Appropriateness of care and moral distress among neonatal intensive care unit staff: repeated measurements

2015 ◽  
Vol 21 (3) ◽  
pp. e19-e27 ◽  
Author(s):  
Jacoba Coby de Boer ◽  
Joost van Rosmalen ◽  
Arnold B. Bakker ◽  
Monique van Dijk
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Moral Distress ◽  
Repeated Measurements ◽  
Intensive Care Unit Staff ◽  
Appropriateness Of Care

Response to “Giving ‘Moral Distress’ a Voice: Ethical Concerns Among Neonatal Intensive Care Unit Personnel” by Pam Hefferman and Steve Heilig and “Neonatal Viability in the 1990s: Held Hostage by Technology” by Jonathan Muraskas et al. (CQ Vol 8, No 2)

2000 ◽  
Vol 9 (3) ◽  
pp. 400-403 ◽  
Author(s):  
Anita J. Catlin ◽  
Brian S. Carter
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Moral Distress ◽  
Medical Support ◽  
Ethical Concerns ◽  
Growing Body ◽  
Care Practices

The Spring 1999 issue of Cambridge Quarterly (Volume 8, Number 2) adds to the growing body of academic inquiry into the goals of neonatal intensive care practices. Muraskas and colleagues thoughtfully presented the possibility of nontreatment for neonates born at or under 24 weeks gestation. Jain, Thomasma, and Ragas explained that quality of future life must not be ignored in clinical deliberation. And Hefferman and Heilig described once again the dilemmas nurses face when caring for potentially devastated neonates kept alive by technology. These authors take brave steps by publicly questioning the trend of intensive medical support for most every American-born product of conception. But many questions addressing the goals of neonatal intensive care remain, and few authors have actually tried to distill these goals.

Burnout in neonatal intensive care unit nurses: relationships with moral distress, adult attachment insecurities, and proneness to guilt and shame

2020 ◽  
Vol 48 (4) ◽  
pp. 416-422 ◽  
Author(s):  
Peter Barr
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Adult Attachment ◽  
Neonatal Intensive Care ◽  
Moral Distress ◽  
Self Report ◽  
Anxious Attachment ◽  
Cross Sectional ◽  
Shame Proneness

AbstractBackgroundInformed by the person-environment transactional model of stress, the purpose of the study was to explore the relationships of environment-related moral distress and person-related anxious and avoidant adult attachment insecurities, and personality proneness to guilt and shame with burnout in neonatal intensive care unit (NICU) nurses.MethodsThis was a multicenter cross-sectional self-report questionnaire cohort study comprising 142 NICU nurses currently working on six Level 3–4 NICUs in New South Wales, Australia.ResultsBurnout was reported by 37% of NICU nurses. Moral distress, anxious and avoidant attachment, and guilt- and shame-proneness had moderate-large zero-order correlations with burnout. Overall, these predictor variables explained 40% of the variance in burnout. Moral distress (β = 0.40, P < 0.001), anxious attachment (β = 0.18, P < 0.05) and shame-proneness (β = 0.22, P < 0.01) were unique predictors of burnout. Shame-proneness partially mediated the effect of anxious attachment on burnout [indirect effect, B = 0.12, confidence interval (CI) (0.051–0.201)].ConclusionThe management of burnout in NICU nurses requires attention not only to environment-related moral distress but also to person-related anxious and avoidant adult attachment insecurities and personality proneness to guilt and shame.

Moral Distress in Neonatal Intensive Care Unit RNs

2010 ◽  
Vol 10 (3) ◽  
pp. 145-156 ◽  
Author(s):  
Terri A. Cavaliere ◽  
Barbara Daly ◽  
Donna Dowling ◽  
Kathleen Montgomery
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Moral Distress

scholarly journals Trends in Pediatric Palliative Care Research (TPPCR) 2021; Issue #3: Commentary on Guttmann et al and Dryden-Palmer et al.

2021 ◽  
Author(s):  
Christina Vadeboncoeur ◽  
TPPCR
Keyword(s):  
Intensive Care Unit ◽  
Palliative Care ◽  
Critical Care ◽  
Intensive Care ◽  
Symptom Management ◽  
Neonatal Intensive Care ◽  
Moral Distress ◽  
Pediatric Palliative Care ◽  
Pediatric Critical Care ◽  
Intensive Care Unit Staff

This TPPCR commentary discusses the 2021 paper by Guttmann et al and Dryden-Palmer et al., “Goals of Care Discussions and Moral Distress among Neonatal Intensive Care Unit Staff” published in the Journal of Pain and Symptom Management and the 2021 paper by Dryden-Palmer et al., “Moral Distress of Clinicians in Canadian Pediatric and Neonatal ICUs” published in Pediatric Critical Care Medicine.

Sign in / Sign up

Export Citation Format

Share Document