Preventing and de-escalating ethical conflict: A communication-training mediation model Journal Article


Authors: Levin, T. T.; Parker, P. A.
Article Title: Preventing and de-escalating ethical conflict: A communication-training mediation model
Abstract: While ethical conflicts in the provision of healthcare are common, the current third-party mediator model is limited by a lack of expert ethical mediators, who are often not on site when conflict escalates. In order to improve clinical outcomes in situations such as conflicts at the end of life, we suggest that clinicians-physicians, nurses and social workers-be trained to prevent and de-escalate emerging conflicts. This can be achieved using a mediation model framed by a communication-training approach. A case example is presented and the model is discussed. The implication of this preventative/early intervention model for improving clinical outcomes, in particular end-of life conflict, is considered. Copyright 2015 The Journal of Clinical Ethics. All rights reserved.
Keywords: aged; case report; conflict; antiinfective agent; anti-bacterial agents; inservice training; communication; attitude of health personnel; interpersonal communication; clinical decision making; health personnel attitude; in service training; ethics; personal autonomy; surgical wound infection; femoral fractures; fractures, spontaneous; procedures; dissent and disputes; mental capacity; conflict (psychology); negotiating; clinical decision-making; humans; human; male; mental competency
Journal Title: Journal of Clinical Ethics
Volume: 26
Issue: 4
ISSN: 1046-7890
Publisher: The Journal of Clinical Ethics, Inc.  
Date Published: 2015-01-01
Start Page: 342
End Page: 345
Language: English
PUBMED: 26752392
PROVIDER: scopus
DOI/URL:
Notes: Article -- Export Date: 2 November 2016 -- Source: Scopus
Citation Impact
MSK Authors
  1. Patricia Ann Parker
    91 Parker