Preparing to implement shared decision making in anaesthesia for hip fracture surgery: a 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 →