Download or read book Moral Distress in Neonatal Intensive Care Unit NICU Nurses written by Maribel Vera and published by . This book was released on 2019 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Moral distress is defined as the physical and emotional pain caused by situations where nurses or other healthcare professionals are aware of a moral problem but they are impeded by constraints to make a judgment based on what they believe is right. The Neonatal Intensive Care Unit (NICU) is a stressful environment and a likely setting for the experience of moral distress for healthcare professionals. Nurses are often confronted with caring for critically ill newborns with unknown outcomes. This problem is important because it can impair the quality of care that is delivered and can cause nurses to have negative feelings about their profession. Not only does moral distress frequently go unrecognized, but there is a limited amount of research about the contributing factors leading to moral distress in NICU registered nurses (RNs). A qualitative, phenomenological study was conducted with 10 participants using in-depth semi-structured interviews to gain insight into the lived experiences and perceptions of moral distress in NICU RNs working in a large, urban academic medical center. Common themes that emerged from the data included: (1) Walking the sacred journey; (2) Power, conflict, and collaboration; and (3) The internal and external environment. This qualitative study contributes to the limited knowledge and understanding of the challenges nurses face in the NICU as well as offering possible implications for implementing supportive interventions.
Download or read book Exploring Neonatal Intensive Care Nurses Affective Responses to Providing End of life Care written by Stephanie Lynn Lewis and published by . This book was released on 2013 with total page 181 pages. Available in PDF, EPUB and Kindle. Book excerpt: Significance. The Joint Commission established standards to evaluate comprehensive end-of-life infant care and the positive outcomes of such care are well documented. However, findings from multiple studies conducted over the last decade indicate that end-of-life care in the neonatal intensive care unit is not provided consistently or holistically to all dying infants. Because nurses are the healthcare professionals most often responsible for providing this care, anything that detracts from their ability to provide it, including their own affective responses, needs to be addressed. Aim. The purpose of this study was to explore—through lived and told stories—the affective, interactional, and meaning-related responses that NICU nurses have while caring for dying infants and their families. Sample, Design, and Methods. Neonatal intensive care nurses were recruited through the online membership discussion boards of the National Association of Neonatal Nurses. Participants were asked to access an online survey link and provide a written narrative describing an end-of-life care situation in which they experienced strong emotions. Demographic data also were collected. Findings. Narrative analysis revealed many affective responses, but three were the most frequent: responsibility, moral distress, and identification. Feelings of responsibility included (a) a commitment to deliver the best end-of-life care possible, (b) professional inadequacy, (c) disbelief, and d) advocacy. Feelings associated with moral distress were quite common and often related to conflicts between nurses, physicians, and families. Nurses reported feelings of identification with families of dying infants through (a) sharing their grief, (b) forming excess attachments, and (c) experiencing survivor-like guilt. Implications. Nurse educators are encouraged to discuss more extensively and perhaps through the use of simulation, the positive and negative emotions that may be experienced by nurses who are involved in end-of-life care situations. Nurse leaders are encouraged to promote supportive environments in NICUs and ensure debriefing opportunities for nurses who have recently cared for a dying infant. Significant associations, such as NICU nurses not perceiving their EOLC education as being helpful in providing that care clinically and the percentage of NICU nurses reporting the presence of an end-of-life care policy in their units of employment, also merit further examination.
Download or read book Religion and Ethics in the Neonatal Intensive Care Unit written by Ronald M. Green and published by Oxford University Press. This book was released on 2019-09-04 with total page 352 pages. Available in PDF, EPUB and Kindle. Book excerpt: Each year, neonatal Intensive care units (NICUs) in the U.S. and around the world help thousands of sick or premature newborns survive. NICUs are committed to the ideals of family-centered care, which encourages shared decision-making between parents and NICU caregivers. In cases of infants with conditions marked by high mortality, morbidity, or great suffering, family-centered care affirms the right of parents to assist in making decisions regarding aggressive treatment for their infant. Often, these parents' difficult and intimate decisions are shaped profoundly by their religious beliefs. In light of this, what precisely are the teachings of the major world religious traditions about the status and care of the premature or sick newborn? Few studies have grappled with what major religious traditions teach about the care of the newborn or how these teachings may bear on parents' decisions. This volume seeks to fill this gap, providing information on religious teachings about the newborn to the multidisciplinary teams of NICU professionals (neonatologists, advance practice nurses, social workers), as well as to parents of NICU patients, and students of bioethics. In chapters dealing with Judaism, Catholicism, Denominational Protestantism, Evangelical Protestantism, African American Protestantism, Sunni and Shi'a Islam, Hinduism, Buddhism, Navajo religion, and Seventh Day Adventism, leading scholars develop the teachings of these traditions on the status, treatment, and ritual accompaniments of care of the premature or sick newborn. This is an essential book that will serve as a first resort for clinicians who need to understand the religious dynamics influencing anyone making a difficult decision about her sick newborn.
