Loyal Jaspreet, Nguyen Victoria N, Picagli Doreen, Petrucelli Amy, O'Mara Elizabeth, Grossman Matthew R, Colson Eve
Department of Pediatrics, Yale University, New Haven, Connecticut;
Department of Pediatrics, New Jersey Medical School, Rutgers University, Newark, New Jersey.
Hosp Pediatr. 2019 Aug;9(8):601-607. doi: 10.1542/hpeds.2019-0087. Epub 2019 Jul 22.
In previous years, otherwise healthy infants with neonatal abstinence syndrome (NAS) in our hospital were transferred to the NICU and frequently treated with medication. Currently, infants with NAS room-in with their mothers and rarely require medication. We sought to understand the lived experience of nurses on maternity and well-newborn units caring for infants with NAS.
We conducted focus groups of registered nurses on postpartum units at 2 hospitals using qualitative methodology. Themes were identified through consensus, and the focus groups were stopped when no new themes were identified.
Seventeen postpartum nurses participated in 5 focus groups. The following major themes emerged: (1) managing the expectations of parents of newborns with NAS, (2) current NAS protocol (positive aspects of rooming-in and challenges with withdrawal scoring tool), (3) inconsistencies in care and communication, (4) perceived increase in nursing workload on the postpartum unit, and (5) nurses' emotional response to the care of infants with NAS.
We highlight the perspectives of nursing staff on the well-newborn unit who were previously unaccustomed to caring for infants with NAS. With increasing numbers of infants with NAS and longer stays on the well-newborn unit, hospitals must prepare to better support staff and implement protocols that offer consistency in practice.
在过去几年中，我院患有新生儿戒断综合征（NAS）但其他方面健康的婴儿被转入新生儿重症监护室（NICU），并经常接受药物治疗。目前，患有NAS的婴儿与母亲同住一室，很少需要药物治疗。我们试图了解母婴及健康新生儿病房护士护理患有NAS婴儿的生活经历。
我们采用定性方法，在两家医院对产后病房的注册护士进行了焦点小组访谈。通过共识确定主题，当没有新主题出现时停止焦点小组访谈。
17名产后护士参加了5个焦点小组。出现了以下主要主题：（1）管理患有NAS的新生儿父母的期望；（2）当前的NAS方案（母婴同住一室的积极方面以及戒断评分工具带来的挑战）；（3）护理和沟通方面的不一致；（4）产后病房护理工作量的感知增加；（5）护士对护理患有NAS婴儿的情感反应。
我们强调了母婴及健康新生儿病房护理人员的观点，他们以前不习惯护理患有NAS的婴儿。随着患有NAS的婴儿数量增加以及在母婴及健康新生儿病房停留时间延长，医院必须做好准备，更好地支持工作人员，并实施在实践中保持一致性的方案。
