Fins J J, Solomon M Z
New York Presbyterian Hospital and Weill Medical College of Cornell University, New York, NY, USA.
Crit Care Med. 2001 Feb;29(2 Suppl):N10-5. doi: 10.1097/00003246-200102001-00003.
In intensive care settings, suboptimal communication can erode family trust and fuel so-called "futility" disputes. Presenting a teaching case used by >225 hospitals participating in the Decisions Near the End-of-Life program, we identify critical communication challenges and opportunities. We emphasize that good communication requires not only clear and sensitive language but also clinician self-awareness, psychological insight, and an institutional culture that promotes good communication with families. The article concludes with two examples of steps institutions can take to foster good communication between families and healthcare professionals.
在重症监护环境中，沟通不畅会削弱家属的信任，并引发所谓的“医疗无用性”争议。通过展示一个被超过225家参与“临终决策”项目的医院所使用的教学案例，我们识别出关键的沟通挑战与机遇。我们强调，良好的沟通不仅需要清晰且体贴的语言，还需要临床医生的自我认知、心理洞察力，以及一种促进与家属进行良好沟通的机构文化。文章最后给出了两个机构可以采取的促进家属与医疗保健专业人员之间良好沟通的步骤示例。
