RT Book, Section
A1 Carayannopoulos, Kallirroi Laiya
A1 Skrobik, Yoanna
A2 Schmidt, Gregory A.
A2 Kress, John P.
A2 Douglas, Ivor S.
SR Print(0)
ID 1201799170
T1 Self-Care, Survival, and Communication Skills
T2 Hall, Schmidt and Wood’s Principles of Critical Care, 5<sup>th</sup> Edition
YR 2023
FD 2023
PB McGraw Hill
PP New York, NY
SN 9781264264353
LK accesssurgery.mhmedical.com/content.aspx?aid=1201799170
RD 2024/10/15
AB Your  personal  well-being  drives  the  quality  of  the  clinical  critical  care  you  deliver.Physicians  lack  self-awareness.  This  jeopardizes  their  well-being,  and  thus  their  capacity  to  provide  the  level  of  excellent  care  they  are  capable  of.The  data  and  (limited)  evidence  for  ways  in  which  to  maintain  or  recover  well-being  center  on  fostering  a  professional  and  personal  sense  of  agency.  Intensive  care  unit  (ICU)  physicians  have  a  limited  understanding  of  how  important  this  is,  and  little  knowledge  of  which  “actionable”  changes  can  increase  this  sense  of  agency  in  their  daily  lives  and  ICU  practice.Patients  and  families  will  probably  remember  your  presence  (or  lack  thereof),  what  you  said  (or  didn’t),  and  how,  for  the  rest  of  their  lives.Maladaptive  communication  is  associated  with  “iatrogenic  suffering”  in  patients  and  families.Difficult  communications  (end-of-life  [EOL]  or  prognosis)  burden  senior  ICU  trainees  and  staff.  Recent  evidence  suggests  excluding  families  from  the  ICU  environment  burdens  physicians  significantly  in  addition  to  traumatizing  patients  and  families.Two  aspects  of  effective  communication  are  highlighted  within  a  framework  of  evidence-based  patient  and  family-centered  ICU  policies.