Download or read book Neonatal Intensive Care Nurses Experience of Moral Distress written by Beth Beaston and published by . This book was released on 1991 with total page 64 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Comprehensive Neonatal Nursing Care written by Carole Kenner, PhD, RN, FAAN, FNAP, ANEF and published by Springer Publishing Company. This book was released on 2013-08-21 with total page 1022 pages. Available in PDF, EPUB and Kindle. Book excerpt: "This book provides a complete look at neonatal healthcare delivery. This edition includes discussions of contemporary topics of interest, such as informatics, genetics, global health, and family-centered care, which are vital to providers caring for neonates today. The case studies and the evidence-based practice dialogues at the end of each chapter provide great opportunities for further reflection. The book is useful to a wide audience in nursing, including undergraduate and graduate nursing students, practicing neonatal and pediatric nurses, and advanced practice nurses who care for neonates." Score: 92, 4 Stars.--Doody's Medical Reviews This 'classic' has been thoroughly updated to incorporate the most up-to-date research findings and strategies for providing cost-effective and evidence-based care. New chapters address emerging infections, the late preterm infant, and neonatal care from a global perspective. Included are updated neonatal care protocols and procedures, neuroprotective risk factors, new treatments, and new trends in developmental care. Text integrates the Institute of Medicine's (10M) five competencies, reflects the Affordable Healthcare Act and the Robert Wood Johnson and 10M report "The Future of Nursing." The text continues to provide neonatal care from a physiologic and pathophysiologic approach, with a major emphasis on nursing management at the bedside and advanced practice level. Each neonatal body system is presented, along with E-B interventions to assist in understanding the 'why' behind what is seen in the clinical area. Integrative management is threaded through the text along with extensive research findings to support practice strategies and rationales for sound clinical decision-making. Topics of recent interest include iatrogenic complications, neonatal pain, use of computers or other technology in neonatal care, and neonatal AIDS. Case studies enhance understanding of both common and rare neonatal conditions. New to the Fifth Edition: New chapters: emerging infections, the late preterm infant, and neonatal care from a global perspective Updated neonatal care protocols and procedures, neuroprotective factors, new treatment modalities and new trends in developmental care Tackles the UN Millennium Development Goals (MDGs) Addresses the expansion of the nurse's role in the US and worldwide Provides case studies that lead the reader through the identification, diagnosis, treatment, and evaluation of common and rare neonatal conditions
Download or read book The Experience of Moral Distress in Neonatal Nurses written by Mary Elizabeth Thibeault and published by . This book was released on 2001 with total page 194 pages. Available in PDF, EPUB and Kindle. Book excerpt: A qualitative methodology using a descriptive, exploratory design was applied. Fifty neonatal nurses from a tertiary level neonatal intensive care unit were asked to complete a 20 item short answer questionnaire designed to gather data regarding the experience, context, and outcomes of moral distress. Twelve responses were used in analysis. Six themes have been identified. Needless pain and suffering inflicted on babies perceived to have poor potential for quality of life coupled with a sense of powerlessness were identified as the contextual variables for the experience. When these existed, moral distress was likely to have occurred. The experience itself was manifested by other directed and self directed feeling dimensions which were mediated by peer support. The lasting effects of the moral distress experience were an increased sense of patient advocacy and a profound sense of sadness. While many of these findings have been uncovered in other work, the existence of other directed and self directed feeling dimensions and a profound sense of sadness are original concepts.
