Futility Disputes: A Review of the Literature and Proposed Model for Dispute Navigation Through Trust Building

Brian D. Leland, Alexia Torke, Lucia D. Wocial, Paul Helft

Research output: Contribution to journalReview article

2 Citations (Scopus)

Abstract

Futility disputes in the intensive care unit setting have received significant attention in the literature over the past several years. Although the idea of improving communication in an attempt to resolve these challenging situations has been regularly discussed, the concept and role of trust building as the means by which communication improves and disputes are best navigated is largely absent. We take this opportunity to review the current literature on futility disputes and argue the important role of broken trust in these encounters, highlighting current evidence establishing the necessity and utility of trust in both medical decision-making and effective communication. Finally, we propose a futility dispute navigation model built upon improved communication through trust building.

Original languageEnglish (US)
Pages (from-to)523-527
Number of pages5
JournalJournal of Intensive Care Medicine
Volume32
Issue number9
DOIs
StatePublished - Oct 1 2017

Fingerprint

Medical Futility
Dissent and Disputes
Communication
Intensive Care Units

Keywords

  • communication
  • decision-making
  • disagreement
  • end-of-life care
  • futility
  • perceptions
  • trust

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

Cite this

Futility Disputes : A Review of the Literature and Proposed Model for Dispute Navigation Through Trust Building. / Leland, Brian D.; Torke, Alexia; Wocial, Lucia D.; Helft, Paul.

In: Journal of Intensive Care Medicine, Vol. 32, No. 9, 01.10.2017, p. 523-527.

Research output: Contribution to journalReview article

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