Efficient, compassionate, and fractured: Contemporary care in the ICU

Hastings Center Report

Volumn 44, Issue 4, 2014, Pages 35-43

  Bishop, Jeffrey P ^a   Perry, Joshua E ^a   Hine, Amanda ^a  

^a NONE

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; EMPATHY; ETHICS; HEALTH PERSONNEL ATTITUDE; HUMAN; HUMAN RELATION; INTENSIVE CARE UNIT; ORGANIZATION AND MANAGEMENT; TIME;

ATTITUDE OF HEALTH PERSONNEL; EFFICIENCY, ORGANIZATIONAL; EMPATHY; HUMANS; INTENSIVE CARE UNITS; PROFESSIONAL-PATIENT RELATIONS; TIME FACTORS;

EID: 84904070984     PISSN: 00930334     EISSN: 1552146X     Source Type: Journal    
DOI: 10.1002/hast.330     Document Type: Article

References (42)

1. A. MacIntyre. After Virtue, 2nd edition (Notre Dame, IN: University of Notre Dame Press, 1984), 26-27, 30-32, 74-78, 85-87
2. J. P. Bishop, The Anticipatory Corpse: Medicine, Power, and the Care of the Dying (Notre Dame, IN: University of Notre Dame Press, 2011), 20-23, 93-94, 107-108, 166-167, 300.
3. R. Zussman, Intensive Care: Medical Ethics and the Medical Profession (Chicago: University of Chicago Press, 1992).
4. See S. R. Kaufman, And a Time to Die: How American Hospitals Shape the End of Life (Chicago: University of Press, 2005), 5-6, 29, 41-45, 89-90.
5. R. E. Levey, "Sources of Stress for Residents and Recommendations for Programs to Assist Them, " Academic Medicine 76, no. 2 (2001)
6. J. M. Teno et al., "Change in End-of-Life Care for Medicare Beneficiaries, " Journal of the American Medical Association 309 (2013): 470-77.
7. J. R. Curtis et al., "End-of-Life Care in the Intensive Care Unit, " American Journal of Respiratory Critical Care Medicine 186, no. 7 (2012): 587-92, at 589.
8. L. M. Bellini, M. Baime, and J. A. Shea, "Variation of Mood and Empathy during Internship, " Journal of the American Medical Association 287, (2002): 3143-46
9. V. U. Collier et al., "Stress in Medical Residency: Status Quo after a Decade of Reform?, " Annals of Internal Medicine 136, no. 5 (2002): 384-90
10. L. Gundersen, "Physician Burnout, " Annals of Internal Medicine 135, no. 2 (2001)
11. Levey, "Sources of Stress for Residents and Recommendations for Programs to Assist Them" S. Lorin, J. Heffner, and S. Carson, "Attitudes and Perceptions of Internal Medicine Residents regarding Pulmonary and Critical Care Subspecialty Training, " Chest 127, no. 2 (2005): 630-36
12. K. M. Schneider, M. Monga, and A. J. Kerrigan, "Stress in Residency: Reality or Myth?" American Journal of Obstetrics and Gynecology 186, no. 5 (2002): 907-909
13. M. A. Sekeres and T. A. Stern, "On the Edge of Life, I: Assessment of, Reaction to, and Management of the Terminally Ill Recorded in an Intensive Care Unit Journal, " Primary Care Companion to the Journal of Clinical Psychiatry 4, no. 5 (2002): 178-83
14. T. D. Shanafelt et al., "Burnout and Self-Reported Patient Care in an Internal Medicine Residency Program, " Annals of Internal Medicine 136, no. 5 (2002): 358-67.
15. "Physician Burnout," Annals of Internal Medicine 135, no. 2 (2001) "Sources of Stress for Residents and Recommendations for Programs to Assist Them", and, "Attitudes and Perceptions of Internal Medicine Residents regarding Pulmonary and Critical Care Subspecialty Training," Chest 127, no. 2 (2005): 630-36;
16. Stress in Residency: Reality or Myth? American Journal of Obstetrics and Gynecology 186, no. 5 (2002): 907-909
17. On the Edge of Life, I: Assessment of, Reaction to, and Management of the Terminally Ill Recorded in an Intensive Care Unit Journal," Primary Care Companion to the Journal of Clinical Psychiatry 4, no. 5 (2002): 178-83
18. Burnout and Self-Reported Patient Care in an Internal Medicine Residency Program Annals of Internal Medicine 136, no. 5 (2002): 358-67.
19. Bishop, The Anticipatory Corpse, 110-18.
