Do-Not-Resuscitate Orders in the Neonatal ICU: Experiences and Beliefs Among Staff*

Wraight, C. Lydia; Cummings, Christy L.; Mao, Wenyang; Miedema, David; Brodsky, Dara

doi:10.1097/pcc.0000000000001545

Cited by 6 publications

(7 citation statements)

References 19 publications

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“…Needs include emotional support for staff members, formalized palliative care teams, concrete guidelines for the administration of neonatal palliative care, and further education. 5,6,8,16,18,24,25 The emotional toll that caring for dying infants takes on providers is substantial, and impacts all providers. Providers report feeling sadness and grief, as well as professional inadequacy, meaning that they feel they did not do enough for the infant.…”

Section: Resultsmentioning

confidence: 99%

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Caring for Dying Infants: A Systematic Review of Healthcare Providers’ Perspectives of Neonatal Palliative Care

Beltran

Hamel

2020

Am J Hosp Palliat Care

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Objectives: The palliative and hospice care movement has expanded significantly in the United States since the 1960s. Neonatal end of life care, in particular, is a developing area of practice requiring healthcare providers to support terminally ill newborns and their families, to minimize suffering at the end of the neonate’s life. This paper seeks to systematically summarize healthcare providers’ perspectives related to end of life, in order to identify needs and inform future directions. Methods: Informed by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, we systematically reviewed the literature discussing healthcare provider perspectives of neonatal end of life care ranging from year 2009 to 2020. To be included in the review, articles had to explicitly focus on perspectives of healthcare providers toward neonatal end of life care, be published in academic peer-reviewed sources, and focus on care in the United States. Results: Thirty-three articles were identified meeting all inclusion criteria. The literature covers, broadly, provider personal attitudes, experiences delivering care, practice approaches and barriers, and education and training needs. The experiences of physicians, physician assistants, nurse practitioners, and nurses are highlighted, while less is discussed of other providers involved with this work (e.g., social work, physical therapy). Conclusion: Future research should focus on developing and testing interventions aimed at training and supporting healthcare providers working with neonates at end of life, as well as addressing barriers to the development and implementation of neonatal palliative teams and guidelines across institutions.

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Section: Resultsmentioning

confidence: 99%

“…Two studies investigated the experiences of staff members with do-not-resuscitate (DNR) orders for neonates and found that the majority of staff did not understand the legal meaning of a DNR status and varied in their interpretation of the status. 16,25…”

Section: Resultsmentioning

confidence: 99%

Caring for Dying Infants: A Systematic Review of Healthcare Providers’ Perspectives of Neonatal Palliative Care

Beltran

Hamel

2020

Am J Hosp Palliat Care

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“…Merjenje moči dokazov vključenih člankov smo določili po Polit & Beck (2018), ki navajata osem nivojev hierarhije dokazov v znanstvenoraziskovalnih delih. V nivo 5 -dokazi retrospektivnih raziskav primerov s kontrolami -smo uvrstili dve enoti literature (Arzuaga et al, 2018;Bremer et al, 2021). V nivo 6 -dokazi presečnih raziskav -smo uvrstili dvanajst enot literature (Khalaileh, 2014;Mogadasian et al, 2014;Ilsar, 2015;O'Brien et al, 2018;Pettersson et al, 2018;Chang et al, 2020;Gul et al, 2020;Higuchi et al, 2020;Saltbak et al, 2020;AbuYahya et al, 2021;Kuusisto et al, 2022;Cuvalci et al, 2023).…”

Section: Ocena Kakovosti Pregleda In Opis Obdelave Podatkovunclassified

“…Pomemben pomen pri upoštevanju vodila »Ne oživljaj.« ima izobraževanje. V raziskavi Arzuaga et al (2018) so navedli, da medicinske sestre nimajo usposabljanja, sicer zanimanje za izobraževanje medicinske sestre kažejo (Mogadasian et al, 2014). Tudi raziskava, izvedena v Koreji, opozarja na pomen izobraževanja o upoštevanju volje, naprednih direktivah in pripravi na smrt (Woo & Kim, 2013).…”

Section: Demografski In Poklicni Dejavniki Medicinskih Sesterunclassified

“…Med zdravstvenimi delavci obstajajo različna prepričanja o odtegnitvi in prekinitvi oskrbe pri tistih pacientih, ki so imeli zapisano vodilo »Ne oživljaj.«. Raziskava, ki je bila izvedena v Združenih državah Amerike, ugotavlja, da so udeleženci raziskave poročali, da so skrbeli za dojenčka, pri katerem so bili po izdaji vodila »Ne oživljaj.« zadržani posegi, ne da bi se z družino pogovorili o dejanskem zadržanju (Arzuaga et al, 2018). Tudi Mogadasian et al (2014) so poročali o pomenu spoštovanja pacientov in njihovih družin v povezavi z upoštevanjem vodila »Ne oživljaj.«.…”

Section: Dejavniki Medsebojnih Odnosov (Družina Družba)unclassified

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Upoštevanje vodila »Ne oživljaj

Kalender Smajlović

2024

Obzor Zdrav Neg

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Uvod: Med oblike odločitev za prenehanje aktivnega zdravljenja spada vodilo »Ne oživljaj.«. Raziskave navajajo, da vloga medicinske sestre pri upoštevanju vodila vključuje pomoč pacientom, družinam, članom zdravstvenega tima pri sprejemanju informiranih odločitev. Namen pregleda literature je raziskati izkušnje in stališča medicinskih sester do upoštevanja vodila.Metode: Uporabljen je bil integrativni pregled literature v obdobju od leta 2012 do leta 2022 v podatkovnih bazah COBIB, CINAHL in PubMed s ključnimi besedami: »vodilo Ne oživljaj.«, »medicinske sestre«, »do not resuscitate orders« in »nurses«. Potek pregleda literature prikazuje diagram PRISMA. V integrativni pregled je bilo vključenih osemnajst raziskav. Uporabljena je bila metoda vsebinskega združevanja in primerjava spoznanj vključenih raziskav.Rezultati: Na podlagi analize člankov smo oblikovali tri kategorije: (1) dejavniki v povezavi z etiko zdravstvene nege, (2) demografski in poklicni dejavniki medicinskih sester in (3) dejavniki medsebojnih odnosov (družina, družba).Diskusija in zaključek: : Rezultati so pokazali, da na vprašanja, povezana z življenjem in smrtjo, vplivajo kultura, verska prepričanja družbe in pogled na avtonomijo. Medicinske sestre izražajo pomen upoštevanja pravic pacientov, pomen izobraževanja in dodatnega usposabljanja. Pojavljajo se tudi različne interpretacije o upoštevanju vodila »Ne oživljaj.«. Izražajo tudi potrebo po razpravi znotraj interdisciplinarnih timov, s pacienti in njihovimi družinami.

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Ethical and Medicolegal Considerations

Tanious¹,

Mancuso

2023

Neonatal Anesthesia

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Do-Not-Resuscitate Orders in the Neonatal ICU: Experiences and Beliefs Among Staff*

Cited by 6 publications

References 19 publications

Caring for Dying Infants: A Systematic Review of Healthcare Providers’ Perspectives of Neonatal Palliative Care

Caring for Dying Infants: A Systematic Review of Healthcare Providers’ Perspectives of Neonatal Palliative Care

Upoštevanje vodila »Ne oživljaj

Ethical and Medicolegal Considerations

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