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Related Concept Videos

Ethical Dilemmas I01:17

Ethical Dilemmas I

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Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
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Nursing Interventions II: Selecting and Classifying the Nursing Interventions01:29

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Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
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Nursing Clinical Information System01:27

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Nursing Clinical Information System (NCIS)
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The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
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Accountability in nursing is a fundamental principle that underscores the obligation of nurses to take responsibility for their actions and answer for any errors or omissions in patient care. This principle is grounded in the professional, legal, and ethical frameworks that shape nursing practice. For instance, nurses must adhere to all relevant laws, regulations, and practice standards, including guidelines set forth by nursing boards and professional bodies, to ensure their actions comply...
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Ethical Dilemmas II01:30

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Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
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Shared responsibility for decision-making in NICU: A scoping review.

Hanna-Kaisa Pellikka1, Anna Axelin1, Ulla Sankilampi2

  • 1University of Turku, Finland.

Nursing Ethics
|January 23, 2023
PubMed
Summary

Shared decision-making in neonatal intensive care units (NICUs) is crucial for family-centered care. Negotiating roles between parents and professionals enhances infant well-being and reduces parental emotional burden.

Keywords:
Decision-makingfamily-centred careneonatal intensive care unitsscoping reviewshared responsibility

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Area of Science:

  • Neonatal Intensive Care
  • Pediatric Healthcare
  • Family-Centered Care

Background:

  • Shared responsibility is fundamental to family-centered care, defining the parent-healthcare professional relationship.
  • Knowledge regarding shared decision-making in neonatal intensive care units (NICUs) remains limited.

Purpose of the Study:

  • To conduct a scoping review to identify and synthesize existing research on shared responsibility in NICU decision-making.
  • To summarize the current state of knowledge on this topic.

Main Methods:

  • Systematic electronic searches of CINAHL, PubMed, Scopus, and PsycINFO databases.
  • Manual reference list searches of identified papers.
  • Inclusion of peer-reviewed English-language articles published between 2010 and September 2021.
  • Inductive summarization of findings from eight selected papers.

Main Results:

  • Shared decision-making is influenced by parental intentions, with varying levels of willingness to assume responsibility.
  • Communication dynamics between parents and healthcare professionals significantly impact shared decision-making.
  • Parental emotions are a key factor influenced by the decision-making process.

Conclusions:

  • Negotiating parental and professional contributions to shared decision-making is essential for mutual understanding and infant best interests.
  • Addressing the emotional burden associated with NICU decisions requires clear role negotiation.
  • Further research is necessary to fully elucidate the concept of shared decision-making within the NICU context.