How to determine the decision-making capacity of critically-ill patients remain unclear. The investigator study the differences between standardised evaluation and subjective medical evaluation.
After written information and consent, an independent, specially trained investigator interviews patients with a standardised test. After written information and consent, an independent, specially trained investigator interviews residents, doctors and nurses in charge of the patient and ask them how they rates patients capacity.
Study Type
OBSERVATIONAL
Enrollment
215
CHU Clermont-Ferrand
Clermont-Ferrand, France
correlation between the decision-making capacity and the decision-making capacity assessed by standardized methods
standardized methods (patient has decision-making capacity yes/no) as described by Sessums LL, Zembrzuska H, Jackson JL. Does this patient have medical decision-making capacity? JAMA. 2011;306(4):420-427. doi:10.1001/jama.2011.1023.
Time frame: at day 1
correlation between the global decision-making capacity evaluated by the physician in charge of the patient and the specific decision-making capacity assessed by physician in charge of the patient
Ability to designate a person of confidence, capacity to consent to inclusion in a research protocol, ability to participate in a discussion on the limitation therapy
Time frame: at day 1
association between burnout in evaluators and consistency of their decision-making capacity assessments
Time frame: at day 1
Correlation between the decision-making capacity evaluated by the physician in charge of the patient, the nurse in charge of the patient and a physician not in charge of the patient
Time frame: at day 1
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