How Japanese nurses participate in decision making: Infants with congenital life-threatening conditions
| Autor: | Sohei Shitaya, Naho Sato, Nobue Nakamura |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Parents medicine.medical_specialty Neonatal intensive care unit media_common.quotation_subject Clinical Decision-Making Empathy Ambivalence Nurse's Role Congenital Abnormalities 03 medical and health sciences Young Adult 0302 clinical medicine Japan 030225 pediatrics Intensive Care Units Neonatal Health care medicine Humans Narrative General Nursing Qualitative Research media_common 030504 nursing business.industry Infant Newborn Health technology Infant Middle Aged University hospital Feeling Family medicine Female 0305 other medical science Psychology business |
| Zdroj: | International journal of nursing practice. 24 |
| ISSN: | 1440-172X |
| Popis: | BACKGROUND In Japan, owing to the progress in medical technology, more children with congenital life-threatening conditions survive than ever before. Nurses who care for these children may also influence decision making in difficult situations. AIM We aimed to describe Japanese nurses' approach toward medical decision making when caring for families of infants with congenital life-threatening conditions. Frequently, these nurses must care for and support parents with ambivalent feelings. DESIGN Qualitative descriptive study. METHODS Participants were recruited from neonatal intensive care unit and paediatric wards at a university hospital in Japan from June to July 2016. Data were collected using semi-structured interviews and qualitatively analysed. RESULTS Japanese nurses described these situations as "decision making regarding the child's medical care" and "daily life at hospitals." The themes included support of parents and the choices made about their children, nurses giving or holding their opinions about care choices, or withholding their opinions during decision-making events. The narratives included 5 focus areas: the parents; the children, the family as a whole; relationship between families and health care providers; and the effect of the clinical environment on the children and families. CONCLUSION When caring for children with life-threatening congenital conditions, nurses should develop supportive relationships with parents and contribute to the clinical decision-making process with empathy and based on the most current research data. |
| Databáze: | OpenAIRE |
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