Anesthetic drugs & techniques

Preparing to implement shared decision making in anaesthesia for hip fracture surgery: a qualitative interview study

Br J AnaesthPublished Qualitative interview study

Authors' conclusion

Reasonable shared decision-making strategies such as conversation aids were seen by most participants as helpful to support shared decision making about anaesthesia options for hip fracture surgery.

Study context

Population
Clinicians, patients and caregivers at seven sites, hip fracture surgery (spinal vs general anaesthesia choice)7 sites
Participants
12 vs 12
Comparison
Clinicians vs Patients and caregivers
  • Cliniciansn = 12
  • Patients and caregiversn = 12
Outcome
Themes (mapped to the Practical, Robust Implementation and Sustainability Model)
Methodological detailssemi-structured interviews, multicentre, Interviews at seven sites, April to September 2024
  • Semi-structured interviews
  • Multicentre
  • Interviews at seven sites, April to September 2024

Main finding

As reported in the abstract

  • Broad support for shared decision making in anaesthesia choices before hip fracture surgery, though not typically in current practice
  • Barriers: institutional culture, preexisting clinician assumptions about patient preferences, time
  • Features of a resource (conversation aid) can help overcome these barriers
  • Importance of shared decision making with an appropriate clinician
  • Four themes

Original publication

Preparing to implement shared decision making in anaesthesia for hip fracture surgery: a qualitative interview study. Br J Anaesth. Published 11 February 2025. doi:10.1016/j.bja.2025.01.012

Composed by AI from the published abstract and checked against it. How Briefs are made →

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