Title : From moral reflexes to moral reflection: Interprofessional clinical ethics on the pediatric ICU
Whenever it comes to clinical decision making at the boundaries of life, multiprofessional perspectives and close attention to the values of both, affected patients and their families, need to be taken into account. Furthermore, the often-neglected moral distress or moral residue in teams of health care providers play an important role in the process of clinical decision-making, in particular in end-of-life situations. In the context of pediatric intensive care, the situation is even more complicated, since parents have to distinguish between the best interest of the child and their own interests on one hand and between (overly) optimistic and pessimistic perspectives of an ongoing treatment. This talk will present processes that facilitate families and teams in the setting of pediatric ICU to move from understandable moral reflexes and intuitions to moral reflection to determine the best therapeutic strategy and goal in critical care. Using clinical cases to illustrate the framework of ethically driven decision making will enable participants to translate the systematic approach to interprofessional clinical ethics into their own local contexts.