Parent decision making for life support for extremely premature infants: from the prenatal through end-of-life period
| Autor: | Teresa T. Moro, Maria R. Reyes, Rama Bhat, Teresa A. Savage, Karen Kavanaugh, Robert E. Kimura |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Adult
Male Parents medicine.medical_specialty Pediatrics Attitude to Death Decision Making Neonatal Nurse Practitioner MEDLINE Mothers Nursing Methodology Research Critical Care Nursing Truth Disclosure Article Life Change Events Young Adult Pregnancy Neonatal Nursing Surveys and Questionnaires Maternity and Midwifery medicine Humans Young adult Withholding Treatment business.industry Medical record Infant Newborn medicine.disease Life Support Care Infant Extremely Low Birth Weight Family medicine Life support Premature Birth Female business Period (music) |
| Zdroj: | The Journal of perinatalneonatal nursing. 25(1) |
| ISSN: | 1550-5073 |
| Popis: | Most deaths of extremely premature infants occur in the perinatal period. Yet, little is known about how parents make life support decisions in such a short period of time. In the paper, how parents make life support decisions for extremely premature infants from the prenatal period through death from the perspectives of parents, nurses, and physicians is described. Five cases, comprised of five mothers, four neonatologists, three nurses, and one neonatal nurse practitioner, are drawn from a larger collective case study. Prenatal, postnatal and end-of-life interviews were conducted, and medical record data were obtained. In an analysis by two research team members, mothers were found to exhibit these characteristics: desire for and actual involvement in life support decisions, weighing pain, suffering and hope in decision making, and wanting everything done for their infants. All mothers received decision making help and support from partners and family, but relationships with providers were also important. Finally, external resources impacted parental decision making in several of the cases. By understanding what factors contribute to parents' decision making, providers may be better equipped to prepare and assist parents when making life support decisions for their extremely premature infants. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|