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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...

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Detalles Bibliográficos
Autores principales: van Soeren, Mary, Miles, Adèle
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2003
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.
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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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