Ethical considerations in the neonatal intensive care unit

Lisa J. Sundean, Jacqueline M. McGrath

Research output: Contribution to journalArticlepeer-review

11 Scopus citations


Advances in treatment and technology capabilities, coupled with the ability to care for younger, smaller, and sicker neonates contribute to ethical conflicts in the neonatal intensive care unit (NICU). Although the ethical approach to care is sometimes inconsistent, it is important for clinicians to develop and adopt a framework for ethical decision-making in the NICU. Providers need to understand the four ethical principles of autonomy, beneficence, nonmaleficence, and justice and apply these principles to clinical decision-making about care in the NICU. Ethical decision-making must be family-centered and respectful of cultural differences. Providers must comply with professional ethical guidelines as well as government and legal mandates. Adopting ethical frameworks for neonatal care ensures a more holistic approach to care in the highly technical environment of the NICU.

Original languageEnglish (US)
Pages (from-to)117-120
Number of pages4
JournalNewborn and Infant Nursing Reviews
Issue number3
StatePublished - Sep 2013
Externally publishedYes


  • Autonomy
  • Beneficence
  • Ethics
  • Justice
  • Neonatal intensive care unit
  • Nonmaleficence

ASJC Scopus subject areas

  • Pediatrics


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