"They Have to Show That They Can Make It": Vitality as a Criterion for the Prognosis of Premature Infants
Brinchmann, Berit Stoore
Nursing Ethics. 2000 Mar; 7(2): 141-147.
In this article, the vitality of premature infants will be described and discussed. Vitality was one of the main factors in a grounded theory study in which the aim was to generate knowledge concerning the ethical decision-making processes with which nurses and physicians are faced in a neonatal unit. Which assessments underlie decisions about whether to start, continue or stop medical treatment of very sick premature babies? A descriptive study design, including 120 hours of field observations and 22 qualitative in-depth interviews with doctors and nurses, was chosen. Strauss and Glaser's comparative method was used to analyse the field observations and interviews. The findings indicate that life-and-death decisions are somewhat ambivalent; experience does not always make them easier. In situations of ambiguity, decisions also seem to be based upon the vitality of the babies concerned.
Allowing to Die; Attitudes; Clinical Ethics; Comparative Studies; Death; Decision Making; Doctors; Ethics; Evaluation; Infants; Interviews; Knowledge; Life; Newborns; Nurses; Nursing Research; Physicians; Prematurity; Prognosis; Qualitative Research; Research; Selection for Treatment; Withholding Treatment;
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What Matters to the Parents? A Qualitative Study of Parents' Experiences With Life-and-Death Decisions Concerning Their Premature Infants Brinchmann, Berit Store; Forde, Reidun; Nortvedt, Per (2002-07)The aim of this article is to generate knowledge about parents' participation in life-and-death decisions concerning their very premature and/or critically ill infants in hospital neonatal units. The question is: what are ...