Improving Ethical Practice At Neonatal Intensive Care Unit In Buee Primary Hospital.

Abstract rnIntroduction: Ethics is defined as a moral philosophy or code of morals practiced by a person orrngroup of people. There agreed ethical principles are autonomy, beneficence, non-maleficence, andrnjustice, which are widely accepted in the neonatal practice. However, within the context of diversernvalues, beliefs and interests’ fundamental variations exist and they hugely influence the plans ofrnnew born management. There is limited information in Ethiopia regarding the practice of thesernethical principles. rnThe ethical principles of new born care are not clearly stated and not applied well by NICU staffs,rnin Buee Primary Hospital (BPH). The parents are not part of decision making and treatment ofrnchoice. rnObjectives: The objective of the project is to improve the practice of ethical principles at NICUrnin Buee Primary Hospital. rnMethods: Pre-post interventional study and descriptive qualitative approach was conducted tornexplore the practice of ethical principles at NICU in Buee Primary Hospital. The study populationsrnare all health professionals working in the hospital. Key informant interview guide was conductedrnface to face by the investigator. The recorded audio note interviews were transcribed, and analyzedrnthematically using open code software version 4.2. rnResult: In the pre-intervention we conducted observation, document review and discussion tornverify the root cause of the problem. In the- post intervention we developed implementation planrnand the health professionals started to implement the plan. During this period, we evaluated thernproblem whether it has improved or not. rnQualitative finding: The key informant interviews indicated gaps in the practice of ethicalrnprinciples in NICU. rnThe results of the selected strategies showed a significant improvement on the practice of lowrnethical principles in the unit. This was objectively measured using the observational checklist fromrn27% to 80% during the evaluation period of pre and post intervention. rnConclusion and Recommendation: The results of this project suggested that a simple set ofrnintervention was effective on improving the practice of ethical principles. The finding also proved the effectiveness of selected strategies, but it will be better to implement in a large scale in thernhospital.

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