Perinatal Palliative Care: Barriers and Attitudes of Neonatologists and Nurses in Poland

Objective. To identify barriers and personnel attitudes towards realization of palliative care principles in neonatological units. Study Design. An anonymous questionnaire was posted to all heads of departments and head nurses of all the 27 neonatological units in the Lodz area. Results. We received...

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Main Authors: Aleksandra Korzeniewska-Eksterowicz, Maria Respondek-Liberska, Łukasz Przysło, Wojciech Fendler, Wojciech Młynarski, Ewa Gulczyńska
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1155/2013/168060
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author Aleksandra Korzeniewska-Eksterowicz
Maria Respondek-Liberska
Łukasz Przysło
Wojciech Fendler
Wojciech Młynarski
Ewa Gulczyńska
author_facet Aleksandra Korzeniewska-Eksterowicz
Maria Respondek-Liberska
Łukasz Przysło
Wojciech Fendler
Wojciech Młynarski
Ewa Gulczyńska
author_sort Aleksandra Korzeniewska-Eksterowicz
collection DOAJ
description Objective. To identify barriers and personnel attitudes towards realization of palliative care principles in neonatological units. Study Design. An anonymous questionnaire was posted to all heads of departments and head nurses of all the 27 neonatological units in the Lodz area. Results. We received 46 (85%) questionnaires. Final analysis comprised 42 properly filled-in questionnaires (by 22 doctors and 20 nurses). In case of prenatal diagnosis of a lethal defect, 77.27% of doctors and 65% of nurses opted for informing the mother also about the possibility of pregnancy continuation and organization of palliative care after delivery. Most of respondents accepted conditions for abortion pointed by the Polish law. The most common barriers pointed out by both groups were insufficient knowledge of the personnel on palliative medicine and family preference for life sustaining treatment. Conclusions. Understanding attitudes of personnel towards palliative care and identification of barriers are a starting point for future efforts to improve the system of neonatological care.
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institution Kabale University
issn 1537-744X
language English
publishDate 2013-01-01
publisher Wiley
record_format Article
series The Scientific World Journal
spelling doaj-art-5a18c8d208ae467da28e36907e67349e2025-02-03T06:13:05ZengWileyThe Scientific World Journal1537-744X2013-01-01201310.1155/2013/168060168060Perinatal Palliative Care: Barriers and Attitudes of Neonatologists and Nurses in PolandAleksandra Korzeniewska-Eksterowicz0Maria Respondek-Liberska1Łukasz Przysło2Wojciech Fendler3Wojciech Młynarski4Ewa Gulczyńska5Pediatric Palliative Care Unit, Department of Pediatrics, Oncology, Hematology and Diabetology, Medical University of Lodz, 36/50 Sporna Street, 91-738 Lodz, PolandDepartment for Diagnosis and Prevention of Congenital Malformations, Medical University of Lodz and Research Institute of Polish Mother’s Memorial Hospital, 281/289 Rzgowska Street, 93-338 Lodz, PolandGajusz Foundation, Pediatric Palliative Care Center, Home Hospice for Children of Lodz Region, 87 Dąbrowskiego Street, 93-271 Lodz, PolandDepartment of Pediatrics, Oncology, Hematology and Diabetology, Medical University of Lodz, 36/50 Sporna Street, 91-738 Lodz, PolandDepartment of Pediatrics, Oncology, Hematology and Diabetology, Medical University of Lodz, 36/50 Sporna Street, 91-738 Lodz, PolandDepartment of Neonatology, Research Institute of Polish Mother’s Memorial Hospital, 281/289 Rzgowska Street, 93-338 Lodz, PolandObjective. To identify barriers and personnel attitudes towards realization of palliative care principles in neonatological units. Study Design. An anonymous questionnaire was posted to all heads of departments and head nurses of all the 27 neonatological units in the Lodz area. Results. We received 46 (85%) questionnaires. Final analysis comprised 42 properly filled-in questionnaires (by 22 doctors and 20 nurses). In case of prenatal diagnosis of a lethal defect, 77.27% of doctors and 65% of nurses opted for informing the mother also about the possibility of pregnancy continuation and organization of palliative care after delivery. Most of respondents accepted conditions for abortion pointed by the Polish law. The most common barriers pointed out by both groups were insufficient knowledge of the personnel on palliative medicine and family preference for life sustaining treatment. Conclusions. Understanding attitudes of personnel towards palliative care and identification of barriers are a starting point for future efforts to improve the system of neonatological care.http://dx.doi.org/10.1155/2013/168060
spellingShingle Aleksandra Korzeniewska-Eksterowicz
Maria Respondek-Liberska
Łukasz Przysło
Wojciech Fendler
Wojciech Młynarski
Ewa Gulczyńska
Perinatal Palliative Care: Barriers and Attitudes of Neonatologists and Nurses in Poland
The Scientific World Journal
title Perinatal Palliative Care: Barriers and Attitudes of Neonatologists and Nurses in Poland
title_full Perinatal Palliative Care: Barriers and Attitudes of Neonatologists and Nurses in Poland
title_fullStr Perinatal Palliative Care: Barriers and Attitudes of Neonatologists and Nurses in Poland
title_full_unstemmed Perinatal Palliative Care: Barriers and Attitudes of Neonatologists and Nurses in Poland
title_short Perinatal Palliative Care: Barriers and Attitudes of Neonatologists and Nurses in Poland
title_sort perinatal palliative care barriers and attitudes of neonatologists and nurses in poland
url http://dx.doi.org/10.1155/2013/168060
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