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Ethical issues for neonatal nurses

K Spence1

  • 1Royal Alexandra Hospital for Children, Parramatta, NSW, Australia.

Nursing Ethics
|July 8, 1998
PubMed
Summary
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Neonatal nurses in Australia are involved in clinical decisions but less so in ethical ones. They advocate for patients, especially infants with uncertain prognoses.

Area of Science:

  • Neonatal Nursing
  • Bioethics
  • Pediatric Healthcare

Background:

  • Ethical decision-making is crucial in neonatal intensive care.
  • Understanding nurses' roles in ethical issues is vital for patient advocacy.
  • Previous research has not fully explored Australian neonatal nurses' ethical involvement.

Purpose of the Study:

  • To investigate the extent of neonatal nurses' involvement in ethical decision-making.
  • To identify specific patient categories and associated ethical concerns for nurses.
  • To assess nurses' self-perception as patient advocates.

Main Methods:

  • A survey was distributed to neonatal nurses in intensive care and special care nurseries across two Australian states.
  • A response rate of 65% was achieved, providing a substantial dataset.
Keywords:
Empirical ApproachProfessional Patient Relationship

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  • Data analysis focused on reported involvement in clinical versus ethical decisions, expressed concerns, and self-identified advocacy roles.

    • Main Results:

    • Nurses reported higher engagement in clinical decision-making compared to ethical decision-making.
    • Infants with uncertain prognoses elicited the greatest concern among surveyed nurses.
    • A significant majority of nurses perceived themselves as advocates for their neonatal patients.

    Conclusions:

    • Neonatal nurses are actively involved in patient care and advocacy, though their participation in ethical decision-making warrants further exploration.
    • The findings highlight the need for enhanced support and education for nurses navigating complex ethical dilemmas in neonatal care.
    • Future research should address the identified gap in nurses' involvement in ethical decision-making processes.