Neonatology in Austria: ethics to improve practice.
Ethics
Limit of viability
Neonatology
Virtue ethics
Journal
Medicine, health care, and philosophy
ISSN: 1572-8633
Titre abrégé: Med Health Care Philos
Pays: Netherlands
ID NLM: 9815900
Informations de publication
Date de publication:
Sep 2020
Sep 2020
Historique:
pubmed:
8
3
2020
medline:
30
6
2021
entrez:
8
3
2020
Statut:
ppublish
Résumé
In the world of Austrian neonatal intensive care units, the role of ethics is recognized only partially. The normatively tense cases that are at the backdrop of this essay concern the situations around the limit of viability (weeks 22 + 0 days to 25 + 6 days of gestation), which is the point in the development of an extremely preterm infant at which there are chances of extra-uterine survival. This essay first outlines the key explicit ethical challenges that are mainly concerned with notions of uncertainty and best interest. Then, it attempts to elucidate the less explicit ethical challenges related to the notion of nudging in the neonatal practice and argue that the role of ethics needs to be recognized more-with the focus on the role of virtue ethics-in order to improve the practice of neonatal medicine.
Identifiants
pubmed: 32144643
doi: 10.1007/s11019-020-09943-6
pii: 10.1007/s11019-020-09943-6
pmc: PMC7426316
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
361-369Références
J Epidemiol Community Health. 2012 Dec;66(12):1193-6
pubmed: 22766778
Semin Perinatol. 2014 Feb;38(1):38-46
pubmed: 24468568
J Pediatr Health Care. 2015 Sep-Oct;29(5):435-41
pubmed: 25769507
Pediatrics. 2011 Dec;128(6):e1511-9
pubmed: 22106080
Med Health Care Philos. 2019 Jun;22(2):231-238
pubmed: 30194513
J Paediatr Child Health. 2017 Feb;53(2):105-111
pubmed: 28194892
J Pediatr. 2016 Dec;179:36-41.e3
pubmed: 27665039
Am J Bioeth. 2016 May;16(5):31-3
pubmed: 27111365
Pediatrics. 2009 Jun;123(6):1588-90
pubmed: 19482770
Semin Fetal Neonatal Med. 2013 Apr;18(2):105-10
pubmed: 23200701
N Engl J Med. 2018 Nov 8;379(19):1851-1860
pubmed: 30403936
Semin Fetal Neonatal Med. 2018 Feb;23(1):25-29
pubmed: 29066179
Int J Technol Assess Health Care. 2019 Jan;35(1):5-9
pubmed: 30744713
Theor Med Bioeth. 2018 Apr;39(2):123-141
pubmed: 30056624
J Perinatol. 2015 May;35(5):338-43
pubmed: 25357097
J Med Ethics. 2012 Dec;38(12):713-8
pubmed: 23180252
Semin Perinatol. 2014 Feb;38(1):31-7
pubmed: 24468567
Clin Perinatol. 2014 Dec;41(4):799-814
pubmed: 25459775
Arch Dis Child Fetal Neonatal Ed. 2014 May;99(3):F181-8
pubmed: 24604108
Int J Technol Assess Health Care. 2016 Jan;32(1-2):10-5
pubmed: 27472157
J Med Ethics. 2017 Aug;43(8):495-500
pubmed: 28526778
J Perinatol. 2015 May;35(5):344-8
pubmed: 25474555
J Med Ethics. 2013 Aug;39(8):487-93
pubmed: 23427215
Pediatrics. 2015 Aug;136(2):343-50
pubmed: 26169424