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Neonatologists and neonatal nurses have positive attitudes towards perinatal end‐of‐life decisions, a nationwide survey
Author(s) -
Dombrecht Laure,
Deliens Luc,
Chambaere Kenneth,
Baes Saskia,
Cools Filip,
Goossens Linde,
Naulaers Gunnar,
Roets Ellen,
Piette Veerle,
Cohen Joachim,
Beernaert Kim
Publication year - 2020
Publication title -
acta paediatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/apa.14797
Subject(s) - medicine , likert scale , intensive care , family medicine , nursing , scale (ratio) , neonatal nursing , neonatal mortality , pediatrics , infant mortality , intensive care medicine , neonatal intensive care unit , psychology , population , developmental psychology , physics , quantum mechanics , environmental health
Aim Perinatal death is often preceded by an end‐of‐life decision ( ELD ). Disparate hospital policies, complex legal frameworks and ethically difficult cases make attitudes important. This study investigated attitudes of neonatologists and nurses towards perinatal ELD s. Methods A survey was handed out to all neonatologists and neonatal nurses in all eight neonatal intensive care units in Flanders, Belgium in May 2017. Respondents indicated agreement with statements regarding perinatal ELD s on a Likert‐scale and sent back questionnaires via mail. Results The response rate was 49.5% (302/610). Most neonatologists and nurses found nontreatment decisions such as withholding or withdrawing treatment acceptable (90–100%). Termination of pregnancy when the foetus is viable in cases of severe or lethal foetal problems was considered highly acceptable in both groups (80–98%). Physicians and nurses do not find different ELD s equally acceptable, e.g. nurses more often than physicians (74% vs 60%, p = 0.017) agree that it is acceptable in certain cases to administer medication with the explicit intention of hastening death. Conclusion There was considerable support for both prenatal and neonatal ELD s, even for decisions that currently fall outside the Belgian legal framework. Differences between neonatologists' and nurses' attitudes indicate that both opinions should be heard during ELD ‐making.