Proportionality and the process of decision-making around ICU admission: A narrative review of the ethical complexities of navigating from “can” to “ought”

Moral case deliberation as an example of a clinical ethics approach shows promise as an education tool and a way to build decision-making capacity and trust between ICU and other clinicians. Proportionality is a suitable approach to framing benefit and weighing competing tensions. Further research is required to explore the impact of these elements on navigating shared ethical tensions.

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Publication Details

Journal
Journal of Critical Care
Published
2026-01-19
DOI
https://doi.org/10.1016/j.jcrc.2026.155434
Primary Topic
Ethics in medical practice
Type
article
Field-Weighted Citation Impact
0.00
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article

Proportionality and the process of decision-making around ICU admission: A narrative review of the ethical complexities of navigating from “can” to “ought”

Alastair Brown, Timothy Haydon
Journal of Critical Care
Ethics in medical practice
article

Proportionality and the process of decision-making around ICU admission: A narrative review of the ethical complexities of navigating from “can” to “ought”

Alastair Brown, Timothy Haydon
article en

Abstract

Moral case deliberation as an example of a clinical ethics approach shows promise as an education tool and a way to build decision-making capacity and trust between ICU and other clinicians. Proportionality is a suitable approach to framing benefit and weighing competing tensions. Further research is required to explore the impact of these elements on navigating shared ethical tensions.

Journal of Critical CareVol. 93
St Vincent's Hospital Melbourne (AU), Australian and New Zealand Intensive Care Society (AU)
Peace, Justice and strong institutions
Openalex Percentile: Top 87%
Ethics in medical practice
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