Raines Deborah A, Brustad Judith
Palm Healthcare Pavilion, West Palm Beach, Florida, USA.
Adv Neonatal Care. 2012 Jun;12(3):183-8. doi: 10.1097/ANC.0b013e318256efd5.
The purpose of this study was to describe the parent's self-reported confidence as a caregiver. The specific research questions were as follows: • What is the parent's perceived level of confidence when performing infant caregiving activities in the neonatal intensive care unit (NICU)? • What is the parent's projected level of confidence about performing infant caregiving activities on the first day at home?
Participants were parents of infants with an anticipated discharge date within 5 days. Inclusion criteria were as follows: parent at least 18 years of age, infant's discharge destination is home with the parent, parent will have primary responsibility for the infant after discharge, and the infant's length of stay in the NICU was a minimum of 10 days.
DESIGN/METHOD: Descriptive, survey research.
Participants perceived themselves to be confident in all but 2 caregiving activities when caring for their infants in the NICU, but parents projected a change in their level of confidence in their ability to independently complete infant care activities at home.
When comparing the self-reported level of confidence in the NICU and the projected level of confidence at home, the levels of confidence decreased for 5 items, increased for 8 items, and remained unchanged for 2 items. All of the items with a decrease in score were the items with the lowest score when performed in the NICU. All of these low-scoring items are caregiving activities that are unique to the post-NICU status of the infant. Interestingly, the parent's projected level of confidence increased for the 8 items focused on handling and interacting with the infant.
The findings of this research provide evidence that nurses may need to rethink when parents become active participants in their infant's medical-based caregiving activities.
本研究旨在描述父母作为照顾者自我报告的信心水平。具体研究问题如下：
• 父母在新生儿重症监护病房（NICU）进行婴儿护理活动时，其感知到的信心水平如何？
• 父母预计在家中第一天进行婴儿护理活动时的信心水平如何？
参与者为预期出院日期在5天内的婴儿的父母。纳入标准如下：父母年龄至少18岁，婴儿出院后回家与父母同住，父母在婴儿出院后将承担主要照顾责任，且婴儿在NICU的住院时间至少为10天。
设计/方法：描述性调查研究。
参与者认为自己在NICU照顾婴儿时，除了2项护理活动外，对其他所有护理活动都有信心，但父母预计他们在家中独立完成婴儿护理活动的能力信心水平会有所变化。
比较在NICU自我报告的信心水平和在家中预计的信心水平时，有5项信心水平下降，8项信心水平上升，2项信心水平保持不变。所有得分下降的项目都是在NICU进行时得分最低的项目。所有这些低分项目都是婴儿NICU后状态特有的护理活动。有趣的是，父母对专注于处理和与婴儿互动的8个项目的预计信心水平有所提高。
本研究结果提供了证据，表明护士可能需要重新思考父母何时成为婴儿医疗护理活动的积极参与者。
