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  1. Article ; Online: Kommunikation mit Patientinnen auf der Intensivstation.

    Jöbges, Susanne

    Medizinische Klinik, Intensivmedizin und Notfallmedizin

    2022  Volume 117, Issue 8, Page(s) 595–599

    Abstract: Communication is one of the fundamental human needs. It includes not only expressing oneself but also verbal and nonverbal communication and establishing contact to other people. In the context of intensive care treatment, influences such as sedation, ... ...

    Title translation Communication with patients in the intensive care unit.
    Abstract Communication is one of the fundamental human needs. It includes not only expressing oneself but also verbal and nonverbal communication and establishing contact to other people. In the context of intensive care treatment, influences such as sedation, delirium or the need for an artificial airway, be it a tube or tracheostomy, can make verbal communication almost impossible. In addition, nonverbal communication possibilities are often restricted by physical weakness or illness. Despite these difficulties, there is always a communication relationship, verbal or nonverbal, between patients in the intensive care unit (ICU) and the team. A lack of willingness in the team or mistakes in communication leave patients with a perception of not being heard or not being noticed. As a result, the patients can develop an impression of powerlessness and helplessness. It is precisely in these situations of dependency that there is a risk of overriding the patient's will and exercising coercion. Communication with patients in the ICU is a challenging process. Difficulties that arise here not only burden patients in the ICU but can also lead to frustration and moral stress in the team. The team should reflect on the imbalance of influences on communication between patients and the team in order to help the patients to survive and cope with the critical period by using tools and appreciative communication.
    MeSH term(s) Humans ; Intensive Care Units ; Critical Care ; Tracheostomy
    Language German
    Publishing date 2022-09-09
    Publishing country Germany
    Document type English Abstract ; Journal Article ; Review
    ZDB-ID 2636018-4
    ISSN 2193-6226 ; 1435-1420 ; 0723-5003 ; 2193-6218 ; 0175-3851
    ISSN (online) 2193-6226 ; 1435-1420
    ISSN 0723-5003 ; 2193-6218 ; 0175-3851
    DOI 10.1007/s00063-022-00957-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: [No title information]

    Jöbges, Susanne

    Deutsche medizinische Wochenschrift (1946)

    2022  Volume 147, Issue 17, Page(s) 1121–1127

    Abstract: The use of coercion in complex situations, such as intensive care therapy, requires special attention, as patients are in a situation of dependency and often limited self-determination. Coercion can also arise in intensive care situations, including ... ...

    Title translation Zwang in der Intensivmedizin: unzulässig, aber wir tun es.
    Abstract The use of coercion in complex situations, such as intensive care therapy, requires special attention, as patients are in a situation of dependency and often limited self-determination. Coercion can also arise in intensive care situations, including situations where a person's natural will is overcome.Coercion as freedom-restricting, -limiting measures and forced treatment in ICUs exists in the form of formal and informal coercion and is perceived by the patient. Formal coercion includes measures such as restraints, sedation and environment. Informal coercion arises from influence, such as manipulation, inadequate or false information, lack of communication and threat.Longer-term, i. e. > 30 minutes, measures restricting or withdrawing freedom, as well as compulsory treatment, are subject to authorization.The central conflict in the use of coercion is the tension between self-determination of the patient and care, the protection of the patient from harm.In intensive care, phases of agitation, delirium, but also dementia or depressive phases, hypoactivity are commonplace in patients. The use of coercive measures in emergency situations is only possible if it has been examined according to legal and medical-ethical criteria and there are no alternatives (ultima ratio) for the use of coercion.The use of coercion as "ultima ratio" includes the verification of decision-making capacity and the assessment/examination of the critical situation. Only in exceptional cases of incapacity to consent and in the event of "imminent significant damage to health" may measures restricting or withdrawing freedom be used.Treatment in the intensive care unit is based on a current indication with medical evidence, as well as the standards and process structures. To avoid formal and informal coercion, it is crucial to establish an image of humanity in the interprofessional team that respects the patient and his autonomy and implements this in everyday life and training concepts.Concepts to be recognized and name the use of coercion and to avoid coercion include: Recognition of risk situations for coercion, standards to avoid coercion in ICUs, education and training in communication.
    MeSH term(s) Coercion ; Critical Care ; Humans ; Personal Autonomy
    Language German
    Publishing date 2022-08-28
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 200446-x
    ISSN 1439-4413 ; 0012-0472
    ISSN (online) 1439-4413
    ISSN 0012-0472
    DOI 10.1055/a-1664-7409
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Kommunikation auf der Intensivstation - mit Patient:innen, mit Zugehörigen und innerhalb des Teams

    Jöbges, Susanne

    DIVI

    2022  Volume 13, Issue 4, Page(s) 186

    Language German
    Document type Article
    ZDB-ID 2544349-5
    ISSN 1869-716X
    Database Current Contents Medicine

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  4. Article ; Online: Aktuelles aus der Kommunikation in der Intensivmedizin.

