Nudge Theory and Role of Nudging Strategies in Neonatology and Child Health

Abstract

Nudging is a recent effective behavioral strategy used to improve health outcomes. The principle component of nudging is choice architecture which alters the decisions we make while preserving the individual’s freedom of choice. Nudging strategy can be applied in NICU in scenarios of limit of viability and ethical dilemmas whether to continue life-sustaining treatment or not. This is effective to promote breastfeeding, improve vaccination status in children, reduce antibiotic over prescription in viral illness, to reduce hospital discharge inconsistencies and to promote hand washing. Nudging may not be always morally neutral and context dependant. Doctors need to develop new communication skills to help parents clarify their values and chose shared decision making procedure. Transparency about nudging at the level of guidelines combined with professional virtues is opted.