Below is a summary of “Decision Making in Very Preterm Infants: A Qualitative and Systematic Review” published in the December 2022 issue. Pediatrics by Krick et al.
For the study, researchers sought to summarize and discuss the key factors in the decision-making process for threatened preterm birth at the limits of fertility.
The following databases were searched: PubMed, EMBASE, Web of Science, and CINAHL Plus. From 1990 to July 2021, all literature on qualitative decision making was covered. Two authors independently screened and assessed each study using the Critical Appraisal Skills Program checklist. It contained moderate to high quality papers. Data for each qualitative article was extracted using the technology they created and analyzed and described using a thematic approach.
Twenty-five articles with input from 504 experts and 352 parents were selected for final evaluation. The themes of decision-making considerations, information sharing, partnership building, and decision-making itself emerged from the subject analysis as the four key themes that best captured the experiences of providers and parents involved in decision-making. became. The most important elements of the decision-making process were not always agreed upon by parents and guardians. English language publications were not included in the article.
Providers can be informed and guided during the collaborative decision-making process by qualitative literature that highlights key factors important during prenatal counseling. Prenatal consultations allow healthcare providers to make individualized decisions for each newborn by providing clear, honest and balanced information. Avoid artificially dichotomous alternatives. Then focus on building relationships with your family.
reference: jpeds.com/article/S0022-3476(22)00666-7/full text