Intensive Care, Intense Conflict: A Balanced Approach

Research output: Contribution to journalArticle

Abstract

Caring for a child in a pediatric intensive care unit is emotionally and physically challenging and often leads to conflict. Skilled mediators may not always be available to aid in conflict resolution. Careproviders at all levels of training are responsible for managing difficult conversations with families and can often prevent escalation of conflict. Bioethics mediators have acknowledged the important contribution of mediation training in improving clinicians' skills in conflict management. Familiarizing careproviders with basic mediation techniques is an important step towards preventing escalation of conflict. While training in effective communication is crucial, a sense of fairness and justice that may only come with the introduction of a skilled, neutral third party is equally important. For intense conflict, we advocate for early recognition, comfort, and preparedness through training of clinicians in de-escalation and optimal communication, along with the use of more formally trained third-party mediators, as required.

Original languageEnglish (US)
Pages (from-to)346-349
Number of pages4
JournalThe Journal of clinical ethics
Volume26
Issue number4
StatePublished - Dec 1 2015

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Critical Care
escalation
mediation
Communication
conflict management
communication
conflict resolution
bioethics
Pediatric Intensive Care Units
Bioethics
fairness
Negotiating
Social Justice
conversation
justice
Conflict (Psychology)

ASJC Scopus subject areas

  • Issues, ethics and legal aspects
  • Health(social science)
  • Health Policy

Cite this

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Intensive Care, Intense Conflict : A Balanced Approach. / Paquette, Erin Daksha-Talati; Kolaitis, Irini N.

In: The Journal of clinical ethics, Vol. 26, No. 4, 01.12.2015, p. 346-349.

Research output: Contribution to journalArticle

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