Conflict Management in the Intensive Care Unit

Savel, Richard H.; Munro, Cindy L.

doi:10.4037/ajcc2013857

Cited by 17 publications

(12 citation statements)

References 15 publications

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“…5 In critical care units, the most stressful places in hospitals, conflict is much more common. 6 Patients admitted to the critical care units have great demands for complex care, whereas their successful management depends on multiple disciplines' collaboration. Nurses, along with other experts from various specialties involved in intensive care, work together and apply their knowledge to provide a coordinated patient care.…”

Section: Conflict As a Natural Results Of Human Communication Ismentioning

confidence: 99%

Conflict Management Styles Among Iranian Critical Care Nursing Staff

Ahanchian

Zeydi

Armat

2015

Dimensions of Critical Care Nursing

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Section: Conflict As a Natural Results Of Human Communication Ismentioning

confidence: 99%

Conflict Management Styles Among Iranian Critical Care Nursing Staff

Ahanchian

Zeydi

Armat

2015

Dimensions of Critical Care Nursing

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“…[9][10][11] Whether they occur between providers and patients' families or among health care teams themselves, ethical conflicts in intensive care units (ICUs) are prevalent. 2,5,[12][13][14][15] In the Conflicus Study, 71.6% of 7498 ICU nurses and physicians in 24 countries reported a perceived ethical conflict in the week before the survey. 2 Swetz et al 16 reviewed 255 ethics consultations and reported that most cases involved multiple ethical conflicts including staff disagreement with the plan of care (76%), end-of-life issues (60%), and futility concerns (54%); 40% involved ICU situations.…”

Section: Introductionmentioning

confidence: 99%

Screening Situations for Risk of Ethical Conflicts: A Pilot Study

Pavlish¹,

Hellyer²,

Brown-Saltzman³

et al. 2015

American Journal of Critical Care

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A closed-book, multiple-choice examination following this article tests your under standing of the following objectives:1. Describe the impact of ethical conflict in the intensive care unit (ICU) for patients, families, and health care workers. 2. Describe risk factors and early warning signs of potential ethical conflicts with ICU patients. 3. Explain key results of ethical risk factor screening for critical care nurses. Results Older patients with multiple comorbid conditions and aggressive treatments were frequently assessed to be at risk for ethical conflicts. Nurses who witnessed patients' suffering and deterioration were likely to initiate the screening process. The most prominent family risk factors included unrealistic expectations and adamancy about treatment. The most prominent early indicators were signs of patients' suffering, unrealistic expectations, and providers' own moral distress. High-risk situations averaged a greater number of risk factors and early indicators than did medium-and low-risk situations. Certain risk factors featured prominently in high-risk situations. Conclusions A phenomenon of shared suffering emerged from the study and signifies the importance of relational strategies such as routine family conferences and ethics consultation.

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“…[1][2][3] Yet it's not uncommon for those outside the circle of critical care practitioners to misunderstand and misinterpret us. In such circumstances we must rely on each other to ensure clearer communication about our clinical approach and why we do things the way we do.…”

Section: The Problem Of Misunderstandingmentioning

confidence: 99%