School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran; Women's Health Research, Institute Department of OBGYN, University of British Colombia, Canada.
School of Nursing University of British Colombia, Canada.
J Pediatr Nurs. 2020 Jan-Feb;50:e91-e98. doi: 10.1016/j.pedn.2019.06.013. Epub 2019 Jul 9.
The purpose of this study was to investigate physicians' and nurses' perspectives on the challenges of implementing the FCC in the neonatal intensive care unit.
The study employed a qualitative design to conduct five focus groups with 25 nurses and 15 physicians (n = 40). All of the nurse participants identified as female; 73% held a bachelor's degree in nursing and 59% had been working as a neonatal nurse for >10 years. Of the physicians, 55% identified as male, 43% held positions as neonatologists and 39% had a minimum of 3 years of experience in neonatal intensive care.
Three themes, power imbalance, psychosocial issues, and structural limitation, and related sub-themes were constructed using thematic analyses.
The implementation of family-centered care in the neonatal intensive care unit in Iran is shaped by the health care provider, cultural, legal and operational challenges. To optimize effective and sustained implementation, these influential factors must be addressed.
Organizational, managerial and operational changes are required for FCC implementation. Nurses and physicians are well-positioned as leaders and facilitators of family-centered care implementation within the neonatal intensive care unit.
本研究旨在探讨医师和护士对新生儿重症监护病房实施 FCC 面临的挑战的看法。
本研究采用定性设计，对 25 名护士和 15 名医生（n=40）进行了 5 次焦点小组讨论。所有护士参与者均为女性；73%持有护理学士学位，59%从事新生儿护理工作>10 年。在医生中，55%为男性，43%为新生儿科医生，39%在新生儿重症监护方面至少有 3 年的经验。
使用主题分析构建了三个主题，即权力失衡、心理社会问题和结构限制，以及相关的子主题。
家庭为中心的护理在伊朗新生儿重症监护病房的实施受到医疗服务提供者、文化、法律和运营挑战的影响。为了优化有效和持续的实施，必须解决这些影响因素。
需要进行组织、管理和运营变革，以实施 FCC。护士和医生在新生儿重症监护病房内实施以家庭为中心的护理方面处于有利地位，可以担任领导和促进者的角色。
