scholarly journals The culture of research communication in neonatal intensive care units: key stakeholder perspectives

2021 ◽  
Author(s):  
Jennifer Degl ◽  
Ronald Ariagno ◽  
Judy Aschner ◽  
Sandra Beauman ◽  
Wakako Eklund ◽  
...  
Keyword(s):  
Intensive Care ◽  
Interest Groups ◽  
Neonatal Intensive Care ◽  
Research Study ◽  
Neonatal Intensive Care Units ◽  
Neonatal Nurses ◽  
Stakeholder Groups ◽  
Stakeholder Perspectives ◽  
Communication Practices ◽  
Appropriate Education

Abstract Objective To assess the perspectives of neonatologists, neonatal nurses, and parents on research-related education and communication practices in the neonatal intensive care unit (NICU). Study design Questionnaire circulated through interest groups and administered using the internet. Results 323 respondents responded to the survey. 52 were neonatologists, 188 were neonatal nurses, and 83 were parents of NICU graduates. Analysis was descriptive. Differences were noted between stakeholder groups with respect to whether current medications meet the needs of sick neonates, research as central to the mission of the NICU, availability of appropriate education/training for all members of the research team, and adequacy of information provided to parents before, during, and after a research study is completed. Conclusion Engagement of nurses and parents at all stages of NICU research is currently suboptimal; relevant good practices, including education, should be shared among neonatal units.

Barriers of Palliative Care in Neonatal Intensive Care Units

2016 ◽  
Vol 34 (3) ◽  
pp. 205-211 ◽  
Author(s):  
Mansooreh Azzizadeh Forouzi ◽  
Marjan Banazadeh ◽  
Jila Soltan Ahmadi ◽  
Farideh Razban
Keyword(s):  
Palliative Care ◽  
Organizational Culture ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Neonatal Intensive Care ◽  
Attitude Scale ◽  
Neonatal Intensive Care Units ◽  
Cross Sectional ◽  
Neonatal Nurses ◽  
Eol Care

Objective: Neonatal nurses face numerous barriers in providing end-of-life (EOL) care for neonates and their families. Addressing neonatal nurses’ attitudes could provide insight into barriers that impede neonatal palliative care (NPC). This study thus conducted to examine neonatal nurses’ attitude toward barriers in providing NPC in Southeast Iran. Method: In this cross-sectional study, a translated modified version of Neonatal Palliative Care Attitude Scale was used to examine attitudes of 70 nurses toward barriers of palliative care in 3 neonatal intensive care units in Southeast Iran. Results: Findings indicated that overall 42.63% of nurses were strongly agreed or agreed with the proposed barriers in NPC. Among all categories, the highest and the lowest scores belonged to the categories of “insufficient resources” (3.42 ± 0.65) and “inappropriate personal and social attitudes” (2.33 ± 0.48), respectively. Neonatal nurses who had less education and study regarding NPC reported the presence of more barriers to NPC in the categories of “inappropriate organizational culture” and/or “inadequate nursing proficiency.” Also, younger nurses had more positive attitudes toward the category of inappropriate organizational culture as being a barrier to provision of NPC (4.62). Conclusion: The findings suggest that developing a context-based instrument is required to represent the barrier more precisely. Neonatal palliative care can be improved by establishing a special environment to focus on infants’ EOL care. This establishment requires standard palliative care guidelines and adequate NPC-trained nurses.

scholarly journals Nurses’ perception about patient safety culture in neonatal intensive care units: A comparative study

2018 ◽  
Vol 8 (12) ◽  
pp. 112
Author(s):  
Rabab E.H. El-Sayed
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Safety Culture ◽  
Neonatal Intensive Care ◽  
Patient Safety Culture ◽  
Neonatal Intensive Care Units ◽  
Attitude Questionnaire ◽  
Neonatal Nurses ◽  
Safety Attitude Questionnaire ◽  
Safety Attitude

