Nurses' Knowledge, Attitudes/Beliefs, and Care Practices Concerning Do Not Resuscitate Status for Hospitalized Neonates

Bellini, Sandra; Damato, Elizabeth G.

doi:10.1111/j.1552-6909.2009.01009.x

Cited by 18 publications

(21 citation statements)

References 27 publications

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“…• Linear correlation was performed to measure the linear inter-relationship between knowledge, attitude score and different characteristics of the studied group. (22) However, these findings are in opposition with those of others who found that only one forth of nurses were able to correctly identify DNR as ''withholding CPR only" (21) Critical care nurses in the current study emphasized that DNR doesn't mean withholding treatment. This is supported by.sabatino (2007) (23) who reported that DNR order doesn't mean "do not treat.…”

Section: Moreover One Way Anova (F Test) Andcontrasting

confidence: 99%

Critical Care Nurses' Knowledge and Attitudes Regarding the "Do Not Resuscitate Status"

Taha

Asfour

Attia

2010

Journal of High Institute of Public Health

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Background: Patients in the critical care unit (CCU) are, by definition, the sickest patients in acute care hospitals and face higher risk of death than any other hospital population and usually require advanced life support such as mechanical ventilation, inotropes, or dialysis. Since every day critical care nurses encounter death and dying in the critical care units, Nurses are vital to end-of-life care as they are the ones present at the bedside, they have an opportunity to observe behaviours and actions that are barriers to a peaceful and dignified death while they provide end-of-life care. Do-notresuscitate orders (DNR) are used in many countries to limit the use of cardiopulmonary resuscitation (CPR) in certain situations. There is still a continuing debate about the ethics, legalities and the appropriate medical indications for use of DNR. The status of DNR can raise many issues for nurses, including ethical dilemmas, conflict, and power struggles among members of the health care team.

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Section: Moreover One Way Anova (F Test) Andcontrasting

confidence: 99%

Critical Care Nurses' Knowledge and Attitudes Regarding the "Do Not Resuscitate Status"

Taha

Asfour

Attia

2010

Journal of High Institute of Public Health

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“…• Knowledge: Formal or informal education guiding practice (McLaughlin et al 1993;Porter et al 1997;Andersen et al 2007;Bellini & Damato 2009). …”

Section: Definition Of Key Conceptsmentioning

confidence: 99%

“…• Neonatal procedural pain: Includes acute and chronic pain induced and experienced as a result of named procedures (Porter et al 1997;Simons et al 2003;Dodds 2003;Carbajal et al 2008 (Porter et al 1997;Andersen et al 2007;Bellini & Damato 2009). …”

Section: Definition Of Key Conceptsmentioning

confidence: 99%

Knowledge, attitudes and practices of neonatal staff concerning neonatal pain management

Khoza

Tjale

2014

curationis

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Background: Neonatal pain management has received increasing attention over the past four decades. Research into the effects of neonatal pain emphasises the professional, ethical and moral obligations of staff to manage pain for positive patient outcomes. However, evaluation studies continuously report evidence of inadequate neonate pain management and a gap between theory and practice.Objective: This study reviewed current practice in neonatal pain management to describe the knowledge, attitudes and practices of nurses and doctors regarding pain management for neonates in two academic hospitals.Method: A non-experimental, prospective quantitative survey, the modified Infant Pain Questionnaire, was used to collect data from 150 nurses and doctors working in the neonatal wards of two academic hospitals in central Gauteng.Results: The response rate was 35.33% (n = 53), most respondents being professional nurses (88.68%; n = 47) working in neonatal intensive care units (80.77%; n = 42); 24 (45.28%) had less than 5 years’ and 29 respondents 6 or more years’ working experience in neonatal care. A review of pain management in the study setting indicated a preference for pharmacological interventions to relieve moderate to severe pain. An association (p < 0.05) was found between pain ratings on 5 procedures and frequency of administration of pharmacological pain management. Two-thirds of respondents (64%) reported that there were no pain management guidelines in the neonatal wards in which they worked.Conclusion: The interventions to manage moderate neonatal pain are in line with international guidelines. However, neonatal pain management may not occur systematically based on prior assessment of neonatal pain, choice of most appropriate intervention and evaluation. This study recommends implementation of a guideline to standardise practice and ensure consistent and adequate pain management in neonates.

