End-of-life care in the Pediatric Intensive Care Units: Challenges and ethical principles

Morrow, Brenda

doi:10.4103/0972-5229.152749

Cited by 1 publication

(1 citation statement)

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“…Our research found that having diversity of opinion and of professions in bioethics committees or meetings were valued by physicians, which was perceived as supportive in helping resolve differences and come to a treatment decision about a complex issue. Roscigno and Swanson (2011) demonstrate the importance of broad communication, and Morrow (2015) underlines the benefit of seeking advice from experienced clinical ethics committee in the context of withdrawing technology at the end of life. Over time, bioethics committees have attempted to evolve to meet changing needs, for example, moving from domination by physicians to becoming more interdisciplinary in order to achieve better communication.…”

Section: Discussionmentioning

confidence: 99%

The Meaning Given to Bioethics as a Source of Support by Physicians Who Care for Children Who Require Long-Term Ventilation

et al. 2022

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The role and potential of bioethics input when a child requires the initiation of technology dependence to sustain life is relatively unknown. In particular, little is understood about the meaning physicians give to bioethics as a source of support during the care of children in pediatric intensive care who require long-term ventilation (LTV). We used a hermeneutic phenomenological approach to underpin the collection and analysis of data. Unstructured interviews of 40 physicians in four countries took place during 2020. We found that elements of trust, communication and acceptance informed the physicians’ perceptions of the relationship with bioethics. These ranged from satisfaction to disappointment with their input into critical decisions. Bioethics services have potential to help physicians gain clarity over distressing and complex care decisions, yet physicians perceive the service inconsistently as a means of support. This research provides a sound basis to guide more beneficial interactions between clinicians and bioethics services.

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Section: Discussionmentioning

confidence: 99%