Journal article

Nature of conflict in the care of pediatric intensive care patients with prolonged stay

DM Studdert, JP Burns, MM Mello, AL Puopolo, RD Truog, TA Brennan

PEDIATRICS | AMER ACAD PEDIATRICS | Published : 2003

Abstract

OBJECTIVE: To determine the frequency, types, sources, and predictors of conflict surrounding the care of pediatric intensive care unit (PICU) patients with prolonged stay. SETTING: A tertiary care, university-affiliated PICU in Boston. PARTICIPANTS: All patients admitted over an 11-month period whose stay exceeded 8 days (the 85th percentile length of stay for the PICU under study), and intensive care physicians and nurses who were responsible for their care. METHODS: We prospectively identified conflicts by interviewing the treating physicians and nurses at 2 stages during the patients' PICU stay. All conflicts detected were classified by type (team-family, intrateam, or intrafamily) and s..

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