Neonatologists and neonatal nurses have positive attitudes towards perinatal end-of-life decisions, a nationwide survey

被引：11

作者：

Dombrecht, Laure ^{[1
,2
]}

Deliens, Luc ^{[1
,2
]}

Chambaere, Kenneth ^{[1
,2
]}

Baes, Saskia ^{[1
,2
]}

Cools, Filip ^{[2
,3
]}

Goossens, Linde ^{[4
]}

Naulaers, Gunnar ^{[5
]}

Roets, Ellen ^{[6
]}

Piette, Veerle ^{[1
,2
]}

Cohen, Joachim ^{[1
,2
]}

Beernaert, Kim ^{[1
,2
]}

Laroche, Sabrina ^{[7
,8
,9
,10
,11
]}

Theyskens, Claire

Vandeputte, Christine

Cornette, Luc

Van de Broek, Hilde

机构：

[1] Univ Ghent, End Of Life Care Res Grp, Corneel Heymanslaan 10,K3,6th Floor,Room 007, B-9000 Brussels, Belgium

[2] Vrije Univ Brussel, Brussels, Belgium

[3] Univ Ziekenhuis Brussel, Dept Neonatol, Brussels, Belgium

[4] Ghent Univ Hosp, Dept Neonatol, Ghent, Belgium

[5] Katholieke Univ Leuven, Dept Dev & Regenerat, Leuven, Belgium

[6] Univ Hosp Ghent, Dept Obstet, Womens Clin, Ghent, Belgium

[7] Antwerp Univ Hosp, Antwerp, Belgium

[8] Hosp Oost Limburg Gent, Ghent, Belgium

[9] Hosp GZA St Augustinus, Antwerp, Belgium

[10] AZ St Jan Brugge, Brugge, Belgium

[11] ZNA Middelheim, Antwerp, Belgium

来源：

ACTA PAEDIATRICA | 2020年 / 109卷 / 03期

关键词：

Attitude questionnaire; Attitudes of neonatologists and neonatal nurses; End-of-life decisions; Perinatal death; Termination of pregnancy; SELF-REPORTED PRACTICES; INTENSIVE-CARE; GRONINGEN PROTOCOL; PHYSICIANS; TERMINATION; EUTHANASIA; PREGNANCY; MORTALITY; ANOMALIES; INFANTS;

D O I：

10.1111/apa.14797

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Aim Perinatal death is often preceded by an end-of-life decision (ELD). Disparate hospital policies, complex legal frameworks and ethically difficult cases make attitudes important. This study investigated attitudes of neonatologists and nurses towards perinatal ELDs. Methods A survey was handed out to all neonatologists and neonatal nurses in all eight neonatal intensive care units in Flanders, Belgium in May 2017. Respondents indicated agreement with statements regarding perinatal ELDs on a Likert-scale and sent back questionnaires via mail. Results The response rate was 49.5% (302/610). Most neonatologists and nurses found nontreatment decisions such as withholding or withdrawing treatment acceptable (90-100%). Termination of pregnancy when the foetus is viable in cases of severe or lethal foetal problems was considered highly acceptable in both groups (80-98%). Physicians and nurses do not find different ELDs equally acceptable, e.g. nurses more often than physicians (74% vs 60%, p = 0.017) agree that it is acceptable in certain cases to administer medication with the explicit intention of hastening death. Conclusion There was considerable support for both prenatal and neonatal ELDs, even for decisions that currently fall outside the Belgian legal framework. Differences between neonatologists' and nurses' attitudes indicate that both opinions should be heard during ELD-making.

引用

页码：494 / 504

页数：11