Kim Somin, Lee Sunhee
College of Nursing, The Catholic University of Korea, Seoul, Korea.
Asian Bioeth Rev. 2024 Feb 24;16(2):267-279. doi: 10.1007/s41649-023-00277-y. eCollection 2024 Apr.
The increase of high-risk newborns due to societal changes has presented neonatal intensive care unit nurses with more ethical challenges and heightened their perception of neonatal palliative care. Therefore, this study was a descriptive survey exploring the perceptions of neonatal intensive care unit nurse regarding biomedical ethics and neonatal palliative care in neonatal intensive care units. The research participants were 97 neonatal intensive care unit nurses who had been directly involved with end-of-life care for high-risk babies. Data were collected from November to December 2021 through an online survey. The Korean version of Neonatal Palliative Care Attitude Scale and the tool of biomedical ethics were used. The collected data were analyzed using the -test, ANOVA, Scheffé test, Pearson correlation coefficient, and multiple regression analysis. The mean score for perception of biomedical ethics in neonatal intensive care unit nurses was 2.89 of 4, and that of neonatal palliative care in neonatal intensive care unit nurses was 3.10 of 5. Existence of a protocol of neonatal palliative care, the experience of patients dying, and the right to life of neonates were factors influencing the perception of neonatal palliative care. The explanatory power was 12.5%. The data support the importance of guidelines regarding systematic neonatal palliative care. Also, developing programs for sharing and supporting experiences of patients dying among colleagues and persistent education about the right to life of neonates for neonatal intensive care unit nurses can improve perception of neonatal palliative care.
社会变革导致高危新生儿数量增加，这给新生儿重症监护病房的护士带来了更多伦理挑战，并提高了他们对新生儿姑息治疗的认知。因此，本研究是一项描述性调查，旨在探讨新生儿重症监护病房护士对生物医学伦理和新生儿姑息治疗的看法。研究参与者为97名直接参与高危婴儿临终护理的新生儿重症监护病房护士。2021年11月至12月通过在线调查收集数据。使用了韩文版的新生儿姑息治疗态度量表和生物医学伦理工具。对收集到的数据进行t检验、方差分析、谢费检验、皮尔逊相关系数分析和多元回归分析。新生儿重症监护病房护士对生物医学伦理的认知平均得分为4分中的2.89分，对新生儿姑息治疗的认知平均得分为5分中的3.10分。新生儿姑息治疗方案的存在、患者死亡经历和新生儿的生命权是影响新生儿姑息治疗认知的因素。解释力为12.5%。数据支持了关于系统新生儿姑息治疗指南的重要性。此外，为同事之间分享和支持患者死亡经历制定计划，以及对新生儿重症监护病房护士持续开展关于新生儿生命权的教育，可以提高对新生儿姑息治疗的认知。
