Valuable in examining health care decision,the decision making process and the context in which patients view the decision making Therefore the purpose of this paper is to synthesize the existing qualitative literature about parental involvement in ethical decision making for critically I'll neonates. Synthesis of qualitative findings can also be used of theory development by identifying common domains of interest across studies The resulting theory can then suggest hypotheses for further testing A Secondary aim of this study is the development of a preliminary theoretical framework of parent ethical decision making