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Objectives:

Research indicates that the increasing population of over 25 million people in the United States who have limited English proficiency experience differences in decision-making and subsequent care at end of life in the ICU when compared with the general population. The objective of this study was to assess the perceptions of healthcare team members about the factors that influence discussions and decision-making about end of life for patients and family members with limited English proficiency in the ICU.

Design:

Qualitative study using semistructured interviews with ICU physicians, nurses, and interpreters.

Setting:

Three ICUs at Mayo Clinic Rochester.

Subjects:

Sixteen ICU physicians, 12 ICU nurses, and 12 interpreters.

Intervention:

None.

Measurements and Main Results:

We conducted 40 semistructured interviews. We identified six key differences in end-of-life decision-making for patients with limited …