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Bioethical Decisions in Neonatal Intensive Care: Neonatologists’ Self-Reported Practices in Greek NICUs

Author

Listed:
  • Maria Dagla

    (Department of Midwifery, University of West Attica, 122 41 Athens, Greece)

  • Vasiliki Petousi

    (Department of Sociology, University of Crete, 741 00 Rethymno, Greece)

  • Antonios Poulios

    (Department of Psychology, National and Kapodistrian University of Athens, 157 72 Athens, Greece)

Abstract

This study presents, for the first time, empirical data on practices regarding bioethical decision-making in treatment of preterm and ill newborns in Greece. The aim of the study was to: (a) record self-reported practices and involvement of Greek physicians in decisions of withholding and withdrawing neonatal intensive care, and (b) explore the implication of cultural, ethical, and professional parameters in decision-making. Methods: 71 physicians, employed fulltime in all public Neonatal Intensive Care Units (NICUs) (n = 17) in Greece, completed an anonymous questionnaire between May 2009 and May 2011. Results: One-third of the physicians in our sample admitted that they have, at least once in the past, decided the limitation of intensive care of a newborn close to death (37.7%) and/or a newborn with unfavorable neurological prognosis (30.8%). The higher the physicians’ support towards the value of quality of human life, the more probable it was that they had taken a decision to withhold or withdraw neonatal intensive care ( p < 0.05). Conclusions: Our research shows that Greek NICU physicians report considerably lower levels of ethical decision-making regarding preterm and ill newborns compared to their counterparts in other European countries. Clinical practices and attitudes towards ethical decision-making appear to be influenced mainly by the Greek physicians’ values.

Suggested Citation

  • Maria Dagla & Vasiliki Petousi & Antonios Poulios, 2020. "Bioethical Decisions in Neonatal Intensive Care: Neonatologists’ Self-Reported Practices in Greek NICUs," IJERPH, MDPI, vol. 17(10), pages 1-14, May.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:10:p:3465-:d:358696
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    References listed on IDEAS

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    1. Ivar Krumpal, 2013. "Determinants of social desirability bias in sensitive surveys: a literature review," Quality & Quantity: International Journal of Methodology, Springer, vol. 47(4), pages 2025-2047, June.
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    1. Maria Dagla & Vasiliki Petousi & Antonios Poulios, 2021. "Neonatal End-of-Life Decision Making: The Possible Behavior of Greek Physicians, Midwives, and Nurses in Clinical Scenarios," IJERPH, MDPI, vol. 18(8), pages 1-12, April.

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