Abstract
Communication between parents and professionals in the NICU is a necessary part of collaborative decision making in the provision of family-centered care. Decisions with ethical components, those regarding treatment plans or neonatal research enrollment, need to be made conjointly with parents and health care professionals. This article reviews the present state of knowledge of how parents' input can be facilitated in regard to decisions made about their children. Research studies involving decisions made with ethical components in the NICU since the advent of the Baby Doe regulations reveal parents' frustration with communication practices, their need for control of information, and the trust in their children's health care providers that is required to best facilitate their input into ethical decisions made about their children.
MeSH terms
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Attitude to Health
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Canada
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Communication*
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Cooperative Behavior
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Decision Making* / ethics
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Disabled Children / legislation & jurisprudence
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Europe
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Family Nursing / ethics
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Family Nursing / organization & administration
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Family Nursing / psychology
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Frustration
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Humans
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Infant, Newborn
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Informed Consent / ethics
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Informed Consent / psychology
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Intensive Care Units, Neonatal
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Intensive Care, Neonatal / ethics
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Intensive Care, Neonatal / organization & administration
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Intensive Care, Neonatal / psychology*
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Neonatal Nursing / ethics
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Neonatal Nursing / organization & administration
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Nursing Methodology Research
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Nursing Staff, Hospital / ethics
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Nursing Staff, Hospital / psychology*
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Parents / education
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Parents / psychology*
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Patient Care Planning / ethics
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Patient-Centered Care / ethics
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Professional-Family Relations* / ethics
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United Kingdom
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United States
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Withholding Treatment / ethics
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Withholding Treatment / legislation & jurisprudence