在照顾重病患者时应对冲突:"这是不可能的"
Anthony L Back1, Robert M Arnold
1Department of Medicine, University of Washington, Seattle, USA. tonyback@u.washington.edu
JAMA
|March 17, 2005
概括
严重疾病护理中的冲突当有效管理时,可以产生效果,改善决策和改善家庭,患者和临床医生的满意度. 本综述为医生提供了应对这些复杂情况的策略.
科学领域:
- 医学伦理 医学伦理
- 医疗保健通讯 医疗保健通讯
- 抚慰性护理是一种缓解性护理.
背景情况:
- 医生经常认为冲突在患者护理中是负面的.
- 然而,管理良好的冲突可以产生积极的结果,提高清晰度和满意度.
研究的目的:
- 探索严重疾病护理中的冲突的生产潜力.
- 为医生提供解决冲突的工具和策略.
主要方法:
- 一位患有晚期痴呆症和相互矛盾的护理决定的老年患者的案例审查.
- 分析冲突类型 (家庭与团队,团队成员与团队成员).
- 整合商业,心理学和调解文学中的见解.
主要成果:
- 严重疾病护理中的冲突,当建设性地处理时,可以导致更好的决策和满意度.
- 确定了常见的冲突场景和沟通陷.
- 为医生提出了一步一步的方法,以及使用治疗试验.
结论:
- 有效的冲突管理对于更好的严重疾病治疗结果至关重要.
- 医生可以从结构化的方法和沟通工具中受益,以解决伦理和临床分歧.
- 积极解决冲突可以提高家庭,患者和临床医生的满意度.
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