Beal Judy A, Quinn Mary
Simmons College Graduate School for Health Studies, Boston, MA 02115, USA.
MCN Am J Matern Child Nurs. 2002 May-Jun;27(3):183-8. doi: 10.1097/00005721-200205000-00011.
The aim of this study was to understand and describe the nature of nurse practitioner care delivery in the newborn intensive care unit (NICU) as perceived by parents of critically ill neonates.
This qualitative study used a phenomenologic approach to answer the research question: "What is the lived experience of parents whose babies were cared for by a nurse practitioner in the NICU?
Consistent with phenomenologic methods, eight parents were asked: "What was it like for you to have a nurse practitioner care for you and your baby?" Parents whose babies had within the last 8 months spent at least 2 weeks in the NICU and had been discharged to home were asked to participate by letter. Consent of interested parents was obtained and interviews were conducted in the parents' homes. All interviews were audiotaped and transcribed.
In addition to being able to effectively manage the medical care of the complex neonate, nurse practitioners were consistently perceived as: "being positive and reassuring," "being present," "caring," "translating information," and "making parents feel at ease."
Nurse practitioners working in the NICU can feel validated by the fact that they are clearly appreciated by parents. Inclusion of NPs in the NICU care team enhances the care provided to infants and their families.
本研究旨在了解和描述危重新生儿父母所感知的新生儿重症监护病房(NICU)中执业护士的护理性质。
本定性研究采用现象学方法回答研究问题:“在NICU中,由执业护士照顾其婴儿的父母的实际经历是什么?”
按照现象学方法,向八位父母询问:“由执业护士照顾您和您的宝宝,您的体验如何?” 向那些其宝宝在过去8个月内在NICU至少住了2周且已出院回家的父母发信邀请他们参与。获得感兴趣父母的同意后,在父母家中进行访谈。所有访谈都进行了录音和转录。
除了能够有效管理复杂新生儿的医疗护理外,执业护士还一直被视为:“积极且令人安心”、“随时在场”、“有爱心”、“解读信息”以及“让父母感到安心”。
在NICU工作的执业护士可以因受到父母的明确赞赏而感到自身价值得到认可。将执业护士纳入NICU护理团队可提高为婴儿及其家庭提供的护理质量。