Brinchmann B S
Department of Nursing and Health Care, Centre for Professional Studies, Bodø Regional University, Norway.
Nurs Ethics. 2000 Mar;7(2):141-7. doi: 10.1177/096973300000700207.
In this article, the vitality of premature infants will be described and discussed. Vitality was one of the main factors in a grounded theory study in which the aim was to generate knowledge concerning the ethical decision-making processes with which nurses and physicians are faced in a neonatal unit. Which assessments underlie decisions about whether to start, continue or stop medical treatment of very sick premature babies? A descriptive study design, including 120 hours of field observations and 22 qualitative in-depth interviews with doctors and nurses, was chosen. Strauss and Glaser's comparative method was used to analyse the field observations and interviews. The findings indicate that life-and-death decisions are somewhat ambivalent; experience does not always make them easier. In situations of ambiguity, decisions also seem to be based upon the vitality of the babies concerned.
在本文中，将对早产儿的生命力进行描述和讨论。生命力是一项扎根理论研究中的主要因素之一，该研究旨在获取有关护士和医生在新生儿病房所面临的伦理决策过程的知识。对于病情极为严重的早产儿，决定是否开始、继续或停止医疗救治时所依据的评估标准是什么？研究采用了描述性研究设计，包括120小时的实地观察以及对医生和护士进行的22次定性深入访谈。运用施特劳斯和格拉泽的比较方法对实地观察和访谈进行分析。研究结果表明，生死抉择在某种程度上是矛盾的；经验并不总能使这些决策变得更容易。在情况不明确时，决策似乎也基于相关婴儿的生命力。
