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020 ▼a 9781085722360
035 ▼a (MiAaPQ)AAI13882501
040 ▼a MiAaPQ ▼c MiAaPQ ▼d 247004
0820 ▼a 610.73
1001 ▼a Wolfe, Ian D.
24510 ▼a Intractable Conflict in Pediatric Critical Care: A Case Examination and Analysis of Futility.
260 ▼a [S.l.]: ▼b University of Minnesota., ▼c 2019.
260 1 ▼a Ann Arbor: ▼b ProQuest Dissertations & Theses, ▼c 2019.
300 ▼a 190 p.
500 ▼a Source: Dissertations Abstracts International, Volume: 81-02, Section: B.
500 ▼a Advisor: Liashenko, Joan.
5021 ▼a Thesis (Ph.D.)--University of Minnesota, 2019.
506 ▼a This item must not be sold to any third party vendors.
520 ▼a The focus and reliance on a concept can often blind us from the real things that exist that cause a concept to come into being. Futility as a concept has been painstakingly debated in the literature. This study takes a different approach and seeks to discover complexity and dynamics of what happens during the course of the care of a child that leads to intractable conflicts. A single case study method is used. Participant interviews, chart review, and policy review were the sources of data explored. Transcriptions of interviews were inductively and deductively analyzed using Walker's expressive-collaborative model of morality. The roles, relations, objects, and concepts were critically analyzed through systems theory and critical realism. The results of this study suggest reframing discussions away from definitions of futility and movement towards conceptualizations and dialogues that include the moral community, and relationships between and among clinical and organizational ethics. The study advocates a moral and ethical need for early identification of futility dynamics, continuity in communication, and a perspective about managing polarities and problems versus solving them.
590 ▼a School code: 0130.
650 4 ▼a Ethics.
650 4 ▼a Nursing.
690 ▼a 0394
690 ▼a 0569
71020 ▼a University of Minnesota. ▼b Nursing.
7730 ▼t Dissertations Abstracts International ▼g 81-02B.
773 ▼t Dissertation Abstract International
790 ▼a 0130
791 ▼a Ph.D.
792 ▼a 2019
793 ▼a English
85640 ▼u http://www.riss.kr/pdu/ddodLink.do?id=T15491237 ▼n KERIS ▼z 이 자료의 원문은 한국교육학술정보원에서 제공합니다.
980 ▼a 202002 ▼f 2020
990 ▼a ***1816162
991 ▼a E-BOOK