Department of Nursing Science, School of Public Health, Aarhus University, Aarhus, Denmark.
Intensive Crit Care Nurs. 2010 Dec;26(6):307-13. doi: 10.1016/j.iccn.2010.08.004. Epub 2010 Sep 22.
To investigate the lived experiences of neonatal nurses, that is, what it is like to be a neonatal nurse after developmental care is introduced in the unit.
The study was designed as a qualitative interview study with a hermeneutic-phenomenological approach. Participants were seven neonatal nurses working in an 18-bed level 2 and 3 neonatal unit at a tertiary university hospital in Denmark. Developmental care was recently introduced in the unit, parents spend many hours a day with their baby and stay overnight in guestrooms at the hospital.
The essential theme of the phenomenon being a neonatal nurse is found to be 'walking the line between the possible and the ideal'. Five themes illuminate this essence. They are: 'being attentive to the infant and the mother-infant dyad', 'the body tells', 'time is everything', 'working in a quiet and caring, crowded and distressing space', and 'teamwork - demanding or smooth and helpful'.
Introducing developmental care in a neonatal unit changes neonatal nurses' experiences of caring for infants and mother-infant dyads. The meaning of body, time, space and relationships are decisive and deserve to be included in nurses' and nurse leaders' discussion about developmental and family centred neonatal care.
探讨新生儿护士的生活体验，即在单位引入发展性照顾后成为新生儿护士的感受。
本研究采用定性访谈研究设计，采用解释学-现象学方法。参与者是丹麦一家三级大学医院 18 张床位 2 级和 3 级新生儿病房的 7 名新生儿护士。该单位最近引入了发展性护理，父母每天花数小时与他们的婴儿在一起，并在医院的客房过夜。
发现该现象作为新生儿护士的本质主题是“游走于可能与理想之间”。五个主题阐明了这一本质。它们是：“关注婴儿和母婴二人组”、“身体会说话”、“时间就是一切”、“在安静关怀、拥挤痛苦的空间工作”和“团队合作——要求苛刻或顺畅有帮助”。
在新生儿病房引入发展性护理改变了新生儿护士照顾婴儿和母婴二人组的体验。身体、时间、空间和关系的意义是决定性的，值得护士和护理领导人在讨论发展性和以家庭为中心的新生儿护理时纳入其中。
