Jading in the pediatric intensive care unit: Implications for healthcare providers of medically complex children

Research output: Contribution to journalReview article

16 Citations (Scopus)

Abstract

Objective: To discuss the phenomenon of jading within the context of the pediatric intensive care unit. Design: Drawing from their experience, the authors describe and then discuss a clinical scenario readily recognizable by pediatric intensive care unit practitioners: a child whose care requires the expenditure of a large amount of energy and resources, provides seemingly little reward, and leads to jading of the PICU staff. Conclusion: Jading describes a process of exhaustion whereby apathy, cynicism, and callousness replace the drive to be responsive, to make a difference, and to care. The issue of jading has become an increasing area of concern in the pediatric intensive care unit, due in part to recurring, prolonged admissions, combined with the perception, at times, that continued medical care is fruitless. With a better understanding of the phenomenon of jading, and by reconsidering their own responses, pediatric intensive care unit practitioners can avoid becoming jaded.

Original languageEnglish (US)
Pages (from-to)275-277
Number of pages3
JournalPediatric Critical Care Medicine
Volume5
Issue number3
DOIs
StatePublished - 2004

Fingerprint

Pediatric Intensive Care Units
Health Personnel
Apathy
Child Care
Health Expenditures
Reward

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Critical Care and Intensive Care Medicine

Cite this

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title = "Jading in the pediatric intensive care unit: Implications for healthcare providers of medically complex children",
abstract = "Objective: To discuss the phenomenon of jading within the context of the pediatric intensive care unit. Design: Drawing from their experience, the authors describe and then discuss a clinical scenario readily recognizable by pediatric intensive care unit practitioners: a child whose care requires the expenditure of a large amount of energy and resources, provides seemingly little reward, and leads to jading of the PICU staff. Conclusion: Jading describes a process of exhaustion whereby apathy, cynicism, and callousness replace the drive to be responsive, to make a difference, and to care. The issue of jading has become an increasing area of concern in the pediatric intensive care unit, due in part to recurring, prolonged admissions, combined with the perception, at times, that continued medical care is fruitless. With a better understanding of the phenomenon of jading, and by reconsidering their own responses, pediatric intensive care unit practitioners can avoid becoming jaded.",
author = "Levi, {Benjamin H.} and Thomas, {Neal J.} and Green, {Michael J.} and Rentmeester, {Christy A.} and Ceneviva, {Gary D.}",
year = "2004",
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language = "English (US)",
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journal = "Pediatric Critical Care Medicine",
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TY - JOUR

T1 - Jading in the pediatric intensive care unit

T2 - Implications for healthcare providers of medically complex children

AU - Levi, Benjamin H.

AU - Thomas, Neal J.

AU - Green, Michael J.

AU - Rentmeester, Christy A.

AU - Ceneviva, Gary D.

PY - 2004

Y1 - 2004

N2 - Objective: To discuss the phenomenon of jading within the context of the pediatric intensive care unit. Design: Drawing from their experience, the authors describe and then discuss a clinical scenario readily recognizable by pediatric intensive care unit practitioners: a child whose care requires the expenditure of a large amount of energy and resources, provides seemingly little reward, and leads to jading of the PICU staff. Conclusion: Jading describes a process of exhaustion whereby apathy, cynicism, and callousness replace the drive to be responsive, to make a difference, and to care. The issue of jading has become an increasing area of concern in the pediatric intensive care unit, due in part to recurring, prolonged admissions, combined with the perception, at times, that continued medical care is fruitless. With a better understanding of the phenomenon of jading, and by reconsidering their own responses, pediatric intensive care unit practitioners can avoid becoming jaded.

AB - Objective: To discuss the phenomenon of jading within the context of the pediatric intensive care unit. Design: Drawing from their experience, the authors describe and then discuss a clinical scenario readily recognizable by pediatric intensive care unit practitioners: a child whose care requires the expenditure of a large amount of energy and resources, provides seemingly little reward, and leads to jading of the PICU staff. Conclusion: Jading describes a process of exhaustion whereby apathy, cynicism, and callousness replace the drive to be responsive, to make a difference, and to care. The issue of jading has become an increasing area of concern in the pediatric intensive care unit, due in part to recurring, prolonged admissions, combined with the perception, at times, that continued medical care is fruitless. With a better understanding of the phenomenon of jading, and by reconsidering their own responses, pediatric intensive care unit practitioners can avoid becoming jaded.

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