Table 1 Challenges and solutions for granting autonomy in open ICUs
From: New perspectives on substituted relational autonomy for shared decision-making in critical care
Challenges | Solutions |
|---|---|
• Balancing ethical responsibilities in SDM | • Cooperation • Relational autonomy |
• Preventing burnout | • Consultant psychologist |
• Preventing moral distress | • Ethical advice |
• Managing interpersonal conflicts in end-of-life SDM | • Interdisciplinary meetings • Staff management and dispositional organization |
• Providing valuable information | • Structured communication tools |
• Preventing relatives’ psychological disorders | • Physician's social, psychological and ethical skills • Training |
• Embedded accuracy of the relatives’ predictions | • Offering support to relatives |