title: Futility Disputes: A Review of the Literature and Proposed Model for Dispute Navigation Through Trust Building.
abstract: Futility disputes in the intensive care unit setting have received significant attention in the literature over the past several years. Although the idea of improving communication in an attempt to resolve these challenging situations has been regularly discussed, the concept and role of trust building as the means by which communication improves and disputes are best navigated is largely absent. We take this opportunity to review the current literature on futility disputes and argue the important role of broken trust in these encounters, highlighting current evidence establishing the necessity and utility of trust in both medical decision-making and effective communication. Finally, we propose a futility dispute navigation model built upon improved communication through trust building.
authors: 1 Charles Warren Fairbanks Center for Medical Ethics, Indiana University Health, Indianapolis, IN, USA.|2 Department of Pediatrics, Section of Pediatric Critical Care, Indiana University School of Medicine, Indianapolis, IN, USA.
authors: Brian D
authors: BD
authors: Leland
authors: 1 Charles Warren Fairbanks Center for Medical Ethics, Indiana University Health, Indianapolis, IN, USA.|3 Indiana University Center for Aging Research, Regenstrief Institute, Indianapolis, IN, USA.|4 Daniel F. Evans Center for Spiritual and Religious Values in Healthcare, Indiana University Health, Indianapolis, IN, USA.
authors: Alexia M
authors: AM
authors: Torke
authors: 1 Charles Warren Fairbanks Center for Medical Ethics, Indiana University Health, Indianapolis, IN, USA.|5 Indiana University School of Nursing, Indianapolis, IN, USA.
authors: Lucia D
authors: LD
authors: Wocial
authors: 1 Charles Warren Fairbanks Center for Medical Ethics, Indiana University Health, Indianapolis, IN, USA.|6 Division of Hematology/Oncology, Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA.
authors: Paul R
authors: PR
authors: Helft
mesh_terms: D000066491:Clinical Decision-Making; D003142:Communication; D003422:Critical Care / Q000523:psychology*; D034462:Dissent and Disputes; D006801:Humans; D007362:Intensive Care Units; D018447:Medical Futility; D035502:Trust
keywords: communication; decision-making; disagreement; end-of-life care; futility; perceptions; trust