Accepted Type
Oral
Code
OA3-3-3
Acceptance Declaration
Accept
Additional Information
I declare I have no actual or potential conflict of interest in relation to this program.
Was this work accepted for CCME 2020?
no
Category
General Call (Workshop, Oral Presentation, Poster Presentation)
Type
Oral
Sub Type
Education Research
Will the presenter be a:
Student
Affiliation
Considered for Poster
yes
Title
Typologies & Challenging Conversation Foci: A Novel Model for Facilitating the Successful Resuscitation Preference Conversation
Length of Presentation
Background/Purpose
Effective communication lies at the heart of successful resuscitation preference conversations (RPC); however, existing RPC resources are largely based on expert opinion and take a one-size fits all approach. This lack of insight into the complexity of RPCs represents a significant gap leading to inadequate preparation of our clinical trainees. This qualitative study sought to develop a typological understanding of the diversity of RPCs clinicians may find themselves in.
Methods
Constructivist grounded theory was used to develop an understanding of the complex social processes involved in RPCs. Theoretical and purposive sampling was used to identify and select 106 rich patient narratives capturing the full spectrum of RPCs in our dataset. The team ensured our approach's trustworthiness and rigour through constant comparison, consultation of the empirical literature, and regular team examination of cases.
Results
In total, we identified: (a) 11 typologies, which reflect the RPC's overarching narrative (i.e., what defined or was at the heart of the conversation), and (b) 8 categories of challenging conversation foci, which represent other important RPC themes that went beyond the standard descriptions found in most resources. Typologies could be further categorized as barriers, facilitators, and modifiers of the RPC based on how they shaped the conversation.
Conclusion
Holding an effective RPC requires a rich understanding of the multiple conversation typologies and challenging foci that can be explored. The developed model can be used to help clinicians and trainees to learn and improve how they handle RPC.
Keyword 1
resuscitation preferences
Keyword 2
clinical education
Keyword 3
constructivist grounded theory
Level of Training
Post Graduate
Abstract Themes
Teaching and learning
Teaching and Learning
Clinical Skills
Additional Theme (First choice)
Postgraduate
Additional Theme (Second Choice)
Undergraduate
Additional Theme (Third Choice)
Authors
Presenter
Hasan Hawilo
Term 1
Yes
Term 2
Yes
Term 3
Yes
Term 4
Yes
Term 5
Yes
