Department of Nursing, University of Johannesburg, Johannesburg, South Africa.
Louise Herrington School of Nursing, Baylor University, Dallas, Texas, USA.
Nurs Health Sci. 2019 Sep;21(3):336-344. doi: 10.1111/nhs.12603. Epub 2019 Apr 1.
Many challenges have been noted in the implementation of developmentally-supportive care principles in neonatal intensive care units, despite evidence that adhering to such care principles achieves positive results for the neonate. The aim of this study was to explore and describe compliance in adhering to developmentally-supportive care principles implemented in one neonatal intensive care unit in South Africa. An exploratory design was used in this qualitative study with purposive sampling to select eligible neonatal intensive care registered nurses (n = 14) as participants. Participants all worked in a 10 bed neonatal intensive care unit at a large tertiary care public hospital. Six audio-recorded interviews were conducted, with recordings subsequently transcribed and analyzed. Three main themes were identified: value of developmentally-supportive care, nature of developmentally-supportive care, and barriers to developmentally-supportive care. One of the main themes had subthemes, which substantiated the findings, and included parent involvement, nurse engagement, and holistic care. Study outcomes offer insight into the development or revision of policies and practices, which are crucial when implementing developmentally-supportive care, particularly in resource-poor settings where challenges are magnified.
尽管有证据表明，遵循发展支持性护理原则可为新生儿带来积极结果，但在新生儿重症监护病房实施这些原则时仍存在诸多挑战。本研究旨在探索和描述南非一家新生儿重症监护病房对发展支持性护理原则的遵循情况。这项定性研究采用探索性设计，通过目的性抽样选择了 14 名符合条件的新生儿重症监护注册护士作为参与者。所有参与者均在一家大型三级公立医院的 10 张床位新生儿重症监护病房工作。进行了 6 次录音访谈，随后对录音进行了转录和分析。确定了 3 个主要主题：发展支持性护理的价值、发展支持性护理的性质以及发展支持性护理的障碍。其中一个主要主题有子主题，这些子主题证实了以下发现，包括家长参与、护士参与和全面护理。研究结果为制定或修订政策和实践提供了参考，这在实施发展支持性护理时至关重要，尤其是在资源匮乏的环境中，这些挑战更为突出。
