ICU sedation, delirium & recovery
Clinicians’ Use of Choice Framing in ICU Family Meetings*
Authors' conclusion
Clinicians frequently use default framing and polar questions when discussing preference-sensitive choices with surrogate decision-makers, which are known to be powerful nudges.
Study context
- Population
- Surrogate decision-makers and clinicians of incapacitated, critically ill adults in ICU family meetings101 transcripts
Methodological detailsaudio-recorded and transcribed conferences, multicentre, Four coders identified preference-sensitive decision episodes; choice frames selected a priori from decision science literature
- Audio-recorded and transcribed conferences
- Multicentre
- Four coders identified preference-sensitive decision episodes; choice frames selected a priori from decision science literature
Primary result
As reported in the abstract
Choice frames used by clinicians (of 202 decision episodes)
Default framing (most frequent choice frame)
127
62.9%
Polar interrogative (yes or no question)
43
21.3%
Further findings
Topics of decision episodes
- Mechanical ventilation
- 20.3%
- Overall goals of care
- 19.3%
- RRT
- 14.4%
- Post-discharge care
- 14.4%
- Other topics
- 32.1%
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Clinicians’ Use of Choice Framing in ICU Family Meetings*. Crit Care Med. Published 24 June 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →