The attitudes of neonatal nurses towards extremely preterm infants

GALLAGHER, Katie, MARLOW, Neil, EDGLEY, Alison and POROCK, Davina (2011). The attitudes of neonatal nurses towards extremely preterm infants. Journal of Advanced Nursing, 68 (8), 1768-1779.

Full text not available from this repository.
Official URL: http://dx.doi.org/10.1111/j.1365-2648.2011.05865.x
Link to published version:: https://doi.org/10.1111/j.1365-2648.2011.05865.x

Abstract

AIM: The paper is a report of a study of the attitudes of neonatal nurses towards extremely preterm infants. BACKGROUND: Alongside advancing survival at extremely preterm gestational ages, ethical debates concerning the provision of invasive care have proliferated in light of the high morbidity. Despite nurses being the healthcare professionals who work closest with the infant and their family, their potential influence is usually ignored when determining how parents come to decisions about future care for their extremely premature infant. METHODS: A Q methodology was employed to explore the attitudes of neonatal nurses towards caring for extremely preterm infants. Data were collected between 2007 and 2008 and analysed using PQMethod and Card Content Analysis. RESULTS: Thirty-six nurses from six neonatal units in the United Kingdom participated. Although there was consensus around the professional role of the nurse, when faced with the complexities of neonatal nursing three distinguishing factors emerged: the importance of parental choice in decision-making, the belief that technology should be used to assess response to treatment, and the belief that healthcare professionals should undertake difficult decisions. CONCLUSION: Neonatal nurses report unexpected difficulties in upholding their professionally defined role through highly complex and ever varied decision-making processes. Recognition of individual attitudes to the care of extremely preterm infants and the role of the family in the face of difficult decisions should facilitate more open communication between the nurse and the parents and improve the experience of both the nurse and the family during these emotional situations.

Item Type: Article
Research Institute, Centre or Group - Does NOT include content added after October 2018: Centre for Health and Social Care Research
Departments - Does NOT include content added after October 2018: Health and Well-being > Department of Nursing and Midwifery
Identification Number: https://doi.org/10.1111/j.1365-2648.2011.05865.x
Page Range: 1768-1779
Depositing User: Davina Porock
Date Deposited: 01 Aug 2017 12:18
Last Modified: 18 Mar 2021 17:16
URI: https://shura.shu.ac.uk/id/eprint/15186

Actions (login required)

View Item View Item

Downloads

Downloads per month over past year

View more statistics