Decision-making in crisis resolution and home treatment teams: The AWARE framework

dc.contributor.authorLombardo, Chiara
dc.contributor.authorSantos, Mónica
dc.contributor.authorVan Bortel, Tine
dc.contributor.authorCroos, Robert
dc.contributor.authorArensman, Ella
dc.contributor.authorKar Ray, Manaan
dc.date.accessioned2019-11-19T10:13:50Z
dc.date.available2019-11-19T10:13:50Z
dc.date.issued2018-11-19
dc.description.abstractAims and method: The aim of the study is to improve patient safety by identifying factors influencing gatekeeping decisions by crisis resolution and home treatment teams. A theoretical sampling method was used to recruit clinicians. Semi-structured interviews to elicit various aspects of clinical decision-making were carried out. The transcripts were thematically analysed using a grounded theory approach. Results: Patient needs (safety and treatment) was the primary drive behind decisions. The research also revealed that information gathered was processed using heuristics. We identified five key themes (anxiety, weighting, agenda, resource and experience), which were constructed into an acronym ‘AWARE’. Clinical implications: AWARE provides a framework to make explicit drivers for decision-making that are often implicit. Incorporating these drivers into reflective practice will help staff be more mindful of undue influences and result in improved clinical decisions.en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationLombardo, C., Santos, M., Van Bortel, T., Croos, R., Arensman, E. and Ray, M.K., 2019. Decision-making in crisis resolution and home treatment teams: The AWARE framework. BJPsych Bulletin, 43(2), (5pp). DOI:10.1192/bjb.2018.94en
dc.identifier.doi10.1192/bjb.2018.94en
dc.identifier.eissn2056-4694 [1]
dc.identifier.endpage66en
dc.identifier.issn2056-4708
dc.identifier.issued2en
dc.identifier.journaltitleBJPsych Bulletinen
dc.identifier.startpage61en
dc.identifier.urihttps://hdl.handle.net/10468/9045
dc.identifier.volume43en
dc.language.isoenen
dc.publisherCambridge University Pressen
dc.relation.urihttps://www.cambridge.org/core/journals/bjpsych-bulletin/article/decisionmaking-in-crisis-resolution-and-home-treatment-teams-the-aware-framework/7517DB6E08A285D2FC31C7AC76EB6392
dc.rights© The Author(s) 2018en
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/en
dc.subjectClinical decision-makingen
dc.subjectCrisis resolution and home treatment teamsen
dc.subjectClinical assessmenten
dc.titleDecision-making in crisis resolution and home treatment teams: The AWARE frameworken
dc.typeArticle (peer-reviewed)en
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