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Conflict Management in the ICU.

Joshua B Kayser1,2,3,4,5, Lewis J Kaplan4,5

  • 1Division of Pulmonary, Allergy and Critical Care, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.

Critical Care Medicine
|July 4, 2020
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Summary
This summary is machine-generated.

Conflict in the intensive care unit (ICU) is common and has negative consequences. Early identification and management strategies, including clinical ethics consultation and palliative care, are crucial for resolution.

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Area of Science:

  • Critical Care Medicine
  • Medical Ethics
  • Conflict Resolution

Background:

  • Conflict frequently arises in the intensive care unit (ICU) involving patients, families, and healthcare teams.
  • These conflicts lead to adverse outcomes for all parties, making conflict prevention and resolution a priority.

Purpose of the Study:

  • To review the causes of conflict in the ICU.
  • To explore current strategies for managing and resolving these conflicts.

Main Methods:

  • A comprehensive literature search was conducted using PubMed and OVID Medline.
  • Included studies were descriptive or interventional, focusing on conflict, ethics, palliative care, and management techniques in critical care.

Main Results:

  • Conflict etiologies are diverse, often triggered by complex decision-making.
  • Effective management strategies include clinical ethics consultation, palliative care, and a new technique called Conflict Management.
  • Bioethics Mediation can resolve entrenched conflicts.

Conclusions:

  • Conflict is a common challenge in the ICU with significant negative consequences.
  • Proactive identification and management using various techniques, applicable to all ICU clinicians, are essential for clinical excellence.