Jackson Karin, Ternestedt Britt-Marie, Magnuson Anders, Schollin Jens
Department of Caring Sciences, Orebro University, Orebro, Sweden.
Acta Paediatr. 2006 Jan;95(1):29-37. doi: 10.1080/08035250500323749.
To study the subjective opinions about what is important in care at neonatal units and child health centres (CHCs) for premature newborns, and to compare these opinions with the care actually given.
21 mothers, 20 fathers and 15 nurses at the neonatal unit, and 21 mothers, 14 fathers and 18 nurses at CHCs.
A questionnaire on quality of Care from the Patient's Perspective was used. It contained three dimensions: identity-oriented approach, medical-technical competence and socio-cultural atmosphere. Each dimension was evaluated in terms of subjective importance and perceived reality of given care.
In general, subjective importance was rated higher than perceived reality both for neonatal care and care at CHCs for the dimensions identity-oriented approach and medical-technical competence. However, higher ratings were given to neonatal care compared to CHCs for medical-technical competence. High-risk diagnoses and very low gestational age in the newborn did not affect the answers. Mothers rated medical-technical competence higher than nurses for neonatal care. Mothers and nurses rated identity-oriented approach higher than fathers for CHCs.
Although both neonatal care and care at CHCs were highly rated, improvements can be made to fulfil the expectations of parents and nurses. Neonatal units seem to be more efficient in taking care of the special needs of these newborns compared to CHCs. The need for an optimal identity-oriented approach, medical-technical competence and socio-cultural atmosphere could strengthen the possibilities of parents to be confident in their parental role.
研究关于新生儿病房和儿童健康中心（CHCs）对早产儿护理中重要事项的主观意见，并将这些意见与实际提供的护理进行比较。
新生儿病房的21位母亲、20位父亲和15位护士，以及儿童健康中心的21位母亲、14位父亲和18位护士。
使用一份从患者角度出发的护理质量问卷。它包含三个维度：以身份为导向的方法、医疗技术能力和社会文化氛围。每个维度都根据给定护理的主观重要性和感知现实进行评估。
总体而言，对于以身份为导向的方法和医疗技术能力这两个维度，新生儿护理和儿童健康中心护理的主观重要性评分均高于感知现实。然而，在医疗技术能力方面，新生儿护理的评分高于儿童健康中心护理。新生儿的高危诊断和极低孕周并未影响答案。在新生儿护理方面，母亲对医疗技术能力的评分高于护士。在儿童健康中心，母亲和护士对以身份为导向的方法的评分高于父亲。
尽管新生儿护理和儿童健康中心护理的评分都很高，但仍可进行改进以满足家长和护士的期望。与儿童健康中心相比，新生儿病房在照顾这些新生儿的特殊需求方面似乎更有效。对最佳的以身份为导向的方法、医疗技术能力和社会文化氛围的需求可以增强家长对其父母角色充满信心的可能性。
