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Pregled bibliografske jedinice broj: 1178053

End-of-Life Decision-Making in Pediatric and Neonatal Intensive Care Units in Croatia—A Focus Group Study among Nurses and Physicians


Rubic, Filip; Curkovic, Marko; Brajkovic, Lovorka; Nevajdic, Bojana; Novak, Milivoj; Filipovic-Grcic, Boris; Mestrovic, Julije; Lag Tomulic, Kristina; Peter, Branimir; Borovecki, Ana
End-of-Life Decision-Making in Pediatric and Neonatal Intensive Care Units in Croatia—A Focus Group Study among Nurses and Physicians // Medicina, 58 (2022), 250; 1-19 doi:10.3390/medicina58020250 (međunarodna recenzija, članak, znanstveni)


CROSBI ID: 1178053 Za ispravke kontaktirajte CROSBI podršku putem web obrasca

Naslov
End-of-Life Decision-Making in Pediatric and Neonatal Intensive Care Units in Croatia—A Focus Group Study among Nurses and Physicians

Autori
Rubic, Filip ; Curkovic, Marko ; Brajkovic, Lovorka ; Nevajdic, Bojana ; Novak, Milivoj ; Filipovic-Grcic, Boris ; Mestrovic, Julije ; Lag Tomulic, Kristina ; Peter, Branimir ; Borovecki, Ana

Izvornik
Medicina (1010-660X) 58 (2022), 250; 1-19

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
pediatric intensive care unit ; neonatal intensive care unit ; critical care ; end-of-life ; nurses ; physicians ; focus groups

Sažetak
Background and Objectives: Working in pediatric and neonatal intensive care units (ICUs) can be challenging and differs from work in adult ICUs. This study investigated for the first time the perceptions, experiences and challenges that healthcare professionals face when dealing with end-of-life decisions in neonatal intensive care units (NICUs) and pediatric intensive care units (PICUs) in Croatia. Materials and Methods: This qualitative study with focus groups was conducted among physicians and nurses working in NICUs and PICUs in five healthcare institutions (three pediatric intensive care units (PICUs) and five neonatal intensive care units (NICUs)) at the tertiary level of healthcare in the Republic of Croatia, in Zagreb, Rijeka and Split. A total of 20 physicians and 21 nurses participated in eight focus groups. The questions concerned everyday practices in end-of-life decision-making and their connection with interpersonal relationships between physicians, nurses, patients and their families. The constant comparative analysis method was used in the analysis of the data. Results: The analysis revealed two main themes that were the same among the professional groups as well as in both NICU and PICU units. The theme “critical illness” consisted of the following subthemes: the child, the family, myself and other professionals. The theme “end-of-life procedures” consisted of the following subthemes: breaking point, decision- making, end-of-life procedures, “spill-over” and the four walls of the ICU. The perceptions and experiences of end-of-life issues among nurses and physicians working in NICUs and PICUs share multiple common characteristics. The high variability in end-of-life procedures applied and various difficulties experienced during shared decision-making processes were observed. Conclusions: There is a need for further research in order to develop clinical and professional guidelines that will inform end-of-life decision- making, including the specific perspectives of everyone involved, and the need to influence policymakers.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti, Psihologija



POVEZANOST RADA


Projekti:
IP-2016-06-2721 - Vrijednosti i odluke na kraju života (VAL-DE-END) (Borovečki, Ana, HRZZ - 2016-06) ( POIROT)

Ustanove:
Medicinski fakultet, Zagreb,
Klinika za psihijatriju Vrapče,
KBC Split,
Klinički bolnički centar Zagreb,
Fakultet hrvatskih studija, Zagreb,
Klinički bolnički centar Rijeka

Poveznice na cjeloviti tekst rada:

doi www.mdpi.com

Citiraj ovu publikaciju:

Rubic, Filip; Curkovic, Marko; Brajkovic, Lovorka; Nevajdic, Bojana; Novak, Milivoj; Filipovic-Grcic, Boris; Mestrovic, Julije; Lag Tomulic, Kristina; Peter, Branimir; Borovecki, Ana
End-of-Life Decision-Making in Pediatric and Neonatal Intensive Care Units in Croatia—A Focus Group Study among Nurses and Physicians // Medicina, 58 (2022), 250; 1-19 doi:10.3390/medicina58020250 (međunarodna recenzija, članak, znanstveni)
Rubic, F., Curkovic, M., Brajkovic, L., Nevajdic, B., Novak, M., Filipovic-Grcic, B., Mestrovic, J., Lag Tomulic, K., Peter, B. & Borovecki, A. (2022) End-of-Life Decision-Making in Pediatric and Neonatal Intensive Care Units in Croatia—A Focus Group Study among Nurses and Physicians. Medicina, 58 (250), 1-19 doi:10.3390/medicina58020250.
@article{article, author = {Rubic, Filip and Curkovic, Marko and Brajkovic, Lovorka and Nevajdic, Bojana and Novak, Milivoj and Filipovic-Grcic, Boris and Mestrovic, Julije and Lag Tomulic, Kristina and Peter, Branimir and Borovecki, Ana}, year = {2022}, pages = {1-19}, DOI = {10.3390/medicina58020250}, keywords = {pediatric intensive care unit, neonatal intensive care unit, critical care, end-of-life, nurses, physicians, focus groups}, journal = {Medicina}, doi = {10.3390/medicina58020250}, volume = {58}, number = {250}, issn = {1010-660X}, title = {End-of-Life Decision-Making in Pediatric and Neonatal Intensive Care Units in Croatia—A Focus Group Study among Nurses and Physicians}, keyword = {pediatric intensive care unit, neonatal intensive care unit, critical care, end-of-life, nurses, physicians, focus groups} }
@article{article, author = {Rubic, Filip and Curkovic, Marko and Brajkovic, Lovorka and Nevajdic, Bojana and Novak, Milivoj and Filipovic-Grcic, Boris and Mestrovic, Julije and Lag Tomulic, Kristina and Peter, Branimir and Borovecki, Ana}, year = {2022}, pages = {1-19}, DOI = {10.3390/medicina58020250}, keywords = {pediatric intensive care unit, neonatal intensive care unit, critical care, end-of-life, nurses, physicians, focus groups}, journal = {Medicina}, doi = {10.3390/medicina58020250}, volume = {58}, number = {250}, issn = {1010-660X}, title = {End-of-Life Decision-Making in Pediatric and Neonatal Intensive Care Units in Croatia—A Focus Group Study among Nurses and Physicians}, keyword = {pediatric intensive care unit, neonatal intensive care unit, critical care, end-of-life, nurses, physicians, focus groups} }

Časopis indeksira:


  • Web of Science Core Collection (WoSCC)
    • Science Citation Index Expanded (SCI-EXP)
    • SCI-EXP, SSCI i/ili A&HCI
  • Scopus
  • MEDLINE


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