Multiple voices; managing caregiver and healthcare professional roles in decision-making | Value of multidisciplinary teams
Variation in roles in decision-making | Effective coordination |
Palliative care involvement |
Value of nursing staff |
| Balancing caregiver autonomy with clinical paternalism |
Effective coordination |
Joint decision |
All voices heard |
Components facilitative of shared decision-making | Types of information caregivers would have valued
Engagement with others with | “It's that everyday living that wasn't explained” |
Presented with all the facts |
Home nursing |
similar lived experiences Helpful qualities of clinician/ | Long-term ventilation as lived |
Peer support and friendship |
caregiver interaction | Patience, honesty and understanding |
Using lay language and assessing understanding |
Continuity of clinician and dialogue |
Caregiver positionality in the decision-making process | Primitive drives and faith
Intense emotions and their impact on information processing | Getting home |
Preserving life |
Religion and spirituality |
Weight of the decision | Shock and feeling overwhelmed |
Grief |
Loss of hope |
Making sense of information |
| Is this the right thing to do? |
Best interests of the child |
Guilt |
Impact on family |
“Can I do this?” |