The Science of Context: Transforming Serious Illness Care Though In Situ Observation.
The Science of Context: Transforming Serious Illness Care Though In Situ Observation.
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DOI：
10.1016/j.jpainsymman.2022.01.021
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发表时间：
2022-06
影响因子：
4.7
通讯作者：
Schwarze, Margaret L.
中科院分区：
文献类型：
--
作者：
Kruser, Jacqueline M.;Schwarze, Margaret L.
爱因斯坦曾说过：“如果我有60分钟的时间来拯救世界，我会用前55分钟来找出它的问题所在。J. Randall（Randy）Curtis博士改善严重疾病护理的方法之所以如此有效，正是因为这个原因。在考虑如何使事情变得更好之前，你必须首先了解正在发生的事情以及我们如何达到目前的状态。对于重症监护，这需要倾听临床医生和家人的沟通-人们实际上说了什么-当它发生在重症监护室（ICU）时。兰迪的工作使用严格的观察方法，帮助打开了隐藏的大门之间的危重病人的家庭接近生命的尽头和ICU临床医生的困难对话。他的科学贡献不仅带来了改变实践的见解和新颖的干预措施，而且还带来了寻求改善严重疾病护理的新一代研究人员。在这里，我们强调兰迪的早期工作，使用直接观察和描述的轨迹和影响，他的地面上的研究方法。同时，我们描述了他的方法对我们自己的工作的影响，研究严重的疾病护理手术和重症监护。虽然我们都没有直接从兰迪导师，我们模仿兰迪的先驱导师模式在我们的工作在一起，展示了他深远的影响。
There is an expression, often attributed to Einstein, “If I had 60 minutes to save the world, I would spend the first 55 trying to figure out what was wrong with it.” Dr. J. Randall (Randy) Curtis’ approach to improving serious illness care has been so effective for exactly this reason. Before considering how to make things better, you must first understand what is happening and how we got to our current state. For critical care, that required listening to clinician and family communication —what people actually said— while it was happening in the intensive care unit (ICU). Randy’s work using rigorous observational methods helped open the doors concealing the difficult conversations between the families of critically ill patients nearing end of life and ICU clinicians. His scientific contributions have led not only to practice-changing insights and novel interventions, but also to a new generation of researchers seeking to improve serious illness care. Herein, we highlight Randy’s early work using direct observation and describe the trajectory and impact of his ground-up approach to research. In parallel, we describe the influence of his approach on our own work studying serious illness care in surgery and critical care. Although neither of us has had direct mentorship from Randy, we emulate Randy’s pioneering mentorship model in our work together, demonstrating his far-reaching influence.
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影响因子：
16.9
作者：
Taylor LJ;Nabozny MJ;Steffens NM;Tucholka JL;Brasel KJ;Johnson SK;Zelenski A;Rathouz PJ;Zhao Q;Kwekkeboom KL;Campbell TC;Schwarze ML
通讯作者：
Schwarze ML
影响因子：
8.3
作者：
Kruser, Jacqueline M.;Cox, Christopher E.;Schwarze, Margaret L.
通讯作者：
Schwarze, Margaret L.
影响因子：
8.8
作者：
Kruser, Jacqueline M.;Benjamin, Brian T.;Schwarze, Margaret L.
通讯作者：
Schwarze, Margaret L.
影响因子：
9
作者：
Nabozny, Michael J.;Kruser, Jacqueline M.;Schwarze, Margaret L.
通讯作者：
Schwarze, Margaret L.
影响因子：
5.7
作者：
MILLER, DK;COE, RM;HYERS, TM
通讯作者：
HYERS, TM