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They have to Show that they can Make it: Vitality as a Criterion for the Prognosis of Premature InfantsCentre 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 Glasers 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) This article has been cited by other articles:
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