Authors describe these questions and highlight the problem of decision making. In fact, for many, this is where the conflict emanates. In conflict, the parents insist, and rightly, the right to decide for their child. As professionals, they want to respect their work ethic and protect the best interests of the child. In most cases, discussions can achieve similar views and agree on the interventions offered to the child. Unfortunately, in other cases, the conflict takes place between parents and medical team. The question "Who makes the decision? "Seems in order.
It is generally understood that parents are primarily responsible for treatment decisions, although their decisions may be influenced by factors that compromise their objectivity. Their decision also depends on information that will be provided and how it will be transmitted by their medical responders.
Furthermore, doctors are not without conflict of interest. Their personal and professional experience and personal goals can affect the information they convey to parents. The personality of the doctor (authoritarianism, manipulation, insecurity, etc..) Can also guide the choice in a different direction from that desired by the parties involved, especially as its status and knowledge give him a privileged position of power.
In some situations, a third party could participate in the decision, whether an ethics committee, a judge or the community. Several criticisms can be issued in the presence of this mechanism of conflict resolution. Tyson tried to outline a possible approach to the problem based on the risk of morbidity and mortality, but the conflict between the parties can remain unresolved.
All this thinking leads one to believe that the problem is not from "Who should decide? "But the process required to reach a consensus decision between the different stakeholders involved. The fundamental question is "How to reach a consensus decision? "
Some authors argue that communications specialists, in most cases, conflicts arise because we assume that the other has the same references that we use the same paths of thought and already knows what we mean. If the doctor is able to understand and remove barriers in the communication process to achieve an understanding of different viewpoints, a consensus decision can prevent conflict and respond to a question too difficult. The decision to comply as part of stakeholders' wishes to protect the interests of the child. This is for the doctor to find the area of consensus, while identifying and avoiding the pitfalls that cause a false debate.