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: https://doi.org/10.25753/BirthGrowthMJ.v30.i1.20315
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.
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spelling Shared decisions in neonatal intensive care − bioethical approachDecisões partilhadas em cuidados intensivos neonatais – abordagem bioéticaReview ArticlesTechnological 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.Os avanços tecnológicos e terapêuticos em cuidados intensivos neonatais levaram a uma diminuição da morbimortalidade neonatal nas últimas décadas. A par do conhecimento técnico e científico, é importante concentrar o cuidado do recém-nascido e sua família numa abordagem holística e abrangente. O objetivo desta revisão é descrever e analisar estratégias para melhorar a tomada de decisão através de um processo partilhado entre profissionais de saúde e cuidadores no contexto dos cuidados intensivos neonatais. O processo de tomada de decisão não é linear ou imutável no tempo e ainda não existe consenso na definição de ‘decisão partilhada’. Mais consensual é o papel da comunicação enquanto pilar da relação terapêutica. A ética profissional, bioética e medicina narrativa devem ser usadas como ferramentas para lidar com as vulnerabilidades de famílias e profissionais e como forma de consolidar e estruturar a dimensão relacional humana inerente à prática médica.Centro Hospitalar Universitário do Porto2021-04-06T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://doi.org/10.25753/BirthGrowthMJ.v30.i1.20315eng2183-9417Carvalho, CarmenFreitas, Ana CristinaPinho, LilianaNovo, Anainfo: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:RCAAP2022-09-21T14:55:39Zoai:ojs.revistas.rcaap.pt:article/20315Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T15:56:32.198642Repositório 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
Review Articles
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 Review Articles
topic Review Articles
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 2021-04-06T00:00:00Z
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 https://doi.org/10.25753/BirthGrowthMJ.v30.i1.20315
url https://doi.org/10.25753/BirthGrowthMJ.v30.i1.20315
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 2183-9417
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
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
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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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