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The role of teams in resolving moral distress in intensive care unit decision-making
Conflicts arise within teams and with family members in end-of-life decision-making in critical care. This creates unnecessary discomfort for all involved, including the patient. Treatment plans driven by crisis open the team up to conflict, fragmented care and a lack of focus on the patient's...
Autores principales: | , |
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Formato: | Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2003
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC270673/ https://www.ncbi.nlm.nih.gov/pubmed/12793869 |
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author | van Soeren, Mary Miles, Adèle |
author_facet | van Soeren, Mary Miles, Adèle |
author_sort | van Soeren, Mary |
collection | PubMed |
description | Conflicts arise within teams and with family members in end-of-life decision-making in critical care. This creates unnecessary discomfort for all involved, including the patient. Treatment plans driven by crisis open the team up to conflict, fragmented care and a lack of focus on the patient's wishes and realistic medical outcomes. Methods to resolve these issues involve planned ethical reviews and team meetings where open communication, clear plans and involvement in decision-making for all stakeholders occur. In spite of available literature supporting the value of these techniques, patient care teams and families continue to find themselves involved in spiraling conflict, pitting one team against another, placing blame on family members for not accepting decisions made by the team and creating moral conflict for interdisciplinary team members. Through a case presentation, we review processes available to help resolve conflict and to improve outcome. |
format | Text |
id | pubmed-270673 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2003 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-2706732003-11-21 The role of teams in resolving moral distress in intensive care unit decision-making van Soeren, Mary Miles, Adèle Crit Care Commentary Conflicts arise within teams and with family members in end-of-life decision-making in critical care. This creates unnecessary discomfort for all involved, including the patient. Treatment plans driven by crisis open the team up to conflict, fragmented care and a lack of focus on the patient's wishes and realistic medical outcomes. Methods to resolve these issues involve planned ethical reviews and team meetings where open communication, clear plans and involvement in decision-making for all stakeholders occur. In spite of available literature supporting the value of these techniques, patient care teams and families continue to find themselves involved in spiraling conflict, pitting one team against another, placing blame on family members for not accepting decisions made by the team and creating moral conflict for interdisciplinary team members. Through a case presentation, we review processes available to help resolve conflict and to improve outcome. BioMed Central 2003 2003-03-07 /pmc/articles/PMC270673/ /pubmed/12793869 Text en Copyright © 2003 BioMed Central Ltd |
spellingShingle | Commentary van Soeren, Mary Miles, Adèle The role of teams in resolving moral distress in intensive care unit decision-making |
title | The role of teams in resolving moral distress in intensive care unit decision-making |
title_full | The role of teams in resolving moral distress in intensive care unit decision-making |
title_fullStr | The role of teams in resolving moral distress in intensive care unit decision-making |
title_full_unstemmed | The role of teams in resolving moral distress in intensive care unit decision-making |
title_short | The role of teams in resolving moral distress in intensive care unit decision-making |
title_sort | role of teams in resolving moral distress in intensive care unit decision-making |
topic | Commentary |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC270673/ https://www.ncbi.nlm.nih.gov/pubmed/12793869 |
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