Download or read book Do Neonatal Nurses Caring for Newborns with Neonatal Abstinence Syndrome nas Whose Mothers Used Illicit Substances During Pregnancy Experience Moral Distress a Pilot Study written by Valarie Artigas and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Maternal substance misuse/abuse during pregnancy may lead to adverse neonatal outcomes, including neonatal abstinence syndrome (NAS). NAS is a constellation of withdrawal symptoms exhibited in newborns in response to the discontinuance of in-utero exposure to licit and illicit substances. The incidence of NAS is directly related to the increasing rates of maternal substance use/abuse. The United States has experienced a five-fold increase of newborns born with NAS. The care of the newborn with NAS is one of the most challenging conditions for the neonatal nurse. Management of newborns with NAS requires knowledge that has not been traditionally partnered within care of the neonatal intensive care unit (NICU) but rather more often in the newborn nursery. And thus, understanding addiction, addictive behaviors and the psychological needs of substance misusing/abusing parents have not been common place in all NICU settings. Caring for the newborn with NAS and interacting with the addicted parent and parents may present ethical and moral dilemmas for the neonatal nurse. This pilot study explored the presence of moral distress among neonatal nurse caring for the newborn with NAS whose mothers used illicit substances during pregnancy. A descriptive study engaged neonatal nurses from a Level III NICU in completing the Moral Distress Scale Pediatric version. Frequency and intensity of moral distress among the sample assisted in determining the presence and levels of moral distress. Neonatal nurses caring for newborns with NAS whose mothers used illicit substances during pregnancy experienced varying degrees moral distress.The results of this research study revealed that indeed, neonatal nurses experience moral distress to varying degrees within the NICU setting. Caring for newborns with NAS within this sample participant group produced moral distress especially when these nurses interacted with substance misusing mothers and care givers. Although not all neonatal nurses caring for newborns with NAS and/or interacting with substance misusing care givers experienced moral distress the review of the data is imperative for identifying strategies to support nurses universally to prevent/address moral distress in the NICU.
Download or read book Nursing Practice written by Andrew Jameton and published by Prentice Hall. This book was released on 1984 with total page 356 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book NICU nurses attitudes and beliefs toward certain family situations on their ethical decision making written by Cynthia Ann Valleau and published by . This book was released on 1990 with total page 158 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Ethics of Newborn Intensive Care written by Albert R. Jonsen and published by . This book was released on 1976 with total page 220 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Core Curriculum for Neonatal Intensive Care Nursing E Book written by AWHONN and published by Elsevier Health Sciences. This book was released on 2020-03-22 with total page 802 pages. Available in PDF, EPUB and Kindle. Book excerpt: **Selected for Doody’s Core Titles® 2024 in Perinatal** Ensure you’re referencing the most accurate information surrounding nursing practice in today’s neonatal intensive care unit with AWHONN’s Core Curriculum for Maternal-Newborn Nursing, 6th Edition. Developed by one of the most authoritative associations in neonatal intensive nursing care, AWHONN, this renowned guide provides in-depth coverage of the most common neonatal disorders and their management — focusing on the latest evidence-based practice for preterm infants, medications, and antepartum-intrapartum complications. Additionally, the concise outline format makes information easy to find as it highlights the essentials of each condition including the definition, etiology, pathophysiology, signs and symptoms, diagnostic tests, treatments, and outcomes. With timely content that sets the standard for neonatal nursing practice, this trusted reference is an excellent resource for practicing nurses working in any NICU worldwide. Content developed by AWHONN, one of the most authoritative associations in neonatal intensive care nursing, ensures the information is both accurate and relevant. Concise outline format provides access to important nursing considerations associated with the management of the most common conditions in the neonate. Full-scope coverage of neonatal nursing practice provides information on families, ethics, legal issues, research, case management, the transition to home, and more. Focus on evidence-based practice related to preterm infants, medications, and antepartum-intrapartum complications sets the standard for neonatal nursing practice. Strategies to promote inclusionary care better reflect today’s nursing care today with a focus on family-centered care, comprehensive perinatal records, health care teams in the NICU, and infant care best practices. NEW! Expanded information on breastfeeding and acquired opioid dependency keep you informed with the latest best practices related to these two everchanging areas. NEW! Updated neonatal resuscitation guidelines ensures you follow the most up-to-date protocols and procedures in this critical skill area. NEW! Additional tables and boxes help you quickly find important information.
