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Technical, Medical, and Organizational Innovations in Neonatal Intensive Care in French Public Hospitals and the Transformation of Ethical Decision-Making

Author

Listed:
  • Lionel Honoré

    (UBO - Université de Brest, LEGO - Laboratoire d'Economie et de Gestion de l'Ouest - UBS - Université de Bretagne Sud - UBO - Université de Brest - IMT - Institut Mines-Télécom [Paris] - IBSHS - Institut Brestois des Sciences de l'Homme et de la Société - UBO - Université de Brest - UBL - Université Bretagne Loire - IMT Atlantique - IMT Atlantique - IMT - Institut Mines-Télécom [Paris], Institut d'Administration des Entreprises (IAE) - Brest)

  • Laure Gillot

    (Centre Hospitalier Le Mans (CH Le Mans), CEDITEC - Centre d'Etudes des discours, Images, Textes, Ecrits, Communications - UPEC UP12 - Université Paris-Est Créteil Val-de-Marne - Paris 12)

Abstract

This chapter uses participatory research to analyze the impact of medical and organizational innovations on ethical decision-making in a neonatal intensive care unit at a French public hospital (Centre Hospitalier du Mans). These decisions, defined as "ethical" in the work organization processes, concern decisions to limit, stop, or continue active therapies, as well as particularly risky decisive stages (e.g., catheter insertion). Taking into account the child's rhythms and modes of functioning, the multidisciplinary approach and new articulations between care and medical logics have had a major impact on the reconfiguration of ethical decision-making processes. This chapter focuses on the scope and limits of such approaches, showing how, in some cases, this innovation has led to profound changes in decision-making issues and, ultimately, in the results of decision-making.

Suggested Citation

  • Lionel Honoré & Laure Gillot, 2024. "Technical, Medical, and Organizational Innovations in Neonatal Intensive Care in French Public Hospitals and the Transformation of Ethical Decision-Making," Post-Print hal-04704154, HAL.
    • Handle: RePEc:hal:journl:hal-04704154
    DOI: 10.1007/978-3-031-67900-1_18
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