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The moral experience of parents regarding life-support decisions for their critically-ill children: a preliminary study in France

Montreal Children's Hospital, McGill University Health Centre, Montreal, Canada

Pierre Canouï, MD

Philippe Hubert, MD

Hôpital Necker-Enfants Malades, Paris, France

Catherine Farrell, MD

Hôpital Ste-Justine, Montreal, Canada

Francis Leclerc, MD

Hôpital Jeanne-de-Flandre, Lille, France

Amélie Doussau, RN

Marie-Josée Seguin, RN, BScN

Montreal Children's Hospital, McGill University Health Centre, Montreal, Canada

Jacques Lacroix, MD

Hôpital Ste-Justine, Montreal, Canada

The common paediatric critical care practice in France is for physicians (rather than parents) to maintain the ultimate responsibility for lifesupport decisions in children. Some French literature asserts that it is inappropriate for parents to bear such responsibilities because they do not have the required knowledge and should be protected from feeling culpable for such decisions. The aim of this grounded theory preliminary study was to examine the moral experience of parents of critically-ill children that required life-support decisions in France. A convenience purposive sample of seven parents was recruited in Paris. Five principal themes emerged as significant from these interviews: (1) a need for more information; (2) physicians should be responsible for life-support decisions; (3) the child's concerns and wishes need to be better heard; (4) maternal guilt; and (5) physicians require better training in parent communication. These findings raise important issues for clinical practice and further research in France.

Key Words: critical care • decision-making • France • paediatric • responsibility

Journal of Child Health Care, Vol. 10, No. 1, 69-82 (2006)
DOI: 10.1177/1367493506060209


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