A narrative approach to the clinical reasoning process in pediatric intensive care: The story of Matthew

Michele Carter, Sally S. Robinson

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

This paper offers a narrative approach to understanding the process of clinical reasoning in complex cases involving medical uncertainty, moral ambiguity, and futility. We describe a clinical encounter in which the pediatric health care team experienced a great deal of conflict and distrust as a result of an ineffective process of interpretation and communication. We propose a systematic method for analyzing the technical, ethical, behavioral, and existential dimensions of the clinical reasoning process, and introduce the Clinical Reasoning Discussion Tool-a dialogical and interpretive device aimed at improving communication, understanding, empathy, and moral deliberation in the clinical setting.

Original languageEnglish (US)
Pages (from-to)173-194
Number of pages22
JournalJournal of Medical Humanities
Volume22
Issue number3
StatePublished - 2001

Fingerprint

Critical Care
Communication
Pediatrics
Medical Futility
narrative
Patient Care Team
Uncertainty
communication
empathy
deliberation
Equipment and Supplies
uncertainty
health care
interpretation
Clinical Reasoning
Intensive Care
Conflict (Psychology)

Keywords

  • Critical care
  • Decision-making
  • Futility
  • Moral distress

ASJC Scopus subject areas

  • Philosophy
  • Health(social science)
  • Public Health, Environmental and Occupational Health

Cite this

A narrative approach to the clinical reasoning process in pediatric intensive care : The story of Matthew. / Carter, Michele; Robinson, Sally S.

In: Journal of Medical Humanities, Vol. 22, No. 3, 2001, p. 173-194.

Research output: Contribution to journalArticle

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