Support for the Right to Life among Neonatal Intensive Care Nurses in Korea

IF 1.3 Q3 ETHICS Asian Bioethics Review Pub Date : 2024-02-24 DOI:10.1007/s41649-023-00277-y
Somin Kim, Sunhee Lee
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Abstract

The increase of high-risk newborns due to societal changes has presented neonatal intensive care unit nurses with more ethical challenges and heightened their perception of neonatal palliative care. Therefore, this study was a descriptive survey exploring the perceptions of neonatal intensive care unit nurse regarding biomedical ethics and neonatal palliative care in neonatal intensive care units. The research participants were 97 neonatal intensive care unit nurses who had been directly involved with end-of-life care for high-risk babies. Data were collected from November to December 2021 through an online survey. The Korean version of Neonatal Palliative Care Attitude Scale and the tool of biomedical ethics were used. The collected data were analyzed using the T-test, ANOVA, Scheffé test, Pearson correlation coefficient, and multiple regression analysis. The mean score for perception of biomedical ethics in neonatal intensive care unit nurses was 2.89 of 4, and that of neonatal palliative care in neonatal intensive care unit nurses was 3.10 of 5. Existence of a protocol of neonatal palliative care, the experience of patients dying, and the right to life of neonates were factors influencing the perception of neonatal palliative care. The explanatory power was 12.5%. The data support the importance of guidelines regarding systematic neonatal palliative care. Also, developing programs for sharing and supporting experiences of patients dying among colleagues and persistent education about the right to life of neonates for neonatal intensive care unit nurses can improve perception of neonatal palliative care.

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韩国新生儿重症监护护士对生命权的支持
由于社会变革,高危新生儿增多,这给新生儿重症监护病房护士带来了更多伦理挑战,也提高了她们对新生儿姑息治疗的认识。因此,本研究对新生儿重症监护病房护士对新生儿重症监护病房生物医学伦理和新生儿姑息治疗的认知进行了描述性调查。研究参与者为 97 名新生儿重症监护室护士,她们直接参与了高危婴儿的临终关怀。数据是在 2021 年 11 月至 12 月期间通过在线调查收集的。调查使用了韩国版新生儿姑息治疗态度量表和生物医学伦理工具。收集到的数据采用 T 检验、方差分析、Scheffé 检验、皮尔逊相关系数和多元回归分析进行分析。新生儿重症监护室护士对生物医学伦理的认知平均分为 2.89 分(满分为 4 分),新生儿重症监护室护士对新生儿姑息治疗的认知平均分为 3.10 分(满分为 5 分)。新生儿姑息治疗方案的存在、患者濒死的经历和新生儿的生命权是影响新生儿姑息治疗认知的因素。解释力为 12.5%。这些数据支持了系统性新生儿姑息治疗指南的重要性。此外,为同事之间分享和支持患者死亡的经验制定计划,以及对新生儿重症监护室护士进行有关新生儿生命权的持续教育,也能改善对新生儿姑息治疗的认知。
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来源期刊
CiteScore
6.20
自引率
3.40%
发文量
32
期刊介绍: Asian Bioethics Review (ABR) is an international academic journal, based in Asia, providing a forum to express and exchange original ideas on all aspects of bioethics, especially those relevant to the region. Published quarterly, the journal seeks to promote collaborative research among scholars in Asia or with an interest in Asia, as well as multi-cultural and multi-disciplinary bioethical studies more generally. It will appeal to all working on bioethical issues in biomedicine, healthcare, caregiving and patient support, genetics, law and governance, health systems and policy, science studies and research. ABR provides analyses, perspectives and insights into new approaches in bioethics, recent changes in biomedical law and policy, developments in capacity building and professional training, and voices or essays from a student’s perspective. The journal includes articles, research studies, target articles, case evaluations and commentaries. It also publishes book reviews and correspondence to the editor. ABR welcomes original papers from all countries, particularly those that relate to Asia. ABR is the flagship publication of the Centre for Biomedical Ethics, Yong Loo Lin School of Medicine, National University of Singapore. The Centre for Biomedical Ethics is a collaborating centre on bioethics of the World Health Organization.
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