Article type
Abstract
"Background: Severe jaundice could lead to long-term brain damage for newborn infants. How to manage neonatal jaundice to avoid neurological sequelae is a dilemma in clinical practice. Thus, it is important for clinical practitioners to share the decision making with the parents of jaundiced infants. However, how healthcare personnel conduct the shared decision-making (SDM) to manage neonatal jaundice according evidence is unknown.
Objectives: The current study aimed to investigate how to use evidence to share decision makings for the management of neonatal jaundice.
Methods: An online questionnaire survey was conducted during January 2024 in multiple centers of Taiwan, including 9 postpartum centers, 3 hospitals of obstetrics, 1 teaching hospital, and 4 medical centers. Personnel involving in the clinical care of neonates were eligible for enrollment. Those who seldom take care of neonates were excluded. The study protocol was approved by the Institution Review Board of Chang Gung Memorial Hospital.
Results: A total of 160 healthcare personnel were enrolled, including 20 physicians, 136 nurses, and 4 babysitters. Overall, 81.3% of healthcare personnel conducted SDM with parents. The most common participants of SDM were nurses and mothers. In addition, the most common issue of SDM was how to examine the extent of jaundice (invasive blood tests or non-invasive transcutaneous tests) (76.9%), followed by the treatment of neonatal jaundice (phototherapy or closely observation) (63.2%) and the choice of milk (cessation or continuation of breastfeeding) (35%). However, most healthcare personnel shared decision-making based on clinical data and experience, only 42.5% of healthcare professionals provided evidence-based information and 28.8% of healthcare professionals used SDM tools. Furthermore, 83.8 of healthcare personnel were willing to learn how to conduct SDM for the management of neonatal jaundice.
Conclusions: Our findings depict most primary healthcare personnel lack the ability in the implementation of evidence-based SDM for the management of neonatal jaundice. Additional training to learn SDM is needed for the clinical care of infants with neonatal jaundice.
"
Objectives: The current study aimed to investigate how to use evidence to share decision makings for the management of neonatal jaundice.
Methods: An online questionnaire survey was conducted during January 2024 in multiple centers of Taiwan, including 9 postpartum centers, 3 hospitals of obstetrics, 1 teaching hospital, and 4 medical centers. Personnel involving in the clinical care of neonates were eligible for enrollment. Those who seldom take care of neonates were excluded. The study protocol was approved by the Institution Review Board of Chang Gung Memorial Hospital.
Results: A total of 160 healthcare personnel were enrolled, including 20 physicians, 136 nurses, and 4 babysitters. Overall, 81.3% of healthcare personnel conducted SDM with parents. The most common participants of SDM were nurses and mothers. In addition, the most common issue of SDM was how to examine the extent of jaundice (invasive blood tests or non-invasive transcutaneous tests) (76.9%), followed by the treatment of neonatal jaundice (phototherapy or closely observation) (63.2%) and the choice of milk (cessation or continuation of breastfeeding) (35%). However, most healthcare personnel shared decision-making based on clinical data and experience, only 42.5% of healthcare professionals provided evidence-based information and 28.8% of healthcare professionals used SDM tools. Furthermore, 83.8 of healthcare personnel were willing to learn how to conduct SDM for the management of neonatal jaundice.
Conclusions: Our findings depict most primary healthcare personnel lack the ability in the implementation of evidence-based SDM for the management of neonatal jaundice. Additional training to learn SDM is needed for the clinical care of infants with neonatal jaundice.
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