Argumentation in end-of-life conversations with families in Dutch intensive care units: a qualitative observational study
Authors' conclusion
This study offers a detailed insight in the argumentation practices of doctors and families, which can help doctors to have a sharper eye for the arguments put forward by doctors and families and to offer room for true deliberation.
Study context
- Population
- Doctors and families of patients in neonatal, pediatric and adult intensive care units (ICUs) of a large university-based hospital, discussing continuation or discontinuation of life-sustaining treatment71 doctors, families of 36 patients
- Outcome
- Argumentation in end-of-life conversations (101 conversations)
Methodological detailsinductive thematic analysis, audio-recorded conversations, single university-based hospital, 101 audio-recorded conversations between doctors and families
- Inductive thematic analysis
- Audio-recorded conversations
- Single university-based hospital
- 101 audio-recorded conversations between doctors and families
Main finding
As reported in the abstract
- Arguments by doctors and families fell under one of ten main types
- 10
Observational data: associations, not effects.
Original publication
Argumentation in end-of-life conversations with families in Dutch intensive care units: a qualitative observational study. Intensive Care Med. Published 1 April 2023. doi:10. 1007/ s00134-023-07027-6
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