Identification of core ethical topics for interprofessional education in the intensive care unit: a thematic analysis

J Interprof Care. 2020 Jul-Aug;34(4):453-460. doi: 10.1080/13561820.2019.1632814. Epub 2019 Aug 13.

Abstract

Medical educators have not identified effective approaches for interprofessional ethics education of clinicians who work in intensive care units (ICUs), in spite of the fact that ICUs have a high incidence of ethical conflicts. As a first step in designing an interprofessional ethics education initiative tailored to the needs of ICU team members, we interviewed 12 professionals from the medical and surgical ICUs of a tertiary care academic medical center to understand what they know about medical ethics. Respondents were interviewed between November 2016 and February 2017. We used the 'think aloud' approach and realist thematic analysis of the sessions to evaluate the extent and content of interprofessional team members' knowledge of medical ethics. We found wide variation in their knowledge of and facility in applying the principles and concepts of biomedical ethics and ways of resolving ethical conflicts. Ethics education tailored to these areas will help equip critical care professionals with the necessary knowledge and skills to discuss and address ethical conflicts encountered in the ICU. Preventive ethics rounds are one approach for providing real-time, embedded interprofessional ethics education in the clinical setting.

Keywords: Qualitative methods; education; interprofessional learning; professional competence; team-based practice; work-based learning.

MeSH terms

  • Adult
  • Critical Care / ethics*
  • Critical Care / organization & administration
  • Decision Making / ethics
  • Ethics, Clinical / education*
  • Humans
  • Intensive Care Units / organization & administration*
  • Interprofessional Education / organization & administration*
  • Interprofessional Relations
  • Interviews as Topic
  • Male
  • Medical Futility / ethics
  • Middle Aged
  • Negotiating
  • Patient Care Team
  • Patient Participation
  • Personal Autonomy
  • Qualitative Research
  • Respect
  • Tertiary Care Centers
  • Withholding Treatment / ethics