Objectives: This study aimed to (1) verify whether the translated short form of the Safety Attitude Questionnaire gives consistent results when used to evaluate safety culture in the neonatal intensive care units; and (2) describe nurses’ perception about patient safety culture, comparing between both governmental and private neonatal intensive care units’ nurses.Methods: Research design: An exploratory, descriptive, comparative. Subjects: A purposive sample of 190 neonatal nurses. Setting: Six, level IV neonatal intensive care units (three private and three governmental) of hospitals affiliated to Mansoura City, and Mansoura University and Ministry of Health and Population, Egypt. Data collection tools were consisted of the demographic characteristics questionnaire sheet and the self-administered 4-type Likert scale Safety Attitude Questionnaire sheet with its six dimensions after it was translated into Arabic language.Results: The respondents' nurses differed in their rating on the Safety Attitude Questionnaire items; as well the percentages of positive and negative responses were showed significant differences among the Safety Attitude Questionnaire dimensions, within and between nurses of the governmental and private neonatal intensive care units. In addition, Cronbach’s total coefficient alpha of the six dimensions is considered strong, with Alpha coefficients were 0.86.Conclusions: The study findings affirmed the psychometric properties of the Arabic form of Safety Attitude Questionnaire and it turned out to be a successful tool to assess safety culture perceptions among neonatal intensive care units' nurses. Moreover, linked with their workplaces, significant variations in the neonatal nurses' responses toward safety culture related dimensions were detected.

Ethical challenges in neonatal intensive care nursing

2014 ◽  
Vol 22 (8) ◽  
pp. 901-912 ◽  
Author(s):  
Maria Strandås ◽  
Sven-Tore D Fredriksen
Keyword(s):  
Intensive Care ◽  
Neonatal Intensive Care ◽  
Best Interests ◽  
Neonatal Intensive Care Units ◽  
Ethical Challenges ◽  
Ethical Guidelines ◽  
Diverse Range ◽  
Neonatal Nurses ◽  
Life And Death ◽  
Emotional Strain

Background: Neonatal nurses report a great deal of ethical challenges in their everyday work. Seemingly trivial everyday choices nurses make are no more value-neutral than life-and-death choices. Everyday ethical challenges should also be recognized as ethical dilemmas in clinical practice. Research objective: The purpose of this study is to investigate which types of ethical challenges neonatal nurses experience in their day-to-day care for critically ill newborns. Research design: Data were collected through semi-structured qualitative in-depth interviews. Phenomenological-hermeneutic analysis was applied to interpret the data. Participants and research context: Six nurses from neonatal intensive care units at two Norwegian hospitals were interviewed on-site. Ethical considerations: The study is designed to comply with Ethical Guidelines for Nursing Research in the Nordic Countries and the Helsinki declaration. Findings: Findings suggest that nurses experience a diverse range of everyday ethical challenges related to challenging interactions with parents and colleagues, emotional strain, protecting the vulnerable infant, finding the balance between sensitivity and authority, ensuring continuity of treatment, and miscommunication and professional disagreement. Discussion: A major finding in this study is how different agents involved in caring for the newborn experience their realities differently. When these realities collide, ethical challenges arise. Findings suggest that acting in the best interests of the child becomes more difficult in situations involving many agents with different perceptions of reality. Conclusion: The study presents new aspects which increases knowledge and understanding of the reality of nursing in a neonatal intensive care unit, while also demanding increased research in this field of care.

Conflicts of conscience in the neonatal intensive care unit: Perspectives of Alberta

2017 ◽  
Vol 25 (8) ◽  
pp. 992-1003 ◽  
Author(s):  
Natalie J Ford ◽  
Wendy Austin
Keyword(s):  
Intensive Care ◽  
Neonatal Intensive Care ◽  
Conscientious Objection ◽  
Neonatal Intensive Care Units ◽  
Moral Integrity ◽  
Neonatal Nurses ◽  
University Of Alberta ◽  
Pain And Suffering ◽  
The Individual ◽  
The University

Background: Limited knowledge of the experiences of conflicts of conscience found in nursing literature. Objectives: To explore the individual experiences of a conflict of conscience for neonatal nurses in Alberta. Research design: Interpretive description was selected to help situate the findings in a meaningful clinical context. Participants and research context: Five interviews with neonatal nurses working in Neonatal Intensive Care Units throughout Alberta. Ethical consideration: Ethics approval from the Health Research Ethics Board at the University of Alberta. Findings: Three common themes emerged from the interviews: the unforgettable conflict with pain and suffering, finding the nurse’s voice, and the unique proximity of nurses. Discussion and conclusion: The nurses described a conflict of conscience when the neonate in their care experienced undermanaged pain and unnecessary suffering. During these experiences, they felt guilty, sad, hopeless, and powerless when they were unable to follow their conscience. Informal ways to follow their conscience were employed before declaration of conscientious objection was considered. This study highlights the vital importance of respecting a conflict of conscience to maintain the moral integrity of neonatal nurses and exposes the complexities of conscientious objection.

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