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- W2077386795 abstract "Cassell J, Buchman TG, Streat S, et al . Surgeons, intensivists, and the covenant of care: administrative models and values affecting care at the end of life—Updated. Crit Care Med 2003;31:1551–9.[OpenUrl][1][CrossRef][2][PubMed][3][Web of Science][4] Q How does end-of-life care differ in intensive care units (ICUs) that use different administrative models? Ethnographic observation. Surgical ICUs in St Louis, Missouri and San Antonio, Texas, and a medical-surgical ICU in Auckland, New Zealand. Approximately 600 physicians, nurses, allied health professionals, patients, family members, and friends. The first author spent 18 months in the ICU in Missouri; 3 weeks in the ICU in Texas; and 10 weeks in the ICU in New Zealand. Her participation varied by site and included observation of rounds, patient care, and end-of-life discussions with families, as well as interviewing health professionals. A semi-closed unit with conflicting ethics (Missouri). On this unit, surgeons and intensivists shared responsibility for patient care, but conceptualised this responsibility quite differently. Surgeons appeared to act based on a covenantal ethic, which focused on … [1]: {openurl}?query=rft.jtitle%253DCritical%2Bcare%2Bmedicine%26rft.stitle%253DCrit%2BCare%2BMed%26rft.aulast%253DCassell%26rft.auinit1%253DJ.%26rft.volume%253D31%26rft.issue%253D5%26rft.spage%253D1551%26rft.epage%253D1557%26rft.atitle%253DSurgeons%252C%2Bintensivists%252C%2Band%2Bthe%2Bcovenant%2Bof%2Bcare%253A%2Badministrative%2Bmodels%2Band%2Bvalues%2Baffecting%2Bcare%2Bat%2Bthe%2Bend%2Bof%2Blife--Updated.%26rft_id%253Dinfo%253Adoi%252F10.1097%252F00003246-200305000-00039%26rft_id%253Dinfo%253Apmid%252F12771632%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx [2]: /lookup/external-ref?access_num=10.1097/00003246-200305000-00039&link_type=DOI [3]: /lookup/external-ref?access_num=12771632&link_type=MED&atom=%2Febnurs%2F7%2F2%2F64.1.atom [4]: /lookup/external-ref?access_num=000182981300039&link_type=ISI" @default.
- W2077386795 created "2016-06-24" @default.
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- W2077386795 date "2004-04-01" @default.
- W2077386795 modified "2023-09-26" @default.
- W2077386795 title "The covenantal or communal values of surgeons and intensivists influenced end-of-life care in 3 intensive care units" @default.
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- W2077386795 doi "https://doi.org/10.1136/ebn.7.2.64" @default.
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