Conflict as a place of possibility

Isaacs, David; Preisz, Anne

doi:10.1111/jpc.15849

Cited by 1 publication

(2 citation statements)

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“…Research suggests preventing entrenched conflict by developing and identifying timely, feasible pathways to effective resolution is ideal, and improves outcomes for all parties. [2][3][4][5][6] Our secondary aim is to highlight specific contexts where IBM may have utility, aligned yet distinct from CES, and alternate to defaulting to court proceedings.…”

Section: Introductionmentioning

confidence: 99%

“…We recognise however that communication deterioration is rarely simple or linear, and complex evolving and unique patterns can be difficult to recognise in the acute clinical context. 2,5 Also, there may be less perceived value in objective external viewpoints by various clinical disciplines. 18 Finally, while scope disallows discussing here the institutional and societal financial burdens of continued 'futile' therapies 19 and conflict, 20 limited studies suggest it is substantial.…”

Section: Introductionmentioning

confidence: 99%

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Defining the role of facilitated mediation in medical treatment decision-making for critically ill children in the Australian clinical context

2022

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In this article, we explore alternative conflict resolution strategies to assist families and clinicians in cases of intractable dissent in paediatric health care decision-making. We focus on the ethical and legal landscape using cases from the Australian jurisdiction in New South Wales, while referencing some global sentinel cases. We highlight a range of alternative means of addressing conflict, including clinical ethics support, and contrast and contextualise facilitative or interest-based mediation, concluding that legal intervention via the courts can be protracted and distressing and should be a ‘last resort’. We acknowledge many might view this as the current status quo, but we go further to recommend strategies optimal for all parties to recognise early signs of conflict and prevent its harmful escalation. While more empirical research is needed, we contend that interest-based mediation may be a valuable adjunctive method of conflict resolution. If judiciously distinguished from and utilised with clinical ethical support, it can be an effective tool to address dissent and its negative sequelae in paediatric healthcare decision-making.

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