| Building esprit de corps: learning to better navigate between "my" patient and "our" patient. | |
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MedLine Citation:
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PMID: 21089994 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Excellence in the care of hospital patients, particularly those in an intensive care unit, reflects esprit de corps among the care team. Esprit de corps depends on a delicate balance; each clinician must preserve a sense of personal responsibility for "my" patient and yet participate in the collaborative work essential to the care of "our" patient. A harmful imbalance occurs when a physician demands total control of the decision-making process, especially concerning end-of-life treatment options. Although emotional factors may push a physician to claim decision-making exclusivity, compounded by a legal framework that overemphasizes individual responsibility, esprit de corps can be preserved through timely communication among clinicians and a recognition that optimal care for "my" patient requires effective team practice. |
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Authors:
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Evan G DeRenzo; Jack Schwartz |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of clinical ethics Volume: 21 ISSN: 1046-7890 ISO Abbreviation: J Clin Ethics Publication Date: 2010 |
Date Detail:
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Created Date: 2010-11-22 Completed Date: 2010-12-08 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9114645 Medline TA: J Clin Ethics Country: United States |
Other Details:
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Languages: eng Pagination: 232-7 Citation Subset: E; IM |
Affiliation:
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Center for Ethics, Washington Hospital Center, Washington, DC, USA. evan@eederenzo.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Cooperative Behavior* Decision Making* / ethics Ethics, Clinical* Humans Intensive Care / ethics, standards Intensive Care Units / ethics, standards Patient Care Team* / ethics, standards Social Responsibility Terminal Care* / ethics |
| Comments/Corrections | |
Comment In:
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J Clin Ethics. 2010 Fall;21(3):238-42
[PMID:
21089995
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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