Professional Development for Nurses and Allied Health Professionals, Continuing Education and Research Service, Bambino Gesù Children's Hospital, IRCCS, P.za Sant'Onofrio 4, 00165 Rome, Italy; Department of Biomedicine and Prevention, Tor Vergata, University of Rome, Via Montpellier, 1, 00133 Rome, Italy.
Professional Development for Nurses and Allied Health Professionals, Continuing Education and Research Service, Bambino Gesù Children's Hospital, IRCCS, P.za Sant'Onofrio 4, 00165 Rome, Italy.
Intensive Crit Care Nurs. 2019 Feb;50:36-43. doi: 10.1016/j.iccn.2018.07.005. Epub 2018 Jul 31.
To explore family-centred care practices in Italian neonatal intensive care units and describe areas for improvement.
A cross-sectional, multicentre, survey was conducted using the Italian language version of "Advancing family-centred new-born intensive care: a self-assessment inventory". The instrument is divided into 10 sections rating the status of family-centred care (1 = not at all, 5 = very well) and ranking the perceived priority for change/improvement (1 = low, 3 = high). A representative group of staff and parent for each unit were invited to complete the survey. Data was collected between January and June 2015. Correlations among unit characteristics and sections within the survey were explored.
All Italian neonatal intensive care units (n = 105) were invited.
Forty-six (43.8%) units returned the survey. The "Leadership" section scored highest in status of family-centred care (mean = 3.45; SD 0.78) and scored highest in priority for change (mean = 2.44; SD 0.49). Section "Families as Advisors and Leaders" scored lowest both in status (mean = 1.66; SD 0.67) and in priority for change (mean = 2.09; SD 0.59). The number of discharged infants was positively correlated with many sections in priority for change (r 0.402-0.421; p < .01).
This study showed a variability in the organisation of family-centred care practices in Italian neonatal intensive care units and the need to involve parents as partners in the care team. Although family-centred care is considered important by Italian neonatology healthcare professionals, much remains to be done to improve family-centred care practices in neonatal intensive care units in Italy.
探索意大利新生儿重症监护病房以家庭为中心的护理实践，并描述需要改进的领域。
采用意大利语版“推进以家庭为中心的新生儿重症监护：自我评估清单”进行横断面、多中心调查。该工具分为 10 个部分，评估以家庭为中心的护理状况（1=一点也不，5=非常好）和对改变/改进的感知优先级（1=低，3=高）。邀请每个单位的代表工作人员和家长完成调查。数据收集于 2015 年 1 月至 6 月。探讨了单位特征与调查内各部分之间的相关性。
邀请了所有意大利新生儿重症监护病房（n=105）。
46 个（43.8%）单位返回了调查。“领导力”部分在以家庭为中心的护理状况方面得分最高（平均值=3.45；标准差 0.78），在改变优先级方面得分最高（平均值=2.44；标准差 0.49）。“家庭作为顾问和领导者”部分在状态（平均值=1.66；标准差 0.67）和改变优先级（平均值=2.09；标准差 0.59）方面得分最低。出院婴儿人数与许多改变优先级的部分呈正相关（r 0.402-0.421；p<.01）。
本研究表明意大利新生儿重症监护病房以家庭为中心的护理实践存在差异，需要将父母作为护理团队的合作伙伴。尽管意大利新生儿科医护人员认为以家庭为中心的护理很重要，但在意大利新生儿重症监护病房中，仍有许多工作要做，以改善以家庭为中心的护理实践。
