Today I thank Dr. Alberto Del Castillo, from my nostalgia ICU of the Hospital’s Son Llàtzer, for sending me the article I present, published in February of 2014 inCritical Care Medicine (CCM), the official journal of the American Society of Intensive Care (SCCM).
Serve this photo as a tribute and given our football preferences not I have been able to repress, since we were known as ‘Zipi and Zape’ in Mallorca. Thousand thanks to the protagonists Ismael and Mateo (I see much happier the Atlético one!!).
In Investigating Conflict in ICUs Is the Clinicians’ Perspective Enough?, Dra. Schuster (incredible casualty at 24 hours from Atletico-Barca) and his team analyzed the reality of conflicts that sometimes occur between professionals and families and above decision-makers about the patients. They investigate the degree of agreement between physicians and members of the families in relation to conflicts in the ICU and try to identify predictors of the conflict between the professionals and family members
They perform a prospective cohort study in 4 ICUs of San Francisco through the analysis of questionnaires addressing the perceptions of the participants on the conflicts, as well as communication preferences.
In 63% of cases was detected some sort of conflict, being physicians who perceived minor conflicts. Families feel discriminated against was associated with greater likelihood of conflict while their degree of satisfaction did the opposite.
The authors conclude that the familiares-profesionales conflict in ICU is common and that we must develop methods to study the sources of conflict.
The medical team should be proactive in detecting conflicts unresolved and must involve other members of the team: everyone should participate in the evaluation of the potential conflict, in his vision and identification and should be seen as an opportunity to address the concerns of the families and the same equipment.
Also arise: should avoid all types of conflicts? In attention to the critical patient are inevitable, and it is likely that the recognition and management of the problem specifically is at least as important to the conflict.
The quality of the information and communication we do is essential. The empathy and to devote time to talk to families, has been associated with higher family satisfaction rate.
Interesting, very interesting. What do you think?