    Jöbges, Susanne / Meier, Stefan

    Deutsche medizinische Wochenschrift (1946)

    2023  Volume 148, Issue 22, Page(s) 1443–1447

    Abstract: Current publications on the topic of communication in intensive care units (ITS) are shaped by the experiences of the COVID19 pandemic and the restrictions on personal contact and communication experienced during this time. Virtual, computer-based and ... ...

    Title translation News in intensive care unit communication.
    Abstract Current publications on the topic of communication in intensive care units (ITS) are shaped by the experiences of the COVID19 pandemic and the restrictions on personal contact and communication experienced during this time. Virtual, computer-based and telemedical concepts have grown out of this situation with limited contact and communication possibilities with patients and their relatives, but also between the individual service providers in the health system. It can also be assumed that artificial intelligence will increasingly be an issue in communication in intensive care units in the coming years. However, the significance, consequences and risks of the use of these new possibilities remain to be seen.
    MeSH term(s) Humans ; Family ; Artificial Intelligence ; Intensive Care Units ; Communication ; Telemedicine
    Language German
    Publishing date 2023-11-02
    Publishing country Germany
    Document type English Abstract ; Journal Article
    ZDB-ID 200446-x
    ISSN 1439-4413 ; 0012-0472
    ISSN (online) 1439-4413
    ISSN 0012-0472
    DOI 10.1055/a-1947-9612
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Kommunikation in der Intensivmedizin.

    Janssens, Uwe / Jöbges, Susanne

    Medizinische Klinik, Intensivmedizin und Notfallmedizin

    2022  Volume 117, Issue 8, Page(s) 585–587

    Title translation Communication in intensive care medicine.
    MeSH term(s) Humans ; Critical Care ; Communication ; Intensive Care Units
    Language German
    Publishing date 2022-11-03
    Publishing country Germany
    Document type Editorial
    ZDB-ID 2636018-4
    ISSN 2193-6226 ; 1435-1420 ; 0723-5003 ; 2193-6218 ; 0175-3851
    ISSN (online) 2193-6226 ; 1435-1420
    ISSN 0723-5003 ; 2193-6218 ; 0175-3851
    DOI 10.1007/s00063-022-00956-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Aktuelles aus der Kommunikation in der Intensivmedizin

    Jöbges, Susanne / Meier, Stefan

    DMW - Deutsche Medizinische Wochenschrift

    2023  Volume 148, Issue 22, Page(s) 1443–1447

    Abstract: Neue Entwicklungen in der Kommunikation auf der Intensivstation : Eine Vielzahl an Veröffentlichungen beschäftigt sich mit dem Einsatz von virtuellen Kommunikationsmöglichkeiten für Patienten und Patientinnen, Zugehörige und das Team auf der ... ...

    Abstract Neue Entwicklungen in der Kommunikation auf der Intensivstation : Eine Vielzahl an Veröffentlichungen beschäftigt sich mit dem Einsatz von virtuellen Kommunikationsmöglichkeiten für Patienten und Patientinnen, Zugehörige und das Team auf der Intensivstation (ITS). Auch auf der ITS kommen neben Handy und Tablet vermehrt Computersysteme, bis hin zum Eye-Tracking-PC, als Kommunikationshilfsmittel zum Einsatz. Das Spektrum der Anwendungsmöglichkeiten für virtuelle Kommunikationsformen ist weit. Es reicht vom Einsatz im Rahmen von Aufklärungen und der Informationsvermittlung komplexer Sachverhalte für Team, Patienten und Patientinnen oder Zugehörige, bis zum Einsatz der Telemedizin zur Verbesserung der Qualität und des interdisziplinären Austauschs auf der ITS. Ein weiteres Zukunftsthema ist die Anwendung Künstlicher Intelligenz (KI). Chatbots oder KI-gestützte Patient-Preference-Predictor-Systeme werden eingesetzt, um Inhalte zu transportieren oder Entscheidungsprozesse kommunikativ zu unterstützen.
    Neue Technologien – alte Probleme? : Kommunikation mit dem Team, mit Patienten und Patientinnen und deren Zugehörigen bleibt immer eine Interaktion, mit der Notwendigkeit, sich auf jemanden einzulassen und ihn wahrzunehmen. Inwieweit digitale Hilfsmittel sinnvoll für die Kommunikation im Team, mit Patienten und Patientinnen und Zugehörigen genutzt werden können, hängt somit weiterhin von der Bereitschaft ab, sich dem Anderen als Kommunikationspartner zuzuwenden.
    Keywords Intensivstation ; Kommunikation ; Künstliche Intelligenz ; intensive care unit ; communication ; artificial intelligence
    Language German
    Publishing date 2023-11-01
    Publisher Georg Thieme Verlag KG
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 200446-x
    ISSN 1439-4413 ; 0012-0472
    ISSN (online) 1439-4413
    ISSN 0012-0472
    DOI 10.1055/a-1947-9612
    Database Thieme publisher's database

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  7. Article ; Online: Optimierung der Zugehörigenbetreuung – angehörigenzentrierte Intensivmedizin.