20. Our words "care" and "cure, " which are distinct concepts in modern usage, share a common Latin root; in Latin we have "cura" (the noun "care"), "curo" (the first-person verb "care"), and "curare" (the infinitive "to care"). "Cure" originally meant what we mean today by "care." It was not until the early modern period, in the 1600s, that one began to see distinctions made between the cura corporis-the care of the body-and the cura animae-the care of the soul. In part, this separate approach to care of the body and care of the soul arose concomitantly with the birth of modern science with its rational and empirical approach to the physical. With the rise of physiological medicine through the nineteenth and into the twentieth centuries, scientific inquiry focused on the efficient mechanism of the body and the efficient control of the failing body. Among Aristotle's four causes, material and efficient causation took pride of place in scientific inquiry. Put differently, the body came to be seen as a mechanism, a series of movements much like a machine. The soul was relegated to the domain of the mind, a province of those rational parts of the human being. Science itself was an activity of the rational mind, and learned physician-scientists of the day came to see the care of the body as synonymous with the cure of the body-with the meaning of "cure" ultimately becoming what we think of as a cure today. See Bishop, The Anticipatory Corpse.
21. L. R. Churchill and D. Schenck, "Healing Skills for Medical Practice, " Annals of Internal Medicine 149, no. 10 (2008): 720-24.
22. T. Brackett, L. Comer, and R. Whichello, "Do Lean Practices Lead to More Time at the Bedside?" Journal for Health Care Quality 35, no. 2 (2011): 7-14.
23. J. K. Liker, The Toyota Way: 14 Management Priniciples from the World's Greatest Manufacturer (New York: McGraw-Hill, 2004)
24. J. P. Womack and D. T. Jones, Lean Thinking: Banish Waste and Create Wealth in Your Corporation (New York: Simon & Schuster, 1996).
25. D. L. Nelson-Peterson and C. J. Leppa, "Creating an Environment for Caring Using Lean Principles of the Virginia Mason Production System, " Journal of Nursing Administration 37 (2007): 287-94.
26. Z. Radnor and R. Boaden, "Lean in Public Services-Panacea or Paradox?, " Public Money and Management 28, no. 1 (2008): 3-7.
27. C. S. Kim, D. A. Spahlinger, and J. E. Billi, "Creating Value in Health Care: The Case for Lean Thinking, " Journal of Clinical Outcomes Management 16, no. 12 (2009): 557-62
28. P. Mazzocato et al., "Lean Thinking in Health Care A Realist Review of the Literature, " Quality and Safety in Health Care 19, no. 5 (2010): 376-82.
29. Z. J. Radnor, M. Holweg, and J. Waring, "Lean in Healthcare: The Unfilled Promise, " Social Science & Medicine 74, no. 3 (2012): 364-71
30. A. Vats et al., "The Impact of a Lean Rounding Process in a Pediatric Intensive Care Unit, " Critical Care Medicine 40, no. 2 (2012): 608-17
31. J. Weed, "Factory Efficiency Comes to the Hospital, " New York Times, July 20, 2010
32. B. Wysocki, "To Fix Health Care, Hospitals Take Tips from Factory Floor, " Wall Street Journal, April 9, 2004.
33. K. Newman, "Re-engineering for Service Quality: The Case of Leicester Royal Infirmary, " Total Quality Management 8, no. 5 (1997): 255-64
34. D. L. King, D. I. Ben-Tovim, and J. Bassham, "Redesiging Emergency Department Patient Flows: Application of Lean Thinking to Health Care, " Emergency Medicine Australasia 18, no. 4 (2006): 391-97
35. E. W. Dickson et al., "Use of Lean in the Emergency Department: A Case Series of 4 Hospitals, " Annals of Emergency Medicine 54, no. 4 (2009): 504-10.
36. Institute for Healthcare Improvement, "Going LEAN in Health Care, " (Cambridge, MA: Institute for Healthcare Improvement, 2005), at http://www.IHI.org.
37. T. Brackett, L. Comer, and R. Whichello, "Do Lean Practices Lead to More Time at the Bedside?"
38. J. P. Bishop, P. W. Rosemann, and F. W. Schmidt, "Fides Ancilla Medicinae: On the Ersatz Liturgy of Death in Biopsychosociospiritual Medicine, " Heythorp Journal 49, no. 1 (2008).
39. P. Hamburg, "Breaking Bad News, " in The MGH Guide to Psychiatry in Primary Care, ed. T. A. Stern, J. B. Herman, and P. L. Slavin (New York: McGraw-Hill, 1998
40. Sekeres and Stern, "On the Edge of Life, I: Assessment of, Reaction to, and Management of the Terminally Ill Recorded in an Intensive Care Unit Journal"
41. K. E. Steinhauser et al., "Factors Considered Important at the End of Life by Patients, Family, Physicians, and Other Care Providers, " Journal of the American Medical Association 284 (2000): 2476-82.
42. T. P. Young and S. I. McClean, "A Critical Look at Lean Thinking in Health Care, " Quality & Safety in Health Care 17, no. 5 (2008): 382-86.