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To Explore the Neonatal Nurses’ Beliefs and Attitudes Towards Caring for Dying Neonates in Taiwan

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Abstract

(1) To explore attitudes and beliefs of neonatal nurses toward nursing care for dying neonates; (2) to estimate the influence of neonatal nurses’ personal and professional characteristics on their attitudes towards end-of life care for dying infants. A cross-sectional design was used. A questionnaire was used to collect data from 80 neonatal nurses. Research setting was four level III NICUs at four medical centers around the central region of Taiwan. Research participants were neonatal nurses who had worked for at least 1 year in one of level III NICUs and had been directly involved with the care of dying infants. Research participants were 80 neonatal nurses (response rate 100 %). Research findings identified eight barriers hindering neonatal palliative care practice. These barriers were insufficient communication due to the lack of an in-service educational program; the lack of available counseling help for neonatal clinicians; inability to express personal opinions, values and beliefs towards neonatal palliative care; insufficient staffing; the lack of unit policies/guidelines for supporting palliative care; the technological imperative; parental demands and personal beliefs about death and previous experience caring for dying infants. Further studies are needed to explore each barrier and to provide in-service neonatal palliative care educational programs that are needed to decrease these barriers.

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Authors and Affiliations

  1. Division of Neonatology, Taichung Veterans General Hospital, Taichung, Taiwan, Republic of China

    Chao-Huei Chen

  2. School of Nursing, China Medical University, Taichung, Taiwan, Republic of China

    Li-Chi Huang

  3. Nursing College, Central Taiwan University of Science and Technology, No. 666, Pu-tzu Road, Betiun District, Taichung, 40601, Taiwan, Republic of China

    Hsin-Li Liu, Shu-Ya Wu & Niang-Huei Peng

  4. Nursing Department, Chang Bing Show Chwan Memorial Hospital, Chang-Hua, Taiwan, Republic of China

    Ho-Yu Lee

  5. Department of Mathematics, Tamkang University, Tamsui, Taiwan, Republic of China

    Yue-Cune Chang

  6. China Medical University Hospital, Taichung, Taiwan, Republic of China

    Li-Chi Huang

Authors
  1. Chao-Huei Chen
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  2. Li-Chi Huang
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  3. Hsin-Li Liu
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  4. Ho-Yu Lee
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  5. Shu-Ya Wu
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  7. Niang-Huei Peng
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Correspondence to Niang-Huei Peng.

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Chen, CH., Huang, LC., Liu, HL. et al. To Explore the Neonatal Nurses’ Beliefs and Attitudes Towards Caring for Dying Neonates in Taiwan. Matern Child Health J 17, 1793–1801 (2013). https://doi.org/10.1007/s10995-012-1199-0

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  • DOI: https://doi.org/10.1007/s10995-012-1199-0

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