Moral obligations of nurses and physicians in neonatal end-of-life care.

Abstract:

: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.

journal_name

Nurs Ethics

journal_title

Nursing ethics

authors

Gingell Epstein E

doi

10.1177/0969733010373009

subject

Has Abstract

pub_date

2010-09-01 00:00:00

pages

577-89

issue

5

eissn

0969-7330

issn

1477-0989

pii

17/5/577

journal_volume

17

pub_type

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