Effectiveness of a Mobile Technology Share Decision-Making Program for Critically Ill Patients' Caregiver in Intensive Care Unit.
Effectiveness of a Mobile Technology Share Decision-Making Program for Critically Ill Patients' Caregiver in Intensive Care Unit.
By developing a smart mobile shared decision-making (SDM) model, this study aims to assist family members of critically ill end-stage patients in making appropriate decisions, enhance their decision quality, and evaluate the model's effectiveness
This study utilized a single-blind experimental design and was conducted in the intensive care unit (ICU) of a medical center in northern Taiwan. The study participants were family members responsible for making end-of-life decisions for patients diagnosed with terminally ill critical conditions. Participants were randomly assigned to either the experimental or control group using block randomization software. A total of 70 participants were enrolled, with 35 assigned to the experimental group and 35 to the control group
Inclusion Criteria:
-Patients diagnosed with terminal cancer or the eight designated non-cancer terminal diseases.
Patients determined to have a terminal and irreversible condition by two attending physicians.
Primary family decision-makers who are aged 20 years or older and provide informed consent to participate in the study.
Able to communicate in Mandarin or Taiwanese and possess basic literacy skills.
Exclusion Criteria:
Those who have already received end-of-life decision-making consultations prior to ICU admission.
Patients who already have a Do Not Resuscitate (DNR) status annotated and have confirmed their end-of-life care preferences.