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Nurs Ethics. 2000 Mar;7(2):141-7.

'They have to show that they can make it': vitality as a criterion for the prognosis of premature infants.

Author information

1
Department of Nursing and Health Care, Centre for Professional Studies, Bodø Regional University, Norway. Berit.Stoere.Brinchmann@hibo.no

Abstract

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.

PMID:
10986939
DOI:
10.1177/096973300000700207
[Indexed for MEDLINE]

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