Axelin Anna, Ahlqvist-Björkroth Sari, Kauppila Wiveka, Boukydis Zack, Lehtonen Liisa
Anna Axelin, University Research Fellow, University of Turku, Turun yliopisto, Turku, Finland. She can be reached via e-mail at
MCN Am J Matern Child Nurs. 2014 Jul-Aug;39(4):260-8. doi: 10.1097/NMC.0000000000000061.
To describe nurses' experiences of a training program promoting family-centered care and its influence on their care practices in the Neonatal Intensive Care Unit (NICU).
Descriptive qualitative interview study. A training program was used to teach nurses and physicians to collaborate closely with parents in infant care. After the program, 22 nurses were interviewed. Participants were asked to describe their current care practices and reflect on training program-initiated changes. The interviews were analyzed using thematic analysis.
The main finding was that nurses felt the program had promoted beneficial change regarding family-centered care. The resulting new atmosphere and care practices supported increased parental involvement in infant care. Due to the nurses' increased interaction with parents, they became more aware of the parents' psychosocial situation. The role of the nurse changed from an active caretaker to a facilitator who supported the parents in infant care.
The transition from professionally centered NICU care to family-centered care is achievable using a well-designed structured program that involves all staff members. The program was able to change the nurses' attitudes and care practices, signifying a successful implementation of family-centered care.
描述护士参与一项促进以家庭为中心护理的培训项目的经历，以及该项目对他们在新生儿重症监护病房（NICU）护理实践的影响。
描述性定性访谈研究。采用一个培训项目，教导护士和医生在婴儿护理方面与家长密切合作。项目结束后，对22名护士进行了访谈。参与者被要求描述他们当前的护理实践，并反思培训项目引发的变化。采用主题分析法对访谈进行分析。
主要发现是护士们认为该项目促进了以家庭为中心护理方面的有益变革。由此产生的新氛围和护理实践支持家长更多地参与婴儿护理。由于护士与家长互动增加，他们更加了解家长的心理社会状况。护士的角色从积极的护理者转变为在婴儿护理方面支持家长的促进者。
通过一个精心设计的、涉及所有工作人员的结构化项目，从以专业为中心的NICU护理向以家庭为中心的护理转变是可以实现的。该项目能够改变护士的态度和护理实践，标志着以家庭为中心护理的成功实施。