    Jöbges, Susanne / Denke, Claudia / Seidlein, Anna-Henrikje

    Medizinische Klinik, Intensivmedizin und Notfallmedizin

    2022  Volume 117, Issue 7, Page(s) 575–583

    Abstract: Based on shared experiences and values, the patient and their families form a relational unit. This social unity is especially valid in the situation of illness. Patients' relatives in intensive care units experience an exceptional emotional situation, ... ...

    Title translation Optimization of support for relatives-Family-centered care in intensive care medicine.
    Abstract Based on shared experiences and values, the patient and their families form a relational unit. This social unity is especially valid in the situation of illness. Patients' relatives in intensive care units experience an exceptional emotional situation, associated with uncertainty, feelings of being overwhelmed, fear, and the desire for the best possible medical care. The principles of family-centered intensive care offer orientation and relief not only for the patients and their relatives, but also for the interprofessional team. Related measures, such as open visiting hours, appreciative communication, interprofessional team structures, and internal hospital standards can support all those involved in shaping and overcoming this critical situation together.
    MeSH term(s) Communication ; Critical Care ; Family/psychology ; Humans ; Intensive Care Units ; Patient-Centered Care
    Language German
    Publishing date 2022-09-28
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 2636018-4
    ISSN 2193-6226 ; 1435-1420 ; 0723-5003 ; 2193-6218 ; 0175-3851
    ISSN (online) 2193-6226 ; 1435-1420
    ISSN 0723-5003 ; 2193-6218 ; 0175-3851
    DOI 10.1007/s00063-022-00964-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Ethics guidelines on COVID-19 triage-an emerging international consensus.

    Joebges, Susanne / Biller-Andorno, Nikola

    Critical care (London, England)

    2020  Volume 24, Issue 1, Page(s) 201

    MeSH term(s) Betacoronavirus ; COVID-19 ; Coronavirus/isolation & purification ; Coronavirus Infections/diagnosis ; Coronavirus Infections/epidemiology ; Coronavirus Infections/therapy ; Critical Care/ethics ; Critical Care/methods ; Critical Care/standards ; Europe ; Humans ; Intensive Care Units/ethics ; Intensive Care Units/organization & administration ; Intensive Care Units/standards ; Pandemics ; Pneumonia, Viral/diagnosis ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/therapy ; Practice Guidelines as Topic ; SARS-CoV-2 ; Triage/ethics ; Triage/organization & administration ; Triage/standards ; Universal Precautions/methods
    Keywords covid19
    Language English
    Publishing date 2020-05-06
    Publishing country England
    Document type Editorial
    ZDB-ID 2041406-7
    ISSN 1466-609X ; 1364-8535
    ISSN (online) 1466-609X
    ISSN 1364-8535
    DOI 10.1186/s13054-020-02927-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Ehegattennotvertretungsrecht.

    Dutzmann, Jochen / Michalsen, Andrej / Duttge, Gunnar / Jöbges, Susanne / Michels, Guido / Gretenkort, Peter / Janssens, Uwe

    Deutsche medizinische Wochenschrift (1946)

    2023  Volume 148, Issue 8, Page(s) 499–502

    Title translation The law of emergency representation by spouses - A handout from the Ethics Section of the German Interdisciplinary Association for Intensive Care and Emergency Medicine (DIVI).
    MeSH term(s) Humans ; Spouses ; Critical Care ; Emergency Medicine ; Germany
    Language German
    Publishing date 2023-03-20
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 200446-x
    ISSN 1439-4413 ; 0012-0472
    ISSN (online) 1439-4413
    ISSN 0012-0472
    DOI 10.1055/a-2017-0878
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Ethics guidelines on COVID-19 triage—an emerging international consensus

    Susanne Joebges / Nikola Biller-Andorno

    Critical Care, Vol 24, Iss 1, Pp 1-

    2020  Volume 5

    Keywords COVID-19 ; Pandemic ; Triage ; Ethics ; Medical emergencies. Critical care. Intensive care. First aid ; RC86-88.9 ; covid19
    Language English
    Publishing date 2020-05-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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