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黑暗与光明——新生儿重症监护病房以家庭为中心护理的两面:一项定性研究

Dark and Bright-Two Sides of Family-Centered Care in the NICU: A Qualitative Study.

作者信息

Mirlashari Jila, Valizadeh Sousan, Navab Elham, Craig Jenene W, Ghorbani Fatemeh

机构信息

1 Tehran University of Medical Sciences, Iran.

2 Tabriz University of Medical Sciences, Iran.

出版信息

Clin Nurs Res. 2019 Sep;28(7):869-885. doi: 10.1177/1054773818758171. Epub 2018 Feb 19.

DOI:10.1177/1054773818758171
PMID:29457482
Abstract

Nurses in the Neonatal Intensive Care Unit (NICU) have an important role in implementing family-centered care (FCC). The aim of the study was to explore the lived experiences of NICU nurses on implementing FCC. An interpretative phenomenological study was conducted and 11 employed nurses were interviewed from April 2015 to February 2016. The data were analyzed through the Diekelmann, Allen, and Tanner approach. Four main themes of "strain to achieve stability," "bewildered by taking multiple roles," "accepting the family," and "reaching bright horizon" were extracted. This study provided deeper understanding about nurses' perceptions of FCC implementation. In Muslim developing countries, FCC implementation is challenging and nurses are under extra pressure because of a shortage in nursing workforce; however, having positive experiences with family participation and valuing theism beliefs allowed them to support family involvement. Support of nurses to take FCC strategies in the NICU is needed by officials overseeing the health care system.

摘要

新生儿重症监护病房(NICU)的护士在实施以家庭为中心的护理(FCC)方面发挥着重要作用。本研究的目的是探讨NICU护士实施FCC的生活经历。进行了一项诠释现象学研究,于2015年4月至2016年2月对11名在职护士进行了访谈。数据通过迪克尔曼、艾伦和坦纳方法进行分析。提取了“努力实现稳定的压力”、“因承担多种角色而困惑”、“接纳家庭”和“迎来光明前景”四个主要主题。本研究对护士对FCC实施的认知有了更深入的理解。在穆斯林发展中国家,实施FCC具有挑战性,由于护理人员短缺,护士承受着额外的压力;然而,在家庭参与方面有积极的经历并重视有神论信仰使他们能够支持家庭参与。监督医疗保健系统的官员需要支持护士在NICU采取FCC策略。

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