Abstract
Hospitalized individuals who are unable to communicate have the right to an empowered surrogate who participates in shared decision‐making. Based on 300 hours of participant observation in an intensive care unit (ICU) and 35 interviews with staff, this article examines shared decision‐making as a negotiated social process of aligning frames of understanding. Drawing from Erving Goffman's concepts of frames (1974) and performance teams (1959), this article shows the interactional strategies ICU clinicians as a team used to bring family surrogates' frame of understanding into alignment with their own assessment that the patient was unlikely to survive. Findings show clinicians maintained authority over end‐of‐life care while also maintaining a process recognized as shared decision‐making.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
