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Development of a video-based education and process change intervention to improve advance cardiopulmonary resuscitation decision-making

Overview of attention for article published in BMC Health Services Research, October 2016
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Title
Development of a video-based education and process change intervention to improve advance cardiopulmonary resuscitation decision-making
Published in
BMC Health Services Research, October 2016
DOI 10.1186/s12913-016-1803-x
Pubmed ID
Authors

Nicholas Waldron, Claire E. Johnson, Peter Saul, Heidi Waldron, Jeffrey C. Chong, Anne-Marie Hill, Barbara Hayes

Abstract

Advance cardiopulmonary resuscitation (CPR) decision-making and escalation of care discussions are variable in routine clinical practice. We aimed to explore physician barriers to advance CPR decision-making in an inpatient hospital setting and develop a pragmatic intervention to support clinicians to undertake and document routine advance care planning discussions. Two focus groups, which involved eight consultants and ten junior doctors, were conducted following a review of the current literature. A subsequent iterative consensus process developed two intervention elements: (i) an updated 'Goals of Patient Care' (GOPC) form and process; (ii) an education video and resources for teaching advance CPR decision-making and communication. A multidisciplinary group of health professionals and policy-makers with experience in systems development, education and research provided critical feedback. Three key themes emerged from the focus groups and the literature, which identified a structure for the intervention: (i) knowing what to say; (ii) knowing how to say it; (iii) wanting to say it. The themes informed the development of a video to provide education about advance CPR decision-making framework, improving communication and contextualising relevant clinical issues. Critical feedback assisted in refining the video and further guided development and evolution of a medical GOPC approach to discussing and recording medical treatment and advance care plans. Through an iterative process of consultation and review, video-based education and an expanded GOPC form and approach were developed to address physician and systemic barriers to advance CPR decision-making and documentation. Implementation and evaluation across hospital settings is required to examine utility and determine effect on quality of care.

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The data shown below were collected from the profiles of 2 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 98 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 98 100%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 13 13%
Researcher 12 12%
Student > Master 12 12%
Student > Bachelor 11 11%
Other 6 6%
Other 21 21%
Unknown 23 23%
Readers by discipline Count As %
Medicine and Dentistry 26 27%
Nursing and Health Professions 19 19%
Social Sciences 8 8%
Psychology 5 5%
Arts and Humanities 4 4%
Other 8 8%
Unknown 28 29%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 19 September 2017.
All research outputs
#14,864,294
of 22,896,955 outputs
Outputs from BMC Health Services Research
#5,381
of 7,657 outputs
Outputs of similar age
#192,109
of 319,910 outputs
Outputs of similar age from BMC Health Services Research
#133
of 186 outputs
Altmetric has tracked 22,896,955 research outputs across all sources so far. This one is in the 33rd percentile – i.e., 33% of other outputs scored the same or lower than it.
So far Altmetric has tracked 7,657 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 7.7. This one is in the 27th percentile – i.e., 27% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 319,910 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 37th percentile – i.e., 37% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 186 others from the same source and published within six weeks on either side of this one. This one is in the 24th percentile – i.e., 24% of its contemporaries scored the same or lower than it.