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Imperiled infants: nurses' roles in ethical decision-making.

P A Miya

    Issues in Comprehensive Pediatric Nursing
    |January 1, 1989
    PubMed
    Summary

    This study examines ethical dilemmas in nursing care for imperiled infants, focusing on decision-making roles for parents, physicians, and nurses. It highlights the nurse

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    Area of Science:

    • Neonatal nursing ethics
    • Pediatric critical care decision-making

    Background:

    • Ethical challenges in neonatal intensive care units (NICUs).
    • The complexity of decision-making for critically ill infants.

    Observation:

    • Case study analysis of ethical-emotional issues in infant nursing care.
    • Exploration of 'who decides' and 'what is decided' regarding imperiled infants.

    Findings:

    • Examination of parental, physician, and nursing roles in infant care decisions.
    • Identification of three key criteria supporting enhanced nursing involvement.
    • Brief discussion of ethical theories, ethics committees, and decision-making guidelines.

    Implications:

    • Informed nursing participation in ethical decision-making for vulnerable infants.
    • Framework for addressing complex ethical issues in neonatal care.
    • Potential improvements in care quality and ethical practice in NICUs.

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