Goals of Care among Hospitalized Patients: A Validation Study

Tyler H Haberle; Laura A Shinkunas; Zachary D Erekson; Lauris C Kaldjian

doi:10.1177/1049909110388505

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Journal article

Goals of Care among Hospitalized Patients: A Validation Study

Tyler H Haberle, Laura A Shinkunas, Zachary D Erekson and Lauris C Kaldjian

American journal of hospice & palliative medicine, Vol.28(5), pp.335-341

08/2011

DOI: 10.1177/1049909110388505

PMID: 21097876

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Abstract

Our objective was to validate 6 literature-derived goals of care by analyzing open-ended and closed-ended responses about goals of care from a previous study of hospitalized patients. Eight clinicians categorized patients’ open-ended articulations of their goals of care using a literature-derived framework and then compared those categorizations to patients’ own closed-ended selections of their most important goal of care. Clinicians successfully categorized patients’ open-ended responses using the literature-derived framework 83.5% of the time, and their categorizations matched patients’ closed-ended most important goal of care 87.8% of the time. Goals that did not fit within the literature-derived framework all pertained to the goal of understanding a patient’s diagnosis or prognosis; this seventh potential goal can be added to the literature-derived framework of 6 goals of care.

clinical decision making

shared decision making

goals of care

patient-physician communication

health communication

end of life care

Details

Title: Subtitle: Goals of Care among Hospitalized Patients: A Validation Study
Creators: Tyler H Haberle - Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA, USA
Laura A Shinkunas - Program in Bioethics and Humanities, University of Iowa Carver College of Medicine, Iowa City, IA, USA
Zachary D Erekson - Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA, USA
Lauris C Kaldjian - , Program in Bioethics and Humanities, University of Iowa Carver College of Medicine, Iowa City, IA, USA
Resource Type: Journal article
Publication Details: American journal of hospice & palliative medicine, Vol.28(5), pp.335-341
Publisher: SAGE Publications
DOI: 10.1177/1049909110388505
PMID: 21097876
ISSN: 1049-9091
eISSN: 1938-2715
Language: English
Date published: 08/2011
Academic Unit: Medical Ethics; General Internal Medicine; Internal Medicine
Record Identifier: 9984094744802771

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