Physician Attitudes in Romania toward Withholding and Withdrawal of Intensive Care for Infants with Very Poor Prognosis

Bell, Edward F.; Bivoleanu, Anca; Stamatin, Maria; Stoicescu, Silvia Maria

doi:10.1055/s-0033-1353440

Cited by 1 publication

(1 citation statement)

References 22 publications

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“…Conversely, in countries with lower socioeconomic states such as Lithuania, the view of sanctity of life held greater sway (12). In a coordinated manner, Romanian practitioners had no tendency to deny or discontinue special care for infants even with very poor prognoses (16).…”

Section: Discussionmentioning

confidence: 99%

Factors influencing the attitudes of NICU physicians toward care of neonates with very poor prognosis

Nayeri

Asghari

Baser

et al. 2019

jmehm

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Attitudes of physicians toward neonates with poor prognosis greatly influence their decisions regarding the course of treatment and care. The present study aimed to investigate factors contributing to attitudes of medical practitioners toward poor prognosis neonates. This was a cross-sectional, descriptive-analytic study. Questionnaires for assessing subjects’ attitudes toward care of very poor prognosis neonates were administered to all neonatologists, pediatricians, neonatology assistants, and pediatric residents (a total of 88 individuals) working in the NICUs of Imam Khomeini Hospital. Participants’ attitudes were determined through analysis of responses to seven questions on a 5-point Likert scale ranging from “strongly agree” to “strongly disagree”. Presence of anomalies incompatible with an acceptable quality of life, birth weight, gestational age, responses to neonatal diagnostic tests, certain types of diseases, parental marital status and practitioner predictions about patient prognosis were the factors contributing to practitioners’ attitude (P-value < 0.005). However, no significant relationship was found in connection with religious beliefs, socioeconomic status, opinions of consulting physicians, hospital treatment protocols, standards of the Association of Neonatal Physicians, and ethics committee expectations (P-value > 0.005). It can be concluded that the attitudes of practitioners toward intensive care of poor prognosis neonates is determined by the medical condition of the neonate rather than socio-demographic characteristics.

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Section: Discussionmentioning

confidence: 99%