Editor—We read with interest the paper by Cuttini et al.1Although policy on parental visiting is an easier issue to evaluate, parental participation in decision making, particularly in decisions with strong ethical overtones, is much more complex. It is difficult to evaluate with accuracy, and by its nature is much more controversial. The paper does not stress that data collected from each participating unit, through a structured questionnaire completed by the unit coordinator, represent policies—that is, the intention and stance of each unit towards the …