Division of Pediatric Pulmonology, Johns Hopkins All Children's Hospital, 601 5th Street South, Suite C780, St Petersburg, FL 33701, USA.
Johns Hopkins Berman Institute of Bioethics, 1809 Ashland Avenue, Baltimore, MD 21205, USA.
Pediatr Clin North Am. 2024 Feb;71(1):93-100. doi: 10.1016/j.pcl.2023.08.004. Epub 2023 Sep 11.
Medicine is filled with uncertainty. Clinicians may experience uncertainty due to limitations in their own or existing medical knowledge. Uncertainty can be scientific, practical, or personal, and may involve issues related to probability, ambiguity, and complexity. Pediatricians face additional uncertainties related to the role of families in decision-making and limited ability to know the preferences of children. Clinicians may approach uncertainty in different ways: some choosing to embrace its presence and others attempting to avoid it. Ultimately, pediatricians must learn to navigate uncertainty together with their patients and families, minimizing it when possible while accepting that its presence is unavoidable.
医学充满了不确定性。临床医生可能会因为自身或现有医学知识的局限性而感到不确定。不确定性可能是科学的、实际的或个人的，可能涉及概率、模糊性和复杂性等问题。儿科医生还面临着与家庭在决策中的角色以及了解儿童偏好的能力有限相关的额外不确定性。临床医生可能会以不同的方式处理不确定性：一些人选择接受它的存在，而另一些人则试图避免它。最终，儿科医生必须学会与患者及其家属一起应对不确定性，尽可能地减少不确定性，同时接受其存在是不可避免的。
