文章基本信息

标题：Shared decisions in neonatal intensive care − bioethical approach
本地全文：下载
作者：Carmen Carvalho ; Ana Cristina Freitas ; Liliana Pinho 等
期刊名称：Nascer e Crescer - Revista do Hospital de Crianças Maria Pia
印刷版ISSN：0872-0754
出版年度：2021
卷号：30
期号：1
页码：39-43
DOI：10.25753/BirthGrowthMJ.v30.i1.20315
语种：English
出版社：Hospital de Crianças Maria Pia - Centro Hospitalar do Porto
摘要：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.