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“…In fact, this domain had the highest proportion of respondents who rated themselves as not competent or only somewhat competent. Previous studies have illuminated widespread knowledge gaps among acute and critical care nurses in this domain (Bellini & Damato, 2009;Putman-Casdorph et al, 2009), and there is growing evidence suggesting that nurses, physicians, and other healthcare providers often confuse advance directives and do-not-resuscitate orders (Mirarchi, Costello, Puller, Cooney, & Kottkamp, 2012;Mirarchi, Hite, Cooney, Kisiel, & Henry, 2008;Mirarchi, Kalantzis, Hunter, McCracken, & Kisiel, 2009;Mirarchi, Ray, & Cooney, 2014). Given the legal and ethical implications of this…”

Section: Palliative Care Knowledge Gapsmentioning

confidence: 99%

Critical Care Nurses' Perceptions about Palliative Care and Moral Distress: Implications for Practice

Wolf

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Background: As the need for palliative care in the intensive care unit becomes increasingly recognized, it is unknown how gaps and variations in palliative care education and utilization are associated with the moral distress of critical care nurses. Purpose: To examine critical care nurses' perceived knowledge of palliative care, examine their recent experiences of moral distress, and explore how these variables may be related. Design: Quantitative, descriptive study design. Methods: Survey questionnaires were distributed to 517 critical care nurses across seven intensive care units at an academic medical center in central Virginia. Validated instruments were used to measure participants' perceptions, beliefs, and experiences with palliative care in their practice setting and their recent experiences of moral distress. Results: A total of 168 surveys were returned (response rate = 32.5%), of which 167 were analyzed. Each palliative care domain was rated highly important by a majority of respondents, but fewer than 40% of respondents reported being highly competent in any domain, with the lowest proportions rating themselves highly competent in knowledge of advance directives, assessing patient-family support and resources, and self-care. Most respondents reported little to no recent preparation in palliative care, with 38% reporting no palliative care education in the past two years. Most respondents reported some degree of moral distress during the study period, and there were significant differences in moral distress level based on perceived utilization of palliative care services (F = 3.02, p = .03). Respondents who reported palliative care services being more frequently utilized appropriately tended to experience lower levels of moral distress during the study period. A small, significant inverse correlation was found between moral distress levels and self-care, resilience, recognizing/managing stress, grief, and PALLIATIVE CARE AND MORAL DISTRESS 3 moral distress, indicating that respondents who felt less competent in this domain experienced greater moral distress during the study period. Conclusion: Palliative care knowledge gaps and moral distress remain highly prevalent in critical care nurses. Health system leaders and educators must improve and expand opportunities for nurses to become more competent in palliative care and how to cope with situations that may lead to moral distress, and empower nurses as leaders and advocates to reduce barriers to palliative care.

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Nurses' Knowledge, Attitudes/Beliefs, and Care Practices Concerning Do Not Resuscitate Status for Hospitalized Neonates

Cited by 18 publications

References 27 publications

Critical Care Nurses' Knowledge and Attitudes Regarding the "Do Not Resuscitate Status"

Critical Care Nurses' Knowledge and Attitudes Regarding the "Do Not Resuscitate Status"

Knowledge, attitudes and practices of neonatal staff concerning neonatal pain management

Critical Care Nurses' Perceptions about Palliative Care and Moral Distress: Implications for Practice

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Nurses' Knowledge, Attitudes/Beliefs, and Care Practices Concerning Do Not Resuscitate Status for Hospitalized Neonates

Cited by 18 publications

References 27 publications

Critical Care Nurses' Knowledge and Attitudes Regarding the "Do Not Resuscitate Status"

Critical Care Nurses' Knowledge and Attitudes Regarding the "Do Not Resuscitate Status"

Knowledge, attitudes and practices of neonatal staff concerning neonatal pain management

Critical Care Nurses&#39; Perceptions about Palliative Care and Moral Distress: Implications for Practice

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Critical Care Nurses' Perceptions about Palliative Care and Moral Distress: Implications for Practice