University of Technology Sydney, Australia.
Monash University, Australia; Flinders University, Australia.
Nurs Ethics. 2018 Nov;25(7):880-896. doi: 10.1177/0969733016677871. Epub 2016 Dec 9.
: Evolving technology and scientific advancement have increased the chances of survival of the extremely premature baby; however, such survival can be associated with some severe long-term morbidities.
: The research investigates the caregiving and ethical dilemmas faced by neonatal nurses when caring for extremely premature babies (defined as ≤24 weeks' gestation). This article explores the issues arising for neonatal nurses when they considered the philosophical question of 'what if it was me and my baby', or what they believed they would do in the hypothetical situation of going into premature labour and delivering an extremely premature baby.
: Data were collected via a questionnaire to Australian neonatal nurses and semi-structured interviews with 24 neonatal nurses in New South Wales, Australia.
: Relevant ethical approvals have been obtained by the researchers.
: A qualitative approach was used to analyse the data. The theme 'imagined futures' was generated which comprised three sub-themes: 'choice is important', 'not subjecting their own baby to treatment' and 'nurses and outcome predictions'. The results offer an important and unique understanding into the perceptions of nursing staff who care for extremely premature babies and their family, see them go home and witness their evolving outcomes. The results show that previous clinical and personal experiences led the nurses in the study to choose to have the belief that if in a similar situation, they would choose not to have their own baby resuscitated and subjected to the very treatment that they provide to other babies.
: The theme 'imagined futures' offers an overall understanding of how neonatal nurses imagine what the life of the extremely premature baby and his or her family will be like after discharge from neonatal intensive care. The nurses' past experience has led them to believe that they would not want this life for themselves and their baby, if they were to deliver at 24 weeks' gestation or less.
不断发展的技术和科学进步增加了超早产儿存活的机会；然而，这种存活可能伴随着一些严重的长期并发症。
本研究调查了新生儿护士在照顾超早产儿（定义为妊娠 24 周及以下）时面临的护理和伦理困境。本文探讨了新生儿护士在考虑哲学问题“如果是我和我的孩子会怎样”或他们在假设早产并分娩超早产儿的情况下会怎么做时所产生的问题。
数据通过澳大利亚新生儿护士的问卷调查和澳大利亚新南威尔士州 24 名新生儿护士的半结构化访谈收集。
研究人员已获得相关伦理批准。
采用定性方法分析数据。生成了一个主题“想象的未来”，包括三个子主题：“选择很重要”、“不让自己的孩子接受治疗”和“护士和结果预测”。研究结果提供了对照顾超早产儿及其家庭的护理人员的重要而独特的理解，他们看到他们回家并见证他们不断发展的结果。研究结果表明，以前的临床和个人经验使研究中的护士选择相信，如果处于类似情况，他们不会选择让自己的孩子复苏并接受他们为其他婴儿提供的治疗。
主题“想象的未来”提供了对新生儿护士如何想象超早产儿及其家庭出院后生活的整体理解。护士过去的经验使他们相信，如果他们在 24 周或更早产，他们不会希望自己和孩子过这样的生活。
