Title |
Beyond winning: mediation, conflict resolution, and non-rational sources of conflict in the ICU
|
---|---|
Published in |
Critical Care, June 2012
|
DOI | 10.1186/cc11141 |
Pubmed ID | |
Authors |
Kerry Knickle, Nancy McNaughton, James Downar |
Abstract |
ABSTRACT: A 55-year-old woman with widely metastatic breast cancer was admitted to your intensive care unit (ICU) because of a decreased level of consciousness and respiratory failure. She had documented cerebral and meningeal metastases that were progressing despite chemotherapy and radiotherapy. The admitting physician met with her family and suggested a palliative approach, making them very upset. The family insisted that the team 'do everything' and now they refuse to discuss any change in the plan of treatment. They maintain a constant presence at the bedside, taking notes and questioning everyone who enters the room. They have threatened legal action toward several of the nursing staff, and hospital security has been called twice because of shouting matches between family and staff members. As the physician taking over care for the ICU, you would like to resolve this conflict. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Canada | 2 | 100% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Practitioners (doctors, other healthcare professionals) | 2 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Belgium | 1 | 2% |
South Africa | 1 | 2% |
Unknown | 63 | 97% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 12 | 18% |
Researcher | 7 | 11% |
Other | 6 | 9% |
Student > Bachelor | 4 | 6% |
Librarian | 4 | 6% |
Other | 11 | 17% |
Unknown | 21 | 32% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 15 | 23% |
Nursing and Health Professions | 10 | 15% |
Social Sciences | 8 | 12% |
Psychology | 2 | 3% |
Engineering | 2 | 3% |
Other | 5 | 8% |
Unknown | 23 | 35% |