Table 2

Reported practice of communicating futility to patients and their families

Intensive care cliniciansPalliative care clinicians
Setting and formReveal futility stepwiseShow empathy
Call other team members to the discussion for supportExplore what patient or family already know or think
Choose the right moment for the discussion*
Give the patient and family time to process the information*
ContentRecapitulate illness course so farBe honest about the prognosis
Try to support the futility decision by the patient's willOffer the treatment alternative of palliative care
Explain harmful consequences of treatment*
Show unanimity of the professional team*
  • * Categories found in interviews with both disciplines.