Ethical Conflict and Moral Distress in Care Teams
Background
Addresses the communication breakdowns that lead to conflict, moral injury, and misalignment, and how structured decision frameworks restore accountability and trust.
Overview
Data SnapShot
Fewer than one-third of patients with serious illness report having a documented goals-of-care conversation during the course of illness [1].
Earlier end-of-life discussions are associated with lower rates of aggressive medical care near death and improved alignment between expressed preferences and delivered care [2].
In the SUPPORT trial, seriously ill hospitalized patients frequently received aggressive interventions despite poor prognoses and incomplete communication regarding preferences [3].
Intensive care utilization and health care transitions in the last month of life remain common among Medicare beneficiaries with advanced illness [4].
Why This Context Matters
Case Study
Analysis of decision patterns observed within real clinical care.
Related Insights
System-level perspectives on how decision infrastructure shapes healthcare delivery.
