making about goals of care, focusing upon the perspectives of staff physicians, residents, and nurses from participating medical teaching units (MTUs).The specific research questions are:
1) What is the importance of potential barriers to communication and decision-making about goals of care?
2) What are innovative suggestions to improve communication and decision-making about goals of care?
3) How do physicians and nurses view their own and each other