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Factors influencing the attitudes of NICU physicians toward care of neonates with very poor prognosis

Attitudes of physicians toward neonates with poor prognosis greatly influence their decisions regarding the course of treatment and care. The present study aimed to investigate factors contributing to attitudes of medical practitioners toward poor prognosis neonates. This was a cross-sectional, desc...

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Autores principales: Nayeri, Fatemeh, Asghari, Fariba, Baser, Ali, Janani, Leila, Shariat, Mamak, Tanha, Kiarash, Eabrhim, Bita
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Tehran University of Medical Sciences 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6642455/
https://www.ncbi.nlm.nih.gov/pubmed/31346399
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author Nayeri, Fatemeh
Asghari, Fariba
Baser, Ali
Janani, Leila
Shariat, Mamak
Tanha, Kiarash
Eabrhim, Bita
author_facet Nayeri, Fatemeh
Asghari, Fariba
Baser, Ali
Janani, Leila
Shariat, Mamak
Tanha, Kiarash
Eabrhim, Bita
author_sort Nayeri, Fatemeh
collection PubMed
description Attitudes of physicians toward neonates with poor prognosis greatly influence their decisions regarding the course of treatment and care. The present study aimed to investigate factors contributing to attitudes of medical practitioners toward poor prognosis neonates. This was a cross-sectional, descriptive-analytic study. Questionnaires for assessing subjects’ attitudes toward care of very poor prognosis neonates were administered to all neonatologists, pediatricians, neonatology assistants, and pediatric residents (a total of 88 individuals) working in the NICUs of Imam Khomeini Hospital. Participants’ attitudes were determined through analysis of responses to seven questions on a 5-point Likert scale ranging from “strongly agree” to “strongly disagree”. Presence of anomalies incompatible with an acceptable quality of life, birth weight, gestational age, responses to neonatal diagnostic tests, certain types of diseases, parental marital status and practitioner predictions about patient prognosis were the factors contributing to practitioners’ attitude (P-value < 0.005). However, no significant relationship was found in connection with religious beliefs, socioeconomic status, opinions of consulting physicians, hospital treatment protocols, standards of the Association of Neonatal Physicians, and ethics committee expectations (P-value > 0.005). It can be concluded that the attitudes of practitioners toward intensive care of poor prognosis neonates is determined by the medical condition of the neonate rather than socio-demographic characteristics.
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spelling pubmed-66424552019-07-25 Factors influencing the attitudes of NICU physicians toward care of neonates with very poor prognosis Nayeri, Fatemeh Asghari, Fariba Baser, Ali Janani, Leila Shariat, Mamak Tanha, Kiarash Eabrhim, Bita J Med Ethics Hist Med Original Article Attitudes of physicians toward neonates with poor prognosis greatly influence their decisions regarding the course of treatment and care. The present study aimed to investigate factors contributing to attitudes of medical practitioners toward poor prognosis neonates. This was a cross-sectional, descriptive-analytic study. Questionnaires for assessing subjects’ attitudes toward care of very poor prognosis neonates were administered to all neonatologists, pediatricians, neonatology assistants, and pediatric residents (a total of 88 individuals) working in the NICUs of Imam Khomeini Hospital. Participants’ attitudes were determined through analysis of responses to seven questions on a 5-point Likert scale ranging from “strongly agree” to “strongly disagree”. Presence of anomalies incompatible with an acceptable quality of life, birth weight, gestational age, responses to neonatal diagnostic tests, certain types of diseases, parental marital status and practitioner predictions about patient prognosis were the factors contributing to practitioners’ attitude (P-value < 0.005). However, no significant relationship was found in connection with religious beliefs, socioeconomic status, opinions of consulting physicians, hospital treatment protocols, standards of the Association of Neonatal Physicians, and ethics committee expectations (P-value > 0.005). It can be concluded that the attitudes of practitioners toward intensive care of poor prognosis neonates is determined by the medical condition of the neonate rather than socio-demographic characteristics. Tehran University of Medical Sciences 2019-06-11 /pmc/articles/PMC6642455/ /pubmed/31346399 Text en © 2019 Medical Ethics and History of Medicine Research Center, Tehran University of Medical Sciences. All rights reserved. This is an Open Access article distributed under the terms of the Creative Commons Attribution License, (http://creativecommons.org/licenses/by/3.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Nayeri, Fatemeh
Asghari, Fariba
Baser, Ali
Janani, Leila
Shariat, Mamak
Tanha, Kiarash
Eabrhim, Bita
Factors influencing the attitudes of NICU physicians toward care of neonates with very poor prognosis
title Factors influencing the attitudes of NICU physicians toward care of neonates with very poor prognosis
title_full Factors influencing the attitudes of NICU physicians toward care of neonates with very poor prognosis
title_fullStr Factors influencing the attitudes of NICU physicians toward care of neonates with very poor prognosis
title_full_unstemmed Factors influencing the attitudes of NICU physicians toward care of neonates with very poor prognosis
title_short Factors influencing the attitudes of NICU physicians toward care of neonates with very poor prognosis
title_sort factors influencing the attitudes of nicu physicians toward care of neonates with very poor prognosis
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6642455/
https://www.ncbi.nlm.nih.gov/pubmed/31346399
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