| This qualitative study explored NICU nurses' participation in and satisfaction with their role in the ethical decision-making process for the neonates in their care. Patterns, themes, and sub-themes were identified from two focus groups that were interviewed. Nurses described being involved in ethical decision-making through communication, coordination and collaboration, role extension, advocacy, education, and support. Participants believed they could contribute more through communication, input into hospital and unit policies, and education. Their desired roles were communicator, advocate, coordinator of care, and educator. Nurses were satisfied to fairly satisfied with their role in the ethical decision-making process for the neonates in their care. Study findings suggest that nurses need to be further educated in the theory and practice of ethics in health care so they can recognize and contribute more effectively to the ethical decision-making process. Nurses need to feel supported by their work site in order to be empowered to ensure that the best interests of the neonate are considered. |
