父母和医疗保健提供者对新生儿重症监护病房中父母在床边查房时的看法。
Views of parents and health-care providers regarding parental presence at bedside rounds in a neonatal intensive care unit.
机构信息
1] Department of Pediatrics, Queen's University, Kingston, ON, Canada [2] Kingston General Hospital, Kingston, ON, Canada.
Department of Pediatrics, Queen's University, Kingston, ON, Canada.
出版信息
J Perinatol. 2014 Feb;34(2):143-8. doi: 10.1038/jp.2013.144. Epub 2013 Nov 7.
OBJECTIVE
To examine the views of parents and health-care providers regarding parental presence during neonatal intensive care rounds.
STUDY DESIGN
Cross-sectional survey of parents whose children were admitted to a tertiary-care neonatal intensive care unit (n=81). Medical trainees (n=67) and nurses (n=28) were also surveyed.
RESULT
The majority of parents reported that attending rounds reduced their anxiety and increased their confidence in the health-care team. Nurses were more likely than medical trainees to support parental presence at rounds (P=0.02). About three-quarters of medical trainees and nurses thought discussion is inhibited and 69% of trainees felt teaching is decreased when parents attend rounds.
CONCLUSION
Most parents who attended rounds found the experience beneficial, but medical trainees' views were mixed. The positive impact on parents, and the learning opportunities created in family-centered care and communication when parents are present on rounds, should be highlighted for trainees and other neonatal intensive care personnel.
目的
调查家长和医疗保健提供者对新生儿重症监护查房时家长在场的看法。
研究设计
对入住三级保健新生儿重症监护病房的儿童的家长（n=81）进行横断面调查。还对医学实习生（n=67）和护士（n=28）进行了调查。
结果
大多数家长报告说，参加查房减轻了他们的焦虑感，并增加了他们对医护团队的信心。护士比医学实习生更支持查房时家长在场（P=0.02）。约有四分之三的医学实习生和护士认为，当家长参加查房时，讨论受到抑制，69%的实习生认为教学减少。
结论
大多数参加查房的家长认为这一经历是有益的，但医学实习生的观点则不一。在以家庭为中心的护理和沟通中，当家长在场时，查房对家长产生的积极影响，以及为实习生和其他新生儿重症监护人员创造的学习机会，都应该得到强调。
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