Hadian Shirazi Zahra, Sharif Farkhondeh, Rakhshan Mahnaz, Pishva Narjes, Jahanpour Faezeh
Department of Nursing, Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
Department of Nursing, Community Based Psychiatric Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
J Caring Sci. 2015 Sep 1;4(3):207-16. doi: 10.15171/jcs.2015.021. eCollection 2015.
Communication is one of the key principles in Family-Centered Care (FCC). Studies have shown some drawbacks in communication between families and nurses. Therefore, the present study aimed to recognize the obstacles against nurse-family communication in FCC in Neonatal Intensive Care Unit (NICU).
This qualitative study was conducted on 8 staff nurses in 2 NICUs affiliated to Shiraz University of Medical Sciences selected through purposive sampling. The data were collected using 8 deep semi-structured interviews and 3 observations. Then, they were analyzed through inductive content analysis.
Data analysis resulted in identification of 3 main categories and 7 subcategories. The first category was organizational factors with 2 subcategories of educational domain (inadequate education, lack of a system for nursing student selection, and poor professionalization) and clinical domain (difficult working conditions, lack of an efficient system for ongoing education and evaluation, and authoritarian management). The second category was familial factors with socio-cultural, psychological, and economic subcategories. The last category was the factors related to nurses with socio-cultural and psycho-physical subcategories.
Identification of the obstacles against nurse-family communication helps managers of healthcare systems to plan and eliminate the challenges of effective communication. Besides, elimination of these factors leads to appropriate strategies in NICUs for effective application of FCC.
沟通是家庭中心护理（FCC）的关键原则之一。研究表明，家庭与护士之间的沟通存在一些缺陷。因此，本研究旨在识别新生儿重症监护病房（NICU）中家庭中心护理中护士与家庭沟通的障碍。
本定性研究对设拉子医科大学附属的2个新生儿重症监护病房的8名注册护士进行，采用目的抽样法选取。通过8次深度半结构式访谈和3次观察收集数据。然后，通过归纳性内容分析法进行分析。
数据分析确定了3个主要类别和7个子类别。第一类是组织因素，有教育领域（教育不足、缺乏护理学生选拔系统和职业化程度低）和临床领域（工作条件困难、缺乏有效的继续教育和评估系统以及专制管理）2个子类别。第二类是家庭因素，有社会文化、心理和经济子类别。最后一类是与护士相关的因素，有社会文化和心理生理子类别。
识别护士与家庭沟通的障碍有助于医疗系统管理者规划并消除有效沟通的挑战。此外，消除这些因素会为新生儿重症监护病房制定有效应用家庭中心护理的适当策略。
