The attitudes of neonatal professionals towards end-of-life decision-making for dying infants in Taiwan
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...
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Format: | Electronic Article |
Language: | English |
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Published: |
BMJ Publ.
2013
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In: |
Journal of medical ethics
Year: 2013, Volume: 39, Issue: 6, Pages: 382-386 |
Online Access: |
Volltext (JSTOR) Volltext (lizenzpflichtig) Volltext (lizenzpflichtig) |
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245 | 1 | 4 | |a The attitudes of neonatal professionals towards end-of-life decision-making for dying infants in Taiwan |
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520 | |a 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. | ||
700 | 1 | |a Chen, Chao-Huei |e VerfasserIn |4 aut | |
700 | 1 | |a Liu, Hsin-Li |e VerfasserIn |4 aut | |
700 | 1 | |a Lee, Ho-Yu |e VerfasserIn |4 aut | |
700 | 1 | |a Peng, Niang-Huei |e VerfasserIn |4 aut | |
700 | 1 | |a Wang, Teh-Ming |e VerfasserIn |4 aut | |
700 | 1 | |a Chang, Yue-Cune |e VerfasserIn |4 aut | |
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