Download or read book Trauma Informed Care in the NICU written by Mary Coughlin, RN, MS, NNP and published by Springer Publishing Company. This book was released on 2016-08-28 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This innovative book for Neonatal Nurses and NICU clinicians provides evidence-based clinical guidelines proven to mitigate and reduce the often profound trauma experience and subsequent developmental challenges for vulnerable hospitalized infants and their families. Each in-depth guideline includes the latest scientific research explaining the clinical rationale for the recommended practices, associated short-term and long-term outcomes, and implementation strategies to support practice improvement. The text reflects a trend —the provision of trauma-informed care in the neonatal intensive care unit--that has recently gained increasing momentum. With endorsements by respected transdisciplinary neonatal clinicians, it provides guidelines that encompass the five core measures for age-appropriate care, including the Healing Environment, Pain and Stress, Protected Sleep, Activities for Daily Living, Age-Appropriate Infant Guided Feeding, and Family-Integrated Care. The book also features downloadable sample competencies and parent teaching guides, along with additional eLearning modules with Nursing CE. A self-assessment checklist and teaching sheets, sample competencies, and sample algorithms add to the book’s utility. Key Features: Provides clinically relevant, evidence-based practice guidelines for minimizing trauma in neonates Encompasses the five core measures for age-appropriate care Includes proven implementation strategies to facilitate practice transformation Offers downloadable sample competencies and parent teaching guides and eLearning modules with Nursing CE Reviewed and endorsed by transdisciplinary neonatal clinicians [EN1] Not sure I like this word – maybe a development, awareness, etc.?
Download or read book Moral Resilience written by Cynda H. Rushton and published by . This book was released on 2018 with total page 321 pages. Available in PDF, EPUB and Kindle. Book excerpt: Suffering is an unavoidable reality in healthcare. Not only are patients and families suffering but also the clinicians who care for them. Commonly the suffering experienced by clinicians is moral in nature, in part a reflection of the increasing complexity of health care, their roles within it, and the expanding range of available interventions that challenge their moral foundations. Moral suffering is the anguish that arises occurs in response to moral adversity that challenges clinicians integrity: the inner harmony that arises when their essential values and commitments are aligned with their choices and actions. The sources and sequelae of moral distress, one type of moral suffering, have been documented among clinicians across specialties. Transforming their suffering will require solutions that expanded individual and system strategies. Moral resilience, the capacity of an individual to restore or sustain integrity in response to moral adversity, offers a path forward. It encompasses capacities aimed at developing self- regulation and self-awareness, buoyancy, moral efficacy, self-stewardship and ultimately personal and relational integrity. Whether it involves gradual or profound radical change clinicians have the potential to transform themselves and their clinical practice in ways that more authentically reflect their character, intentions and values. The burden of healing our healthcare system is not the sole responsibility of individuals. Clinicians and healthcare organizations must work together to transform moral suffering by cultivating the individual capacities for moral resilience and designing a new architecture to support ethical practice. Used worldwide for scalable and sustainable change, the Conscious Full Spectrum approach, offers a method to solve problems to support integrity, shift patterns that undermine moral resilience and ethical practice, and leverage the inner potential of clinicians and leaders to produce meaningful and sustainable results that benefit all.
