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URL Address
<a href="http://doi.org/10.1136/medethics-2011-100428" target="_blank" rel="noreferrer">http://doi.org/10.1136/medethics-2011-100428</a>
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Title
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The attitudes of neonatal professionals towards end-of-life decision-making for dying infants in Taiwan
Publisher
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Journal Of Medical Ethics
Date
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2013
Subject
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Cross-Sectional Studies; Female; Humans; infant; Male; Intensive Care Units; Terminal Care; decision making; referral and consultation; Adult; Attitude of Health Personnel; Education; Medical Staff; Withholding Treatment; Questionnaires; Middle Aged; Attitude to Death; Resuscitation Orders; Self Report; Neonatology; Medical; Neonatal; Nursing Staff; Newborn; Clinical; Ethics Committees; Taiwan; Hospital; continuing
Creator
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Huang L-C; Chen CH; Liu Hsin-Li; Lee Ho-Yu; Peng Niang-Huei; Wang Teh-Ming; Chang YC
Description
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The purposes of research were to describe the neonatal clinicians' personal views and attitudes on neonatal ethical decision-making, to identify factors that might affect these attitudes and to compare the attitudes between neonatal physicians and neonatal nurses in Taiwan. Research was a cross-sectional design and a questionnaire was used to reach different research purposes. A convenient sample was used to recruit 24 physicians and 80 neonatal nurses from four neonatal intensive care units in Taiwan. Most participants agreed with suggesting a do not resuscitate (DNR) order to parents for dying neonates (86.5%). However, the majority agreed with talking to patients about DNR orders is difficult (76.9%). Most participants agree that review by the clinical ethics committee is needed before the recommendation of 'DNR' to parents (94.23%) and nurses were significantly more likely than physicians to agree to this (p=0.043). During the end-of-life care, most clinicians accepted to continue current treatment without adding others (70%) and withholding of emergency treatments (75%); however, active euthanasia, the administration of drug to end-of-life, was not considered acceptable by both physicians and nurses in this research (96%). Based on our research results, providing continuing educational training and a formal consulting service in moral courage for neonatal clinicians are needed. In Taiwan, neonatal physicians and nurses hold similar values and attitudes towards end-of-life decisions for neonates. In order to improve the clinicians' communication skills with parents about DNR options and to change clinicians' attitudes for providing enough pain-relief medicine to dying neonates, providing continuing educational training and a formal consulting service in moral courage are needed.
2013-06
Identifier
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<a href="http://doi.org/10.1136/medethics-2011-100428" target="_blank" rel="noreferrer">10.1136/medethics-2011-100428</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
2013
Adult
Attitude Of Health Personnel
Attitude To Death
Backlog
Chang YC
Chen CH
Clinical
Continuing
Cross-sectional Studies
Decision Making
Education
Ethics Committees
Female
Hospital
Huang L-C
Humans
Infant
Intensive Care Units
Journal Article
Journal of Medical Ethics
Lee Ho-Yu
Liu Hsin-Li
Male
Medical
Medical Staff
Middle Aged
Neonatal
Neonatology
Newborn
Nursing Staff
Peng Niang-Huei
Questionnaires
Referral And Consultation
Resuscitation Orders
Self Report
Taiwan
Terminal Care
Wang Teh-Ming
Withholding Treatment