Carvalho, CarmenFreitas, Ana CristinaPinho, LilianaNovo, Ana2021-10-042021-10-042021-03Carvalho 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.i1.203152183-9417http://hdl.handle.net/10400.16/2502Technological 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.engbioethicsdecision-makingnarrative medicineneonatal intensive carenewbornjournal article10.25753/BirthGrowthMJ.v30.i1.20315