@inbook{bd959a254b6e43e0beb1e9fcfaf2e8dd,
title = "Choices in Uncertainty",
abstract = "A simple maxim for clinical ethics could read, {\textquotedblleft}meaning well and doing good,{\textquotedblright} or {\textquotedblleft}making treatment choices that integrate sensible medical options with the individual patient{\textquoteright}s wishes and values.{\textquotedblright} With respect to this goal, optimal decision-making should be based on a combination of sound medical practice, clinicians{\textquoteright} personal virtues, shared decision-making both within the team and between the team and the patient/family, and strong team leadership. However, a Sisyphus-like struggle for certainty is increasingly counteracting achieving the objective of realistic, goal-oriented care decisions and their subsequent implementation. What we believe is needed is a cultural change toward accepting uncertainty as an integral component of the landscape of disease, decision-making, and treatment{\textemdash}rather than an obstacle that needs to be overcome.",
keywords = "Clinical ethics, Critical care, Decision-making, Intensive care medicine, Medical education, Uncertainty",
author = "Andrej Michalsen and Mervyn Mer and RG Hoff and Uwe Janssens and Nicolas Sadovnikoff",
note = "Publisher Copyright: {\textcopyright} 2023, The Author(s), under exclusive license to Springer Nature Switzerland AG.",
year = "2023",
month = jul,
day = "20",
doi = "10.1007/978-3-031-29390-0\_14",
language = "English",
isbn = "978-3-031-29389-4",
series = "Lessons from the ICU",
publisher = "Springer",
pages = "157--167",
editor = "Michalsen, \{Andrej \} and Sadovnikoff, \{Nicholas \} and Kesecioglu, \{Jozef \}",
booktitle = "Ethics in Intensive Care Medicine",
address = "Singapore",
edition = "1",
}