4.1 Article

Evaluation of Comfort and Confidence of Neonatal Clinicians in Providing Palliative Care

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JOURNAL OF PALLIATIVE MEDICINE
卷 21, 期 11, 页码 1558-1565

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MARY ANN LIEBERT, INC
DOI: 10.1089/jpm.2018.0102

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confidence and comfort; neonatal palliative care; neonatal professional

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Background: Research found that low levels of professional confidence and personal comfort among neonatal clinicians regarding palliative care may indicate a lack of competence and hesitancy to offer neonatal palliative care services. Purpose: This study evaluated the factors associated with the confidence and comfort levels of neonatal clinicians providing neonatal palliative care. Methods: A cross-sectional survey and questionnaire were used to investigate the confidence and comfort levels of neonatal clinicians regarding neonatal palliative care. Results: Research subjects included 154 neonatal clinicians. Clinicians' confidence in providing neonatal palliative care was significantly impacted by age, marital status, years of professional experience (p<0.05), and prior palliative care training. Comfort levels were significantly impacted by educational degree, marital status, and years of working experience. Clinicians with a supportive workplace reported increases in both professional confidence (r=0.286, p<0.001) and personal comfort (r=0.521, p<0.001). Conclusion: Research reveals the importance of neonatal palliative education and suggests further development of interdisciplinary neonatal palliative care teams to improve clinicians' professional confidence and personal comfort.

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