Nurse attitudes in Croatia towards primary resuscitation of prematurely born infants

Medicina Fluminensis

Petrović, Ana⁵  Radić, Jelena⁶  Prpić, Igor¹  Bilić, Iva³  Furlan, Ivanka⁴  Juretić, Emilija²  Vukelić, Petar⁶ 

[1] Klinika za ginekologiju i porodništvo, KBC Rijeka, Rijeka, Hrvatska;Klinika za ženske bolesti i porode, KBC Zagreb, Zagreb, Hrvatska;Klinika za ginekologiju i porodništvo, KBC Rijeka, Rijeka, HrvatskaClinics of Ginecology and obstetrics, Clinical hospital centre Rijeka, Rijeka, Croatia;Klinika za ginekologiju i opstetriciju, KBC Split, Split, Hrvatska;Klinika za dječje bolesti, KBC Zagreb, Zagreb, Croatia;Medicinski fakultet Sveučilišta u Rijeci, Rijeka, Hrvatska

关键词: attitudes;    bioethics;    neonatal resuscitation;    nurse;    premature born infants;   

DOI  :  

学科分类：医学（综合）

来源: Medicina Fluminensis

【 摘 要 】

AIM: The aim was to determine the attitudes of nurses in Croatia toward primary resuscitation of prematurely born infants.
METHODS: A written questionnaire was distributed to the nursing staff wiith questions regarding their age, parity, work experience, work place and attitudes toward primary resuscitation of prematurely born infants. A total of 174 nurses completed the questionnaire; 49 of them working at the delivery room or in contact with pregnant women (DR/PW), 79 working at the pediatric/neonatal intensive care units (PICU/NICU), 46 working with the general population (GP).
RESULTS: There were no statistically significant differences regarding age, parity and work experience among groups, nor in attitudes among DR/PW and PICU/NICU nurses
There was a statistically significant difference in attitudes toward primary resuscitation of infants born at 22nd and 23rd gestational week among DR/PW – PICU /NICU and GP nurses, as well as in attitudes toward primary resuscitation of infants born at 24th to 26th gestational week among PICU /NICU and GP nurses.
DISCUSSION: GP nursing staff has attitude to initiate more likely primary resuscitation of premature born infants than their colleagues in the comparative groups. Such results are consequences of the fact that PICU/NICU-DR/PW nurses have different experience towards the complexity of procedures applied in primary resuscitation of infants who are born at the margins of viability.
CONCLUSIONS: Working place i.e. experience at the particular working place, but not modern guidance in clinical bioethics, play major role in creation of attitude towards the primary resuscitation of prematurely born infants among nurses. Education in clinical bioethics should be continuous, in accordance with medical advances in neonatal intensive care and long term outcome of prematurely born infants.

【 授权许可】

Unknown