1 40 1 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource April 2022 List Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Citation List Month April 2022 List URL Address <a href="http://doi.org/10.3390/medicina58020250" target="_blank" rel="noreferrer noopener">http://doi.org/​10.3390/medicina58020250</a> Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource End-of-Life Decision-Making in Pediatric and Neonatal Intensive Care Units in Croatia-A Focus Group Study among Nurses and Physicians Publisher An entity responsible for making the resource available Medicina (Kaunas) Date A point or period of time associated with an event in the lifecycle of the resource 2022 Subject The topic of the resource Infant Newborn; Intensive Care Units Neonatal; Physicians; Terminal Care; Adult; Child; critical care; Croatia; Death; Decision Making; end-of-life; focus groups; Focus Groups; Humans; Intensive Care Units; neonatal intensive care unit; nurses; pediatric intensive care unit; physicians Creator An entity primarily responsible for making the resource Rubic F; Curkovic M; Brajkovic L; Nevajdic B; Novak M; Filipovic-Grcic B; Mestrovic J; Lah Tomulic K; Peter B; Borovecki A Description An account of the resource Background and Objectives: Working in pediatric and neonatal intensive care units (ICUs) can be challenging and differs from work in adult ICUs. This study investigated for the first time the perceptions, experiences and challenges that healthcare professionals face when dealing with end-of-life decisions in neonatal intensive care units (NICUs) and pediatric intensive care units (PICUs) in Croatia. Materials and Methods: This qualitative study with focus groups was conducted among physicians and nurses working in NICUs and PICUs in five healthcare institutions (three pediatric intensive care units (PICUs) and five neonatal intensive care units (NICUs)) at the tertiary level of healthcare in the Republic of Croatia, in Zagreb, Rijeka and Split. A total of 20 physicians and 21 nurses participated in eight focus groups. The questions concerned everyday practices in end-of-life decision-making and their connection with interpersonal relationships between physicians, nurses, patients and their families. The constant comparative analysis method was used in the analysis of the data. Results: The analysis revealed two main themes that were the same among the professional groups as well as in both NICU and PICU units. The theme "critical illness" consisted of the following subthemes: the child, the family, myself and other professionals. The theme "end-of-life procedures" consisted of the following subthemes: breaking point, decision-making, end-of-life procedures, "spill-over" and the four walls of the ICU. The perceptions and experiences of end-of-life issues among nurses and physicians working in NICUs and PICUs share multiple common characteristics. The high variability in end-of-life procedures applied and various difficulties experienced during shared decision-making processes were observed. Conclusions: There is a need for further research in order to develop clinical and professional guidelines that will inform end-of-life decision-making, including the specific perspectives of everyone involved, and the need to influence policymakers. Identifier An unambiguous reference to the resource within a given context <a href="http://doi.org/10.3390/medicina58020250" target="_blank" rel="noreferrer noopener">10.3390/medicina58020250</a> 2022 Adult April 2022 List Borovecki A Brajkovic L Child Critical Care Croatia Curkovic M Death Decision Making end-of-life Filipovic-Grcic B Focus Groups Humans Infant Newborn Intensive Care Units Intensive Care Units Neonatal Lah Tomulic K Medicina (Kaunas) Mestrovic J Neonatal Intensive Care Unit Nevajdic B Novak M Nurses Pediatric Intensive Care Unit Peter B Physicians Rubic F Terminal Care