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://hdl.handle.net/10400.16/2502
Resumo: 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.
id RCAP_073b7f1b5ece8f95866aeef5f60d6928
oai_identifier_str oai:repositorio.chporto.pt:10400.16/2502
network_acronym_str RCAP
network_name_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository_id_str 7160
spelling Shared decisions in neonatal intensive care − bioethical approachDecisões partilhadas em cuidados intensivos neonatais – abordagem bioéticabioethicsdecision-makingnarrative medicineneonatal intensive carenewbornTechnological 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 Universitário do PortoRepositório Científico do Centro Hospitalar Universitário de Santo AntónioCarvalho, CarmenFreitas, Ana CristinaPinho, LilianaNovo, Ana2021-10-04T09:02:39Z2021-032021-03-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.16/2502engCarvalho 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.i1.203152183-941710.25753/BirthGrowthMJ.v30.i1.20315info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-10-20T11:00:56Zoai:repositorio.chporto.pt:10400.16/2502Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:38:42.917533Repositório 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
Decisões partilhadas em cuidados intensivos neonatais – abordagem bioética
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.none.fl_str_mv Repositório Científico do Centro Hospitalar Universitário de Santo António
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 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 2021-10-04T09:02:39Z
2021-03
2021-03-01T00:00:00Z
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://hdl.handle.net/10400.16/2502
url http://hdl.handle.net/10400.16/2502
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 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
2183-9417
10.25753/BirthGrowthMJ.v30.i1.20315
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Centro Hospitalar Universitário do Porto
publisher.none.fl_str_mv Centro Hospitalar Universitário do Porto
dc.source.none.fl_str_mv 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
repository.mail.fl_str_mv
_version_ 1799133647728541696

Registros relacionados