Changes of Mortality and Morbidity of Very Low Birth Weight Infants after Neonatal Intensive Care Unit Strategy Alteration in a Single Center: Comparison with 2015 Korean Neonatal Network Report

Jung, Seung Mi; Seok, Min Jeong; Chun, Ji Yong; Sung, Tae Jung

doi:10.5385/nm.2018.25.1.29

Neonatal Med

2018

DOI: 10.5385/nm.2018.25.1.29

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Changes of Mortality and Morbidity of Very Low Birth Weight Infants after Neonatal Intensive Care Unit Strategy Alteration in a Single Center: Comparison with 2015 Korean Neonatal Network Report

Seung Mi Jung

Min Jeong Seok

Ji Yong Chun

et al.

Abstract: Purpose: The purpose of this study was to investigate the outcome after changes in the treatment strategies for very low birth weight infant (VLBWI) in a single neonatal intensive care unit (NICU) center. Methods: We performed a retrospective review of 300 VLBWI born from 1st January 2010 to 31th December 2016. We compared the outcomes including survival rate, birth weight (BW), gestational age (GA), and morbidities between period

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The effect of illness uncertainty and self‐efficacy on the perception of shared decision‐making among parents of infants in the neonatal intensive care unit

Choi,

Shin

2024

Nursing in Critical Care

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BackgroundShared decision‐making is essential for improving infant prognoses. Medical staff should consider the effect of illness uncertainty and self‐efficacy on parents' perceptions of shared decision‐making.AimsThis study examined the impact of illness uncertainty and self‐efficacy on the perception of shared decision‐making among parents of infants in the neonatal intensive care unit.Study DesignA descriptive‐analytical cross‐sectional study design was used. Data were collected from April to June 2023. A total of 103 parents of infants admitted to the neonatal intensive care unit participated in this study. The participants used a self‐report questionnaire that included general characteristics of their infants, uncertainty of illness, self‐efficacy and perception of shared decision‐making. Data were analysed using descriptive statistics, independent t‐test, analysis of variance, Scheffe's test, Pearson's correlation coefficient and multiple linear regression.ResultsIllness uncertainty (r = −.659, p < .001, 95% confidence interval = [−1.209, −0.765]) was negatively correlated with self‐efficacy, and self‐efficacy (r = .255, p = .009, 95% confidence interval = [0.082, 0.569]) was positively correlated with the perception of shared decision‐making. Using multiple linear regression, the number of visits to the intensive care unit (β = −1.939, p = .015, 95% confidence interval = [−3.490, −0.389]) and parents' self‐efficacy (β = .271, p = .028, 95% confidence interval = [0.030, 0.512]) had a statistically significant effect on the perception of shared decision‐making, accounting for 11.9% of the total explanatory power.ConclusionsThe results support that higher self‐efficacy is associated with a higher degree of perception of shared decision‐making among parents of infants in the intensive care unit. Therefore, clinicians might support parents in taking a more active role in shared decision‐making by discussing available options with clinicians and reaching treatment plans together.Relevance to Clinical PracticeThe study suggests creating scales to assess nurses' participation in shared decision‐making and recommends educational programmes to boost parents' self‐efficacy with infants, significantly affecting perceptions of shared decision‐making.

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The effect of illness uncertainty and self‐efficacy on the perception of shared decision‐making among parents of infants in the neonatal intensive care unit

Choi,

Shin

2024

Nursing in Critical Care

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show abstract

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Changes of Mortality and Morbidity of Very Low Birth Weight Infants after Neonatal Intensive Care Unit Strategy Alteration in a Single Center: Comparison with 2015 Korean Neonatal Network Report

Cited by 1 publication

References 24 publications

The effect of illness uncertainty and self‐efficacy on the perception of shared decision‐making among parents of infants in the neonatal intensive care unit

The effect of illness uncertainty and self‐efficacy on the perception of shared decision‐making among parents of infants in the neonatal intensive care unit

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