PT  - JOURNAL ARTICLE
AU  - Stuart G Nicholls
TI  - Proceduralisation, choice and parental reflections on decisions to accept newborn bloodspot screening
AID  - 10.1136/medethics-2011-100040
DP  - 2012 May 01
TA  - Journal of Medical Ethics
PG  - 299--303
VI  - 38
IP  - 5
4099  - http://jme.bmj.com/content/38/5/299.short
4100  - http://jme.bmj.com/content/38/5/299.full
SO  - J Med Ethics2012 May 01; 38
AB  - Newborn screening is the programme through which newborn babies are screened for a variety of conditions shortly after birth. Programmes such as this are individually oriented but resemble traditional public health programmes because they are targeted at large groups of the population and they are offered as preventive interventions to a population considered healthy. As such, an ethical tension exists between the goals of promoting the high uptake of supposedly ‘effective’ population-oriented programmes and the goal of promoting genuinely informed decision-making. There is, however, a lack of understanding with regard to how parents experience the tension between promoting uptake and facilitating informed choice. This paper addresses this issue, and data are presented to show how aspects of the timing, presentation of information and procedural routinisation of newborn screening serves to impact on the decisions made by parents.