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医疗保健专业人员对父母参与新生儿重症监护病房的看法。

Healthcare Professionals' Views on Parental Participation in the Neonatal Intensive Care Units.

作者信息

Kjellsdotter Anna, Lantz Björn, Ottosson Cornelia

机构信息

School of Health and Education, University of Skövde, Sweden; Research and Development Centre, Skaraborg Hospital, Skövde, Sweden.

Department of Technology Management and Economics, Chalmers University of Technology, Gothenburg, Sweden.

出版信息

J Pediatr Nurs. 2018 Jul-Aug;41:3-8. doi: 10.1016/j.pedn.2017.09.008. Epub 2017 Sep 29.

Abstract

PURPOSE

To examine the associations between age, gender, and profession in relation to the perceived importance of parental participation in Neonatal Intensive Care Units.

DESIGN AND METHODS

A quantitative cross-sectional design was used. Participants were recruited consecutively from all 40 existing NICU units in Sweden. A total of 443 healthcare professionals (372 nurses and 71 physicians) participated in the study. Participants completed the Swedish version of the Empowerment of Parents in the Intensive Care-Neonatology (EMPATHIC-N) questionnaire. Data were analyzed using multiple regression analyses.

RESULTS

The findings indicated that profession and age, but not gender, had an overall perceived importance on how nurses and physicians rated specific aspects of parental participation in NICUs.

CONCLUSIONS

Being a nurse, compared to a physician, was associated with an increase in overall perceived importance of parental participation in NICUs. These differences may affect and may be crucial for how parents take a part in the care of their infant and also for how they adapt to the parental role.

PRACTICE IMPLICATIONS

Nurses and physicians require education and training that support parental participation based on age and their different roles, rather than simply conveying information about the technical medical aspects of NICU care. For a sustainable outcome all team members should be invited to discuss cases from their perspectives.

摘要

目的

探讨年龄、性别和职业与父母参与新生儿重症监护病房护理的重要性认知之间的关联。

设计与方法

采用定量横断面设计。从瑞典现有的40个新生儿重症监护病房连续招募参与者。共有443名医护人员(372名护士和71名医生)参与了该研究。参与者完成了瑞典版的《重症监护新生儿科父母赋权问卷》(EMPATHIC-N)。数据采用多元回归分析进行分析。

结果

研究结果表明,职业和年龄而非性别,对护士和医生如何评价父母参与新生儿重症监护病房护理的具体方面具有总体重要性认知。

结论

与医生相比,护士身份与父母参与新生儿重症监护病房护理的总体重要性认知增加有关。这些差异可能会影响父母参与婴儿护理的方式以及他们如何适应父母角色,且可能至关重要。

实践意义

护士和医生需要接受基于年龄及其不同角色支持父母参与的教育和培训,而不是仅仅传达新生儿重症监护病房护理的技术医学方面的信息。为了取得可持续的结果,应邀请所有团队成员从各自角度讨论病例。

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