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Using Learning Outcome Measures to assess Doctoral Nursing Education
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Neonatal nurse practitioner ethics knowledge and attitudes.

Mobolaji Famuyide1, Caroline Compretta1, Melanie Ellis1

  • 1The University of Mississippi Medical Center, USA.

Nursing Ethics
|October 16, 2018
PubMed
Summary

Neonatal nurse practitioners show ethical knowledge gaps in decision-making, informed consent, and care escalation. Further education and understanding religious influences are recommended for NICU ethical dilemmas.

Keywords:
Decision makingethics consultationinformed consentparental permissionreligionthreshold of viability

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Area of Science:

  • Neonatal Intensive Care Unit (NICU) Ethics
  • Healthcare Professional Ethics
  • Clinical Decision-Making

Background:

  • Neonatal nurse practitioners (NNPs) frequently encounter ethical issues in the NICU.
  • Ethics competency among NNPs, both new graduates and experienced practitioners, remains underexplored.

Purpose of the Study:

  • To assess the ethics knowledge base of NNPs concerning NICU decision-making.
  • To evaluate if NNP ethics knowledge aligns with their attitudes toward NICU ethical dilemmas.

Main Methods:

  • A prospective cohort study design was employed.
  • Surveys were administered online to 47 licensed NNPs in Mississippi.
  • Key areas examined included decisions on viability, life-sustaining therapies, and impactful ethical issues.

Main Results:

  • A significant majority (87.5%) reported religious practices influencing ethical decisions.
  • Most NNPs (76%) believed legal consultation was unnecessary for life-sustaining treatment decisions.
  • Only 11% confirmed patient understanding during the consent process.
  • Care continuation/escalation for infants at viability thresholds was the primary ethical concern.

Conclusions:

  • Deficiencies exist in NNP knowledge regarding ethical decision-making, informed consent, and care continuation/escalation.
  • Continuing education on ethics, exploring religious influences, and identifying prominent dilemmas are crucial for improving NNP practice in the NICU.