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Publication
Shared decisions in neonatal intensive care − bioethical approach
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Advisor(s)
Abstract(s)
Technological and therapeutic advances in neonatal intensive care have led to a decrease in neonatal morbidity and mortality in recent decades. Along with technical and scientific expertise, it is important to provide a holistic and comprehensive approach to the care of the newborn and family. The purpose of this review is to describe and analyze strategies to improve decision-making within a shared process between health professionals and caregivers at neonatal intensive care setting.
The decision-making process is not linear or immutable over time and there is no consensus on the definition of ‘shared decision’. More unanimous is the role of communication as a atherapeutic relationship pillar. Professional ethics, bioethics, and narrative medicine should be used as tools to address the vulnerabilities of families and professionals and as a way to consolidate and structure the human relational dimension intrinsic to medical practice.
Description
Keywords
bioethics decision-making narrative medicine neonatal intensive care newborn
Citation
Carvalho C, Freitas AC, Pinho L, Novo A, Nascer e Crescer - Birth and Growth Medical Journal 2021;30(1): 39-43. doi:10.25753/BirthGrowthMJ.v30.i1.20315
