Perinatal Care at the threshold of viability Part II: Decision-making at the threshold of viability and ethical challenges at Neonatal Intensive Care Units (NICUs)
Stanak M, Hawlik K
Record ID 32018000201
English
Authors' objectives:
The aim of this project was to provide decision support for resource planning of NICUs in Austria. We collected evidence on decision-making practices (guidelines, good practice models, and communication strategies) and ethical challenges at the limit of viability.
Authors' recommendations:
Decision-making at the limit of viability is, to a large extent, context dependant. Different countries issue different guidelines that operate at the backdrop of different contexts. Cognitive biases, however, influence decision-making processes, especially in the grey zone where shared decision-making with parents is involved. The role of ethics support also varies with context, but its role in supporting NICU professionals in decision-making as well as in the challenges encountered when facing these ethical dilemmas is inevitable.
Details
Project Status:
Completed
Year Published:
2017
URL for published report:
http://eprints.hta.lbg.ac.at/1148/1/HTA-Projektbericht_Nr.97b.pdf
URL for additional information:
http://eprints.hta.lbg.ac.at/1148/
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
Austria
MeSH Terms
- Child
- Decision Making
- Female
- Humans
- Infant, Newborn
- Morals
- Perinatal Care
- Pregnancy
Contact
Organisation Name:
Ludwig Boltzmann Institute for Health Technology Assessment
Contact Address:
Ludwig Boltzmann Institute for fuer Health Technology Assessment (LBI-HTA), Garnisongasse 7/rechte Stiege Mezzanin (Top 20), 1090 Vienna, Austria. Tel: +43 1 236 8119 - 0 Fax: +43 1 236 8119 - 99
Contact Name:
tarquin.mittermayr@aihta.at
Contact Email:
office@aihta.at
Copyright:
Ludwig Boltzmann Institut fuer Health Technology Assessment (LBI-HTA)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.