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Ethical Dilemmas I01:17

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Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
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Expanded Newborn Screening: Challenges to NICU Nurses.

Rachel A Joseph1

  • 1Department of Nursing, West Chester University of PA, and NICU, Christiana Care Health Systems, Newark, Delaware.

Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses
|January 17, 2017
PubMed
Summary
This summary is machine-generated.

Newborn screening programs are expanding, impacting neonatal intensive care unit (NICU) nurses. Nurses face challenges in education, quality assurance, and ethical considerations for newborn screening.

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Area of Science:

  • Medical Genetics
  • Neonatal Care
  • Public Health Screening

Background:

  • Newborn screening programs detect potentially fatal or disabling conditions in infants.
  • State-specific programs vary in the number of screened disorders, ranging from 32 to 58.
  • Program expansion significantly affects the roles and responsibilities of Neonatal Intensive Care Unit (NICU) nurses.

Purpose of the Study:

  • To examine the historical expansion of newborn screening programs.
  • To identify and discuss the challenges encountered by NICU nurses due to program growth.

Main Methods:

  • Literature review of research studies.
  • Analysis of national recommendations from governmental and professional agencies.
  • Evidence synthesis for current practice guidelines.

Main Results:

  • NICU nurses require enhanced knowledge to address complex parental inquiries.
  • Ensuring process quality, minimizing errors, and optimizing communication are critical challenges.
  • Ethical dilemmas concerning specimen storage and future use require careful consideration.

Conclusions:

  • NICU nurses play a vital role in facilitating newborn screening, family education, and follow-up care.
  • Addressing knowledge gaps, quality control, and ethical issues is essential for effective program implementation.
  • Ongoing research is crucial for measuring and improving the quality of global NICU screening services.