ArticleCritical care (London, England)2018
New perspectives on substituted relational autonomy for shared decision-making in critical care.
Article in Critical care (London, England), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Relational autonomy: what does it mean and how is it used in end-of-life care? A systematic review of argument-based ethics literature.BMC medical ethics · 2019Pooled it
- Covert medication in India-Revisiting practice in the light of Mental Healthcare Act (MHCA) 2017.Indian journal of psychiatry · 2026Article
- The Effect of Shared Decision-Making on Emergency Management Knowledge, Anxiety, and Mental Health Among Family Members of Terminally Ill Patients in the ICU: A Quasiexperimental Study.Nursing research and practice · 2026Article
- Healthcare professionals' perceptions of ethical issues in palliative sedation: A moral case deliberation study in eight European countries.Palliative care and social practice · 2026Article
- How is caring paternalism feasible in the intensive care unit? - an ethnographic study.BMC nursing · 2025Article
- Ethical considerations for the nursing care of Transgender patients in the Intensive Care Unit.Nursing in critical care · 2025Article
- Practical approaches to the tasks of preserving autonomy and respecting vulnerability among critically ill adult patients: a narrative review.Critical care science · 2025Review
- Toward a new personalized psycho-social approach for the support of prostate cancer and their caregivers dyads: a pilot study.Frontiers in medicine · 2024Article
- Ethical Implications of Nutrition Therapy at the End of Life.Current gastroenterology reports · 2023Review
- Communication and visiting policies in Italian intensive care units during the first COVID-19 pandemic wave and lockdown: a nationwide survey.BMC anesthesiology · 2022Article
- Presentation of ethical criteria during medical decision-making for critically ill patients: a mixed methods study.BJA open · 2022Article
- What does coercion in intensive care mean for patients and their relatives? A thematic qualitative study.BMC medical ethics · 2022Article
- [Overtreatment in intensive care medicine-recognition, designation, and avoidance : Position paper of the Ethics Section of the DIVI and the Ethics section of the DGIIN].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2021Review
- Relational autonomy in end-of-life care ethics: a contextualized approach to real-life complexities.BMC medical ethics · 2020Article
- ELS (Ethical Life Support): a new teaching tool for medical ethics.Critical care (London, England) · 2019Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In critical care when unconscious patients are assisted by machines, humanity is mainly ensured by respect for autonomy, realised through advance directives or, mostly, reconstructed by cooperation with relatives. Whereas patient-centred approaches are widely discussed and fostered, managing communication in complex, especially end-of-life, situations in open intensive care units is still a point of debate and a possible source of conflict and moral distress. In particular, healthcare teams are often sceptical about the growing role of families in shared decision-making and their ability to represent patients' preferences. New perspectives on substituted relational autonomy are needed for overcoming this climate of suspicion and are discussed through recent literature in the field of medical ethics.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.