Nephrol Nurs J. 2024 Nov-Dec;51(6):539-547.
ABSTRACT
Whether pediatric dialysis is morally obligatory is an ethical issue. The study’s aim was to understand neonatal and pediatric intensive care unit (ICU) nurses’ beliefs regarding the ethical use of pediatric dialysis. A single center study was conducted using theoretical and case-based surveys. Sixty-three (63) registered nurses completed at least part of the survey. The most important factors influencing nurses’ beliefs on the appropriateness of dialysis were patient quality of life, prognosis, and severity of comorbidities. Nurses with experience vs. nurses without experience caring for patients on dialysis ranked family wishes as more important (p < 0.05) and were more likely to express their beliefs when they disagreed with the decision (p < 0.005). The data suggest that beliefs of nurses vary based on demographic and situational factors. Consideration of these factors may improve care team communication.
PMID:39817891
