Faculty of Health, Department of Child Health, Birmingham City University, Birmingham, UK.
BMJ Open. 2013 Mar 27;3(3):e002547. doi: 10.1136/bmjopen-2013-002547.
To explore healthcare professionals' experiences around the time of newborn resuscitation in the delivery room, when the baby's father was present.
A qualitative descriptive, retrospective design using the critical incident approach. Tape-recorded semistructured interviews were undertaken with healthcare professionals involved in newborn resuscitation. Participants recalled resuscitation events when the baby's father was present. They described what happened and how those present, including the father, responded. They also reflected upon the impact of the resuscitation and the father's presence on themselves. Participant responses were analysed using thematic analysis.
A large teaching hospital in the UK.
Purposive sampling was utilised. It was anticipated that 35-40 participants would be recruited. Forty-nine potential participants were invited to take part. The final sample consisted of 37 participants including midwives, obstetricians, anaesthetists, neonatal nurse practitioners, neonatal nurses and paediatricians.
Four themes were identified: 'whose role?' 'saying and doing' 'teamwork' and 'impact on me'. While no-one was delegated to support the father during the resuscitation, midwives and anaesthetists most commonly took on this role. Participants felt the midwife was the most appropriate person to support fathers. All healthcare professional groups said they often did not know what to say to fathers during prolonged resuscitation. Teamwork was felt to be of benefit to all concerned, including the father. Some paediatricians described their discomfort when fathers came to the resuscitaire. None of the participants had received education and training specifically on supporting fathers during newborn resuscitation.
This is the first known study to specifically explore the experiences of healthcare professionals of the father's presence during newborn resuscitation. The findings suggest the need for more focused training about supporting fathers. There is also scope for service providers to consider ways in which fathers can be supported more readily during newborn resuscitation.
探讨新生儿复苏时在场的婴儿父亲的医护人员的经历。
使用关键事件方法的定性描述性回顾性设计。对参与新生儿复苏的医护人员进行了录音的半结构化访谈。参与者回忆了婴儿的父亲在场时的复苏事件。他们描述了发生的事情以及在场的人（包括父亲）的反应。他们还反思了复苏和父亲在场对他们自己的影响。使用主题分析对参与者的反应进行分析。
英国一家大型教学医院。
采用了目的性抽样。预计将招募 35-40 名参与者。邀请了 49 名潜在参与者参加。最终样本包括 37 名参与者，包括助产士、产科医生、麻醉师、新生儿护士从业者、新生儿护士和儿科医生。
确定了四个主题：“谁的角色？”“说和做”“团队合作”和“对我的影响”。虽然没有人被委派在复苏期间支持父亲，但助产士和麻醉师最常承担这个角色。参与者认为助产士是支持父亲的最合适人选。所有医疗保健专业人员都表示，在长时间的复苏期间，他们通常不知道该对父亲说些什么。团队合作被认为对所有相关人员都有益，包括父亲。一些儿科医生描述了他们在父亲来到复苏室时的不适。没有一名参与者接受过专门针对新生儿复苏期间支持父亲的教育和培训。
这是第一项专门探讨医护人员在新生儿复苏期间在场的父亲的经历的研究。研究结果表明，需要更有针对性的培训来支持父亲。服务提供者也有机会考虑如何更方便地在新生儿复苏期间支持父亲。
