Shared decisions in neonatal intensive care − bioethical approach

Detalhes bibliográficos
Autor(a) principal: Carvalho,Carmen
Data de Publicação: 2021
Outros Autores: Freitas,Ana Cristina, Pinho,Liliana, Novo,Ana
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-07542021000100039
Resumo: Abstract 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.
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spelling Shared decisions in neonatal intensive care − bioethical approachbioethicsdecision-makingnarrative medicineneonatal intensive carenewbornAbstract 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.Centro Hospitalar do Porto2021-03-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articletext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-07542021000100039Nascer e Crescer v.30 n.1 2021reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-07542021000100039Carvalho,CarmenFreitas,Ana CristinaPinho,LilianaNovo,Anainfo:eu-repo/semantics/openAccess2024-02-06T17:06:28Zoai:scielo:S0872-07542021000100039Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:19:49.205951Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Shared decisions in neonatal intensive care − bioethical approach
title Shared decisions in neonatal intensive care − bioethical approach
spellingShingle Shared decisions in neonatal intensive care − bioethical approach
Carvalho,Carmen
bioethics
decision-making
narrative medicine
neonatal intensive care
newborn
title_short Shared decisions in neonatal intensive care − bioethical approach
title_full Shared decisions in neonatal intensive care − bioethical approach
title_fullStr Shared decisions in neonatal intensive care − bioethical approach
title_full_unstemmed Shared decisions in neonatal intensive care − bioethical approach
title_sort Shared decisions in neonatal intensive care − bioethical approach
author Carvalho,Carmen
author_facet Carvalho,Carmen
Freitas,Ana Cristina
Pinho,Liliana
Novo,Ana
author_role author
author2 Freitas,Ana Cristina
Pinho,Liliana
Novo,Ana
author2_role author
author
author
dc.contributor.author.fl_str_mv Carvalho,Carmen
Freitas,Ana Cristina
Pinho,Liliana
Novo,Ana
dc.subject.por.fl_str_mv bioethics
decision-making
narrative medicine
neonatal intensive care
newborn
topic bioethics
decision-making
narrative medicine
neonatal intensive care
newborn
description Abstract 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.
publishDate 2021
dc.date.none.fl_str_mv 2021-03-01
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-07542021000100039
url http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-07542021000100039
dc.language.iso.fl_str_mv eng
language eng
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dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Centro Hospitalar do Porto
publisher.none.fl_str_mv Centro Hospitalar do Porto
dc.source.none.fl_str_mv Nascer e Crescer v.30 n.1 2021
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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