+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Barriers of Palliative Care in Neonatal Intensive Care Units



Barriers of Palliative Care in Neonatal Intensive Care Units



American Journal of Hospice and Palliative Care 34(3): 205-211



Neonatal nurses face numerous barriers in providing end-of-life (EOL) care for neonates and their families. Addressing neonatal nurses' attitudes could provide insight into barriers that impede neonatal palliative care (NPC). This study thus conducted to examine neonatal nurses' attitude toward barriers in providing NPC in Southeast Iran. In this cross-sectional study, a translated modified version of Neonatal Palliative Care Attitude Scale was used to examine attitudes of 70 nurses toward barriers of palliative care in 3 neonatal intensive care units in Southeast Iran. Findings indicated that overall 42.63% of nurses were strongly agreed or agreed with the proposed barriers in NPC. Among all categories, the highest and the lowest scores belonged to the categories of "insufficient resources" (3.42 ± 0.65) and "inappropriate personal and social attitudes" (2.33 ± 0.48), respectively. Neonatal nurses who had less education and study regarding NPC reported the presence of more barriers to NPC in the categories of "inappropriate organizational culture" and/or "inadequate nursing proficiency." Also, younger nurses had more positive attitudes toward the category of inappropriate organizational culture as being a barrier to provision of NPC (4.62). The findings suggest that developing a context-based instrument is required to represent the barrier more precisely. Neonatal palliative care can be improved by establishing a special environment to focus on infants' EOL care. This establishment requires standard palliative care guidelines and adequate NPC-trained nurses.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 057284760

Download citation: RISBibTeXText

PMID: 26602317

DOI: 10.1177/1049909115616597


Related references

Missed opportunities: a case study of barriers to the delivery of palliative care on neonatal intensive care units. International Journal of Palliative Nursing 19(5): 251-256, 2013

Neonatologists’ perspectives of palliative and end-of-life care in neonatal intensive care units. Journal of Perinatology 33(9): 731-735, 2013

Breaking down barriers: enabling care-by-parent in neonatal intensive care units in China. World Journal of Pediatrics 13(2): 144-151, 2017

Dealing with parents facing imminent death of their neonate: introducing palliative care in maternity wards and neonatal intensive care units. Bulletin de l'Academie Nationale de Medecine 194(6): 879-89; Discussion 889-90, 2010

Neonatal care of very-low-birthweight infants in special-care units and neonatal intensive-care units in Stockholm. Early nasal continuous positive airway pressure versus mechanical ventilation: Gains and losses. Acta Paediatrica Suppl. 0(419): 4-10, 1997

Neonatal palliative care attitude scale: development of an instrument to measure the barriers to and facilitators of palliative care in neonatal nursing. Pediatrics 123(2): E207-E213, 2009

II Forum of the "End of Life Study Group of the Southern Cone of America": palliative care definitions, recommendations and integrated actions for intensive care and pediatric intensive care units. Revista Brasileira de Terapia Intensiva 23(1): 24-29, 2011

Integrating palliative care in the surgical and trauma intensive care unit: a report from the Improving Palliative Care in the Intensive Care Unit (IPAL-ICU) Project Advisory Board and the Center to Advance Palliative Care. Critical Care Medicine 40(4): 1199-1206, 2012

National epidemiology of mycoses survey (NEMIS): variations in rates of bloodstream infections due to Candida species in seven surgical intensive care units and six neonatal intensive care units. Clinical Infectious Diseases 29(2): 253-258, 1999

Neonatal Intensive Care A Global Perspective of Similarities and Differences in Selected Neonatal Intensive Care Units in Brazil, Chile, the United States, and Zambia. Newborn and Infant Nursing Reviews 11(2): 61-68, 2011

Palliative care makes intensive care units intensive care and intensive caring units. Critical Care Medicine 39(5): 1204-1205, 2011

A Review of the Integrated Model of Care: An Opportunity to Respond to Extensive Palliative Care Needs in Pediatric Intensive Care Units in Under-Resourced Settings. Frontiers in Pediatrics 6: 3, 2018

Barriers and facilitators to implementing the Baby-Friendly hospital initiative in neonatal intensive care units. Journal of Obstetric Gynecologic and Neonatal Nursing 43(5): 614-624, 2015

Factors Influencing Parent Reports of Facilitators and Barriers to Human Milk Supply in Neonatal Intensive Care Units. Journal of Human Lactation 32(4): 695-703, 2016

Interdisciplinary model for palliative care in the trauma and surgical intensive care unit: Robert Wood Johnson Foundation Demonstration Project for Improving Palliative Care in the Intensive Care Unit. Critical Care Medicine 34(11 Suppl): S399-S403, 2006