End-of-life experiences of parents, nurses and physicians in the Newborn Intensive Care Unit

2007 ◽  
Author(s):  
Elizabeth Gingell Epstein
2010 ◽  
Vol 17 (5) ◽  
pp. 577-589 ◽  
Author(s):  
Elizabeth Gingell Epstein

The aim of this study was to explore the obligations of nurses and physicians in providing end-of-life care. Nineteen nurses and 11 physicians from a single newborn intensive care unit participated. Using content analysis, an overarching obligation of creating the best possible experience for infants and parents was identified, within which two categories of obligations (decision making and the end of life itself) emerged. Obligations in decision making included talking to parents and timing withdrawal. End-of-life obligations included providing options, preparing parents, being with, advocating, creating peace and normalcy, and providing comfort. Nurses and physicians perceived obligations in both categories, although nurse obligations centered on the end of life while physician obligations focused on decision making. The findings demonstrate that, although the ultimate goal is shared by both disciplines, the paths to achieving that goal are often different. This has important implications for collaboration, communication, and improving the end of life.


PEDIATRICS ◽  
1981 ◽  
Vol 68 (1) ◽  
pp. 1-4
Author(s):  
Robert D. White ◽  
Timothy R. Townsend ◽  
Maureen A. Stephens ◽  
E. Richard Moxon

From March 1976 through December 1978, the prevalence of ampicillin- and gentamicin-resistant enteric bacilli was monitored in fecal cultures of neonates in an intensive care unit. Substantial fluctuations in colonization rates were observed which did not correlate with the occurrence of sepsis due to these organisms nor with variations in antibiotic use. This experience suggests that the availability of these surveillance data did not result in more effective control of neonatal sepsis due to enteric bacilli.


1983 ◽  
Vol 103 (5) ◽  
pp. 825-828 ◽  
Author(s):  
Marcus C. Hermansen ◽  
Paul H. Perlstein ◽  
Harry D. Atherton ◽  
Neil K. Edwards

1978 ◽  
Vol 92 (1) ◽  
pp. 115-116 ◽  
Author(s):  
Richard L. Schreiner ◽  
Ralph J. Wynn ◽  
Claudia McNulty

1981 ◽  
Vol 3 (4) ◽  
pp. 716-720 ◽  
Author(s):  
L. G. Donowitz ◽  
F. J. Marsik ◽  
K. A. Fisher ◽  
R. P. Wenzel

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