School of Nursing, Duke University, Durham, North Carolina 27710, USA.
J Palliat Med. 2013 Mar;16(3):326-9. doi: 10.1089/jpm.2011.0406. Epub 2012 Jun 4.
Family members of intensive care unit (ICU) patients want to be involved in decision making, but they may not be best served by being placed in the position of having to solve problems for which they lack knowledge and skills. This case report presents an exemplar family meeting in the ICU led by a palliative care specialist, with discussion about the strategies used to improve the capacity of the family to make a decision consistent with the patient's goals. These strategies are presented through the lens of Adaptive Leadership.
重症监护病房（ICU）患者的家属希望参与决策，但如果让他们处于缺乏知识和技能的位置来解决问题，他们可能无法得到最好的服务。本病例报告介绍了由姑息治疗专家在 ICU 主导的一次典型的家庭会议，讨论了如何提高家属做出符合患者目标的决策的能力，这些策略是通过适应性领导的视角来呈现的。
