A Concept Analysis of Neonatal Palliative Care in Nursing: Introducing a Dimensional Analysis.

Despite the increasing need for neonatal palliative care, it is not adequately implemented in practice. This analysis aimed to clarify the dimension of the neonatal palliative care concept to increase understanding of the concept to give more insight into clinical practice. Using dimensional analysi...

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Publicado en:Comprehensive Child & Adolescent Nursing Vol. 44; no. 3; pp. 209 - 235
Autores principales: Banazadeh, Marjan, Rafii, Forough
Formato: review tables/charts Journal Article
Publicado: Taylor & Francis Ltd Sep2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2021
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      pub: Taylor & Francis Ltd
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        10.1080/24694193.2020.1783029
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        atl: A Concept Analysis of Neonatal Palliative Care in Nursing: Introducing a Dimensional Analysis.
      aug:
        au:
          Banazadeh, Marjan
          Rafii, Forough
        affil: School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
      sug:
        subj:
          Neonatal Intensive Care Nursing
          Hospice Nursing In Infancy and Childhood
          Nursing Practice
          Infant, Newborn
          Coding
          Death
          Quality of Life
          Family Centered Care
          Holistic Care
          Respect
          Family
          Health Services Needs and Demand
          Culture
          Health Care Delivery
          Collaboration
          Intensive Care Units, Neonatal Administration
          Nurses Education
          Patient Advocacy
          Ethics, Nursing
          Empathy
          Compassion
          Nursing Role
          Nurse Attitudes
          Organizational Policies
          Organizational Culture
          Communication
          Infant, Newborn: birth-1 month
      ab: Despite the increasing need for neonatal palliative care, it is not adequately implemented in practice. This analysis aimed to clarify the dimension of the neonatal palliative care concept to increase understanding of the concept to give more insight into clinical practice. Using dimensional analysis methodology, 46 English language papers from 2001–2018 were analyzed. The coding of the literature for the perspective, context, conditions, process, and consequences of the concept was completed. Five dimensions informed the conceptualization of this concept and interrelationships among their themes/sub-themes were presented in the matrix named, "improving quality of life and death". Within the family-centered care perspective and under different conditions/contexts through the processes of neonate's comfort and providing holistic care, the consequences of this care were improving quality of life/a good death. Family-centered care was the fundamental dimension and essential to achieving the consequences. The other dimensions of context, conditions, and processes were also affected by the family's needs, preferences, culture, and expectations. This analysis reinforces that neonatal palliative care is a multidimensional concept. To provide the standard of neonatal palliative care an integrated plan to get together many stakeholders including community, parents, clinical staff, policymakers, insurance authorities, health care systems, and education system is required. All NICUs should have neonatal palliative care-trained nurses and protocols with a family-centered care approach to focus on the quality of life of neonates with life-threatening conditions from diagnosis of disease to death. Regular training and educational courses on neonatal palliative care and family-centered care principles can make nurses more sensitive to their advocacy role.
      pubtype: Academic Journal
      doctype:
        review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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