Moral responsibility, constrained authority: Neonatal nurses navigating periviable shared decision-making

Osama Mohamed Elsayed Ramadan, Hamda Ahmed Mohamed Eldesoky, Hassan M. Elamin, Reda Samy, Ghada Elsaid Ali Elsayed, Department of Maternal and Child Health Nursing, College of Nursing, Jouf University, Saudi Arabia, Department of Medical-Surgical Nursing, Nursing College, Najran University, Najran City, Saudi Arabia, Health Research Centre, Najran University, Saudi Arabia, Department of Medical Surgical Nursing, College of Nursing, Jouf University, Saudi Arabia, Department of Community and Mental Health Nursing, College of Nursing, Najran University, Saudi Arabia

Nursing Ethics: An International Journal for Health Care Professionals

Published online on July 23, 2026

Abstract

Nursing Ethics, Ahead of Print.
BackgroundShared decision-making at the threshold of viability is one of the most ethically complex areas of neonatal practice. For neonatal nurses, involvement is shaped by uncertainty, infant suffering, parental vulnerability, hierarchy, and enduring ...