Archives Ethics - Dr Annie Janvier

The Physician-Parent Relationship in Pediatrics: The Foundation of Care

The Physician-Parent Relationship in Pediatrics: The Foundation of Care Why the physician-parent relationship is central to pediatric care. Trust, communication, and shared decision-making improve outcomes for children. A Unique Clinical Relationship Pediatrics is different from most areas of medicine. The child is the patient. This triangular dynamic makes the physician-parent relationship in pediatrics both complex

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Neurodevelopmental Impairment: Who Defines It?

Neurodevelopmental Impairment : Who Defines It? Neurodevelopmental impairment (NDI) is a key neonatal outcome measure- often the primary outcome. It is frequently included in composite outcomes such as “death or NDI,” which raises significant ethical and scientific concerns. Why Use NDI as a Primary Outcome is Problematic NDI itself is a composite measure, encompassing: This

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Giving a Voice to Parents in Neonatology: Why Their Perspective is Essential

Giving a Voice to Parents in Neonatology: Why Their Perspective is Essential When a baby is born prematurely, their parents’ world is turned upside down. They find themselves in a highly specialized medical environment where every heartbeat and breath is closely monitored. But a fundamental question arises: how can we truly assess the well-being and

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Moral distress within neonatal and paediatric intensive care units: a systematic review

To review the literature on moral distress experienced by nursing and medical professionals within neonatal intensive care units (NICUs) and paediatric intensive care units (PICUs).

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Moral distress in the neonatal intensive care unit: caregiver’s experience

To determine the frequency with which nurses and residents have experienced ethical confrontations and what factors are associated with increased frequency.

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The ethics of neonatal resuscitation at the margins of viability: informed consent and outcomes.

To determine the adequacy of records of parental counseling in mothers with threatened preterm delivery before 27 weeks gestation, whether interventions performed at birth were consistent with recorded antenatal decisions and whether extent of resuscitation affected the occurrence of serious short-term morbidity.

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