Table 2 Content of video ‘Advance CPR-decision-making in the hospital setting’
Section | Subsection | Timea | Content |
|---|---|---|---|
A. The clinical issues (11:24) | 1. The current situation | 2:47 | Frustration, CPR overuse, lack of decisions, variable approaches, poor communicationb |
2. Why has this situation arisen? | 5:09 | CPR development, expectations, poor training, clinical uncertainty, ‘doing everything’c | |
3. How can we improve clinical care? | 3:29 | Framework, normalize discussion, honesty, shared responsibility, scripted questions, involve team, systematize not protocolise | |
B. The decision -making framework (13:06) | 1. Is CPR decision- making different? | 3:09 | Patient expectation, life and death, trust, part of overall care + ongoing |
2. The medical assessment | 3:28 | Answer ‘will this patient survive CPR’, how to make the decision | |
3. Four clinical categories and discussion aim | 4:38 | Clinical framework presented in interview style, animation of framework, deliberate and interpretive communication [11] | |
4. Documentation | 1:59 | Capture escalation plan, value + preferences of patient, follow local policy | |
C. Communication tips and examples (13:34) | 1. Improving communication | 5:13 | Communication overview, clinician tips for CPR decision-making, learning communication, introduces tools ‘ask-tell-ask’ + ‘NURSE’ |
2. Patient/Doctor scenarios | 2:52 | Poor conversation (tools annotated), Dot dies ‘bad death’, healthy view of death | |
2.1 Dot and Dr Nick | 5:29 | Good conversation (tools annotated), Dot dies ‘good death’, consumer voice | |
2.2 Dot and Dr Eng | |||
Overview video | 5:35 | Promotional style overview of Section A,B and C with dramatisation of dying scenes |