scholarly journals Communication between healthcare professionals and parents is a key factor in involving parents in neonatal intensive care

2017 ◽  
Vol 107 (1) ◽  
pp. 12-13 ◽  
Author(s):  
Sari Ahlqvist-Björkroth
Keyword(s):  
Intensive Care ◽  
Neonatal Intensive Care ◽  
Healthcare Professionals ◽  
Key Factor

Attitudes and Experiences Towards Death of Healthcare Professionals Working in Neonatal Intensive Care Units

2021 ◽  
pp. 003022282110486
Author(s):  
Dimitra Metallinou ◽  
Sofia Bardo ◽  
Iliana Kitsonidou ◽  
Niki Sotiropoulou
Keyword(s):  
Intensive Care ◽  
End Of Life ◽  
Intensive Care Units ◽  
Neonatal Intensive Care ◽  
Healthcare Professionals ◽  
Personal Characteristics ◽  
Educational Status ◽  
Neonatal Intensive Care Units ◽  
Neonatal Deaths ◽  
Research Period

Background Death is an integral part of neonatal intensive care units’ (NICUs) environment and little it is known about NICU’s staff death concepts. Aim To investigate attitudes and experiences towards death of healthcare professionals (HPs) working in NICUs Design Totally 131 participants from six hospitals were included in the study. Research instruments were a questionnaire designed by the authors and the scale Death Attitude Profile-Revised. Results Gender, marital and educational status, frequent contact with end of life neonates and provision of neonatal end of life care during the research period correlated significantly with dimensions of DAP-R. Impact of NICU neonatal deaths on personal life correlated negatively with fear of death and positively with escape acceptance. Conclusion Evaluating the interrelationships among personal characteristics, attitudes and experiences towards death among NICU HPs may increase our understanding concerning working with dying neonates and provide direction for educational intervention and continuing professional support.

scholarly journals Neonatal End-of-Life Decision Making: The Possible Behavior of Greek Physicians, Midwives, and Nurses in Clinical Scenarios

2021 ◽  
Vol 18 (8) ◽  
pp. 3938
Author(s):  
Maria Dagla ◽  
Vasiliki Petousi ◽  
Antonios Poulios
Keyword(s):  
Intensive Care ◽  
Neonatal Intensive Care ◽  
Healthcare Professionals ◽  
Intrinsic Value ◽  
Full Time ◽  
Clinical Scenarios ◽  
Extremely Preterm ◽  
The Face ◽  
End Of Life Decision

Background: This study investigates the acceptability, bioethical justification, and determinants of the provision of intensive care to extremely preterm or ill neonates among healthcare professionals serving in NICUs in Greek hospitals. Methods: Healthcare professionals (71 physicians, 98 midwives, and 82 nurses) employed full-time at all public Neonatal Intensive Care Units (NICUs) (n = 17) in Greece were asked to report their potential behavior in three clinical scenarios. Results: The majority of healthcare professionals would start and continue intensive care to (a) an extremely preterm neonate, (b) a full-term neonate with an unfavorable prognosis, and (c) a neonate with complete phocomelia. In cases (a) and (b), midwives and nurses compared to physicians (p = 0.009 and p = 0.004 in scenarios (a) and (b), respectively) and health professionals ascribing to the quality-of-life principle compared to those ascribing to the intrinsic value of life (p = 0.001 and p = 0.01 scenarios (a) and (b) respectively), tend towards withholding or withdrawing care. Religion plays an important role in all three scenarios (p = 0.005, p = 0.017 and p = 0.043, respectively). Conclusions: Understanding healthcare professionals’ therapeutic intensiveness in the face of NICU ethical dilemmas can improve NICU policies, support strategies, and, consequently, the quality of neonatal intensive care.

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