IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v17y2020i10p3465-d358696.html
   My bibliography  Save this article

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
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/17/10/3465/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/17/10/3465/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    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.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    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.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Michael T Gastner & Károly Takács & Máté Gulyás & Zsuzsanna Szvetelszky & Beáta Oborny, 2019. "The impact of hypocrisy on opinion formation: A dynamic model," PLOS ONE, Public Library of Science, vol. 14(6), pages 1-21, June.
    2. Babette Bühler & Katja Möhring & Andreas P. Weiland, 2022. "Assessing dissimilarity of employment history information from survey and administrative data using sequence analysis techniques," Quality & Quantity: International Journal of Methodology, Springer, vol. 56(6), pages 4747-4774, December.
    3. Sjöstedt, Martin & Sundström, Aksel & Jagers, Sverker C. & Ntuli, Herbert, 2022. "Governance through community policing: What makes citizens report poaching of wildlife to state officials?," World Development, Elsevier, vol. 160(C).
    4. Tricia Koroknay†Palicz & Joao Montalvao, 2020. "Sex, Lies, and Surveys: The Role of Interviewer Characteristics," Economics Bulletin, AccessEcon, vol. 40(4), pages 3313-3324.
    5. Burke, Mary A. & Carman, Katherine G., 2017. "You can be too thin (but not too tall): Social desirability bias in self-reports of weight and height," Economics & Human Biology, Elsevier, vol. 27(PA), pages 198-222.
    6. Shinichi Kitano, 2021. "Estimation of Determinants of Farmland Abandonment and Its Data Problems," Land, MDPI, vol. 10(6), pages 1-17, June.
    7. Burgstaller, Lilith & Feld, Lars P. & Pfeil, Katharina, 2022. "Working in the shadow: Survey techniques for measuring and explaining undeclared work," Journal of Economic Behavior & Organization, Elsevier, vol. 200(C), pages 661-671.
    8. Seres, Gyula & Balleyer, Anna Helen & Cerutti, Nicola & Danilov, Anastasia & Friedrichsen, Jana & Liu, Yiming & Süer, Müge, 2021. "Face masks increase compliance with physical distancing recommendations during the COVID-19 pandemic," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 7(2), pages 139-158.
    9. Yuning Wu & Ivan Y. Sun & Rong Hu, 2021. "Cooperation with Police in China: Surveillance Cameras, Neighborhood Efficacy and Policing," Social Science Quarterly, Southwestern Social Science Association, vol. 102(1), pages 433-453, January.
    10. Egon Dejonckheere & Brock Bastian, 2021. "Perceiving Social Pressure not to Feel Negative is Linked to a More Negative Self-concept," Journal of Happiness Studies, Springer, vol. 22(2), pages 667-679, February.
    11. Martin Korndörfer & Boris Egloff & Stefan C. Schmukle, 2015. "A Large Scale Test of the Effect of Social Class on Prosocial Behavior," Working Papers 1601, Gutenberg School of Management and Economics, Johannes Gutenberg-Universität Mainz.
    12. Chadi, Adrian, 2013. "Third Person Effects in Interview Responses on Life Satisfaction," Schmollers Jahrbuch : Journal of Applied Social Science Studies / Zeitschrift für Wirtschafts- und Sozialwissenschaften, Duncker & Humblot, Berlin, vol. 133(2), pages 323-333.
    13. Michela Accerenzi & Pablo Brañas-Garza & Diego Jorrat, 2022. "Parents’ knowledge and predictions about the age of menarche: Experimental evidence from Honduras," Working Papers 132, Red Nacional de Investigadores en Economía (RedNIE).
    14. Guo, Shiau-Ling, 2023. "The governance implication of the geographic concentration of franchise activities for franchise relationships," Journal of Business Research, Elsevier, vol. 157(C).
    15. Victoire Girard, 2021. "Stabbed in the back? Mandated political representation and murders," Social Choice and Welfare, Springer;The Society for Social Choice and Welfare, vol. 56(4), pages 595-634, May.
    16. McCoy, Selina & Carroll, Eamonn & Ye, Keyu, 2024. "‘Embracing Diversity in all its Forms’: The Voluntary Secondary Sector in Irish Education," Research Series, Economic and Social Research Institute (ESRI), number RS182.
    17. Giorgio Piccitto & Hans M. A. Schadee & Gabriele Ballarino, 2023. "Job Satisfaction and Gender in Italy: A Structural Equation Modeling Approach," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 169(3), pages 775-793, October.
    18. Kuehnle, Daniel, 2019. "How effective are pictorial warnings on tobacco products? New evidence on smoking behaviour using Australian panel data," Journal of Health Economics, Elsevier, vol. 67(C).
    19. Marsha L. Brierley & Lindsey R. Smith & Angel M. Chater & Daniel P. Bailey, 2022. "A-REST (Activity to Reduce Excessive Sitting Time): A Feasibility Trial to Reduce Prolonged Sitting in Police Staff," IJERPH, MDPI, vol. 19(15), pages 1-27, July.
    20. James Fudurich & Lena Suchanek & Lise Pichette, 2021. "Adoption of digital technologies: Insights from a global survey initiative," Discussion Papers 2021-7, Bank of Canada.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:17:y:2020:i:10:p:3465-:d:358696. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.