Download or read book Core Curriculum for Neonatal Intensive Care Nursing E Book written by AWHONN and published by Elsevier Health Sciences. This book was released on 2014-04-22 with total page 944 pages. Available in PDF, EPUB and Kindle. Book excerpt: Perfect as a resource in the field or for exam preparation, this authoritative reference from the Association of Women’s Health, Obstetric, and Neonatal Nurses (AWHONN) includes in-depth coverage of the most common neonatal disorders and their management. The concise outline format highlights the essentials of each condition including definition, etiology, pathophysiology, signs and symptoms, diagnostic tests, treatments, and outcomes to help you find important information quickly. This new edition also features an increased focus on evidence-based practice, new CAMTS and AAMS guidelines, new techniques for PICC placement, and changes to the Neonatal Resuscitation Program. All necessary information to prepare for the neonatal intensive care nursing certification examination is included. Concise outline format provides access to important nursing considerations associated with the management of the most common conditions in the neonate. Text provides a collaborative effort between the three most authoritative associations in neonatal intensive care nursing - AWHONN, AACN, and NANN. Information on families, ethics, legal issues, research, case management, and the transition to home acknowledge the full scope of neonatal nursing practice. NEW! CAMTS and AAMS guidelines, techniques for PICC placement, and changes to the Neonatal Resuscitation Program are just a few of the updates that reveal the importance the new edition places on safety practices and procedures. NEW! Updated chapter on Patient Safety includes selected improvement strategies and resources for neonatal nurses to build a patient safety toolkit, discusses TeamSTEPPS (Team Strategies and Tools to Enhance Performance and Patient Safety), and recognizes human issues, such as shift work and fatigue. NEW! Increased focus on evidence-based practice for preterm infants, medications, and antepartum-intrapartum complications sets the standard for neonatal nursing practice. NEW! Strategies to promote inclusionary care better reflect nursing care today by focusing on family-centered care, comprehensive perinatal records, health care teams in the NICU, and best practices in the care of the late preterm infant. NEW! Comprehensively revised chapter on Immunology identifies risk factors for infection associated with term and preterm infants, distinguishes clinical symptoms and therapies associated with TORCHES CLAP spectrum infections, and includes prevention strategies for hospital-acquired infections. NEW! Thoroughly updated content and references reflect currency and technologic advances. NEW! Refocused chapter on Developmental Care guides the nurse to use assessment within the context of the environment and situation to initiate interventions in the moment or use patterns of responses for developing plans of care and presents core measures on evaluating developmental care practices in the NICU.
Download or read book Life Death and Decisions written by Hazel McHaffie and published by Books for Midwives Press. This book was released on 1996 with total page 308 pages. Available in PDF, EPUB and Kindle. Book excerpt: Doctors and Nurses Reflect on Neonatal Practice.
Download or read book A Time to be Born a Time to Die written by Rasa Gustaitis and published by Addison Wesley Publishing Company. This book was released on 1986 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Work Engagement Moral Distress Education Level and Critical Reflective Practice in Intensive Care Nurses written by Lisa Ann Lawrence and published by . This book was released on 2009 with total page 398 pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of this study was to examine how nurses' critical reflective practice, education level, and moral distress related to their work engagement. This is an area of study relevant to nursing, given documented United States Registered Nurse (RN) experiences of job related distress and work dissatisfaction, and the nursing shortage crisis. Nurses are central players in the provision of quality health care. There is need for better understanding of RNs' work engagement and factors that may enhance their work experience. A theoretical framework of critical reflective practice was developed and examined in this study. A non-experimental, descriptive, correlational design was used to examine the relationships among four study variables: critical reflective practice, education level, moral distress, and work engagement. The purposive sample consisted of 28 intensive care unit RNs (ICU-RNs) from three separate ICUs (medical, neonatal, and pediatric) in a 355-bed Southwest magnet-designated hospital. Measures of the key variables were as follows: (1) Critical Reflective Practice Questionnaire (CRPQ) developed for this study; (2) a subscale of Mary C. Corley's Moral Distress Scale; (3) Education level measured as the highest nursing degree earned to practice as a RN; and (4) the Utrecht Work Engagement Scale. All instruments demonstrated adequate reliability and validity. Pearson correlation and multiple regression analyses indicated support for the theoretical framework: There was a negative direct relationship between moral distress and work engagement, a positive direct relationship between critical reflective practice and work engagement, and moral distress and critical reflective practice, together, explained 47% of the variance in work engagement. Additionally, in the NICU, results indicated a positive direct relationship between increased educational level and critical reflective practice. Results also indicated that moral distress was a clinically significant issue for ICU-RNs in this sample. Strategies to promote critical reflective practice and reduce moral distress are recommended. Additionally, the findings support continued study of critical reflective practice and moral distress, and the role of education level, in nurses' work engagement. Research goals include continued study of the theoretical framework in larger study samples and in reference to additional explanatory factors.
