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‘They have to Show that they can Make it’: Vitality as a Criterion for the Prognosis of Premature Infants

Berit Støre Brinchmann

Centre for Medical Ethics, University of Oslo, Norway, Berit.Stoere.Brinchmann{at}hibo.no

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.

Key Words: decision making • ethics • nursing • premature babies • vitality

Nursing Ethics, Vol. 7, No. 2, 141-147 (2000)
DOI: 10.1177/096973300000700207


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B. Store Brinchmann, R. Forde, and P. Nortvedt
What Matters to the Parents? a qualitative study of parents' experiences with life-and-death decisions concerning their premature infants
Nursing Ethics, July 1, 2002; 9(4): 388 - 404.
[Abstract] [PDF]