Nurses; toward Palliative Care and its Barriers in Neonatal Intensive Care Units

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Ghazanchaie Zamzam; NOURIAN MANIJEH; Khanali Majan Leila; OUJIAN PARASTOO; HEIDARI ARASH

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Journal: Journal of Critical Care Nursing Year:2020 | Volume:13 | Issue:3 Page(s): 20-30

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Title

Nurses; toward Palliative Care and its Barriers in Neonatal Intensive Care Units

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Keywords

Palliative careQ1

NursingQ2

AttitudeQ2

NeonateQ2

Intensive Care UnitsQ2

End of Life CareQ1

Abstract

Background and Aim: Palliative care is one of the most important aspects of neonatal intensive care. Providing Palliative care for infants faces many obstacles and challenges. The aim of this study was to determine the Attitude to Palliative care and the barriers for delivering Palliative care practices among nurses in the Neonatal Intensive Care Unit (NICU). Material and Method: In the present descriptive cross-sectional study, 128 nurses working in NICUs of hospitals affiliated to the Shahid Beheshti University of Medical Sciences, Tehran, Iran were selected by census method in 2018. Data were collected with "Fromelt Attitude Towards Caring for Dying Patient" (FATCOD) and "Neonatal Palliative care Attitude Scale" (NPCAS). Results: Nurses' Attitude toward Palliative care was positive (102. 17± 4. 81) and a statistically significant association was observed between shift work and nurses' Attitudes (p<0. 001). A strong barrier to providing Palliative care was the presence of insufficient resources (10. 93± 2. 66). Improper application of technology (5. 90± 1. 59), organizational culture (18. 69± 5. 25) and professional competence of nurses (18. 09± 4. 82) were classified as intermediate barriers. The weak barrier to the implementation of Palliative care was the individual and social Attitude of the nurse (18. 67± 2. 60). Discussion and Conclusion: Nurses have a positive Attitude to providing Palliative care, and it is necessary to strengthen their positive Attitude by providing clinical and theoretical training. It is also important to pay more attention to eliminating other factors that can affect the implementation of Palliative care. Insufficient resources are a strong obstacle to providing Palliative care in Neonates. So equipping the resources in terms of a suitable physical environment, adequate skilled manpower, providing counseling services and developing guidelines and policies for the nurses, are important in order to improve the implementation of neonatal Palliative care.

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APA: Copy

Ghazanchaie, Zamzam, NOURIAN, MANIJEH, Khanali Majan, Leila, OUJIAN, PARASTOO, & HEIDARI, ARASH. (2020). Nurses; toward Palliative Care and its Barriers in Neonatal Intensive Care Units. IRANIAN JOURNAL OF CRITICAL CARE NURSING (IJCCN), 13(3 ), 20-30. SID. https://sid.ir/paper/377028/en

Vancouver: Copy

Ghazanchaie Zamzam, NOURIAN MANIJEH, Khanali Majan Leila, OUJIAN PARASTOO, HEIDARI ARASH. Nurses; toward Palliative Care and its Barriers in Neonatal Intensive Care Units. IRANIAN JOURNAL OF CRITICAL CARE NURSING (IJCCN)[Internet]. 2020;13(3 ):20-30. Available from: https://sid.ir/paper/377028/en

IEEE: Copy

Zamzam Ghazanchaie, MANIJEH NOURIAN, Leila Khanali Majan, PARASTOO OUJIAN, and ARASH HEIDARI, “Nurses; toward Palliative Care and its Barriers in Neonatal Intensive Care Units,” IRANIAN JOURNAL OF CRITICAL CARE NURSING (IJCCN), vol. 13, no. 3 , pp. 20–30, 2020, [Online]. Available: https://sid.ir/paper/377028/en

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