Weloverwogen Stappen: medisch ethische besluitvorming op de intensive care neonatologie en de invloed van emotionele belasting op verpleegkundigen en artsen

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Nederlandse titel proefschrift Weloverwogen Stappen: medisch ethische besluitvorming op de intensive care neonatologie en de invloed van emotionele belasting op verpleegkundigen en artsen
Engelse titel proefschrift Mind Your Steps: Medical ethical decision-making in the neonatal intensive care unit and impact of emotional burden on nurses and physicians
Promovendus Boer, Coby de
Gepromoveerde is verpleegkundige (geweest)
Universiteit Erasmus Universiteit Rotterdam
Datum promotie 06/10/2015
Promotores Promotoren: prof. dr. I.K.M. Reiss & prof. dr. A.B. Bakker. Copromotor: dr. M. van Dijk
Researchgate-url researchgate.net
Abstract (Engels)

This thesis assesses the effectiveness of structured multi-professional medical ethical decision-making in diminishing problems experienced around medical ethical decisionmaking in the Erasmus MC NICU. Besides, it gives an overview of the patients discussed from 2009 to 2012, and their outcomes at two year follow-up.

Patient care, especially in acute settings, is closely linked to emotional burden in nurses and physicians. The impacts of chronic and acute work-related stressors on moral distress, post-traumatic stress symptoms, anxiety, and depression were evaluated. The introduction illuminates the context and the pre-existing problems in the Erasmus MC NICU with respect to medical ethical decision-making.

Besides, consequences of working in a highly demanding context for professionals’ well-being are presented against a practical and a theoretical background.
Proefschrift downloaden (Engels) Proefschrift-De-Boer-C.pdf