Kirolos Sandy, Sutcliffe Lynsey, Giatsi Clausen Maria, Abernethy Carolyn, Shanmugalingam Shanthi, Bauwens Nicole, Orme Judith, Thomson Kirsty, Grattan Rosemary, Patel Neil
Neonatology, Princess Royal Maternity Hospital, Glasgow, UK
Neonatology, Royal Hospital for Children, Glasgow, UK.
Arch Dis Child Fetal Neonatal Ed. 2021 Mar;106(2):172-177. doi: 10.1136/archdischild-2020-319353. Epub 2020 Sep 14.
To evaluate the parent and staff experience of a secure video messaging service as a component of neonatal care.
Multicentre evaluation incorporating quantitative and qualitative items.
Level II and level III UK neonatal units.
Families of neonatal inpatients and neonatal staff.
Use of a secure, cloud-based asynchronous video messaging service to send short messages from neonatal staff to families. Evaluation undertaken July-November 2019.
Parental experience, including anxiety, involvement in care, relationships between parents and staff, and breastmilk expression.
In pre-implementation surveys (n=41), families reported high levels of stress and anxiety and were receptive to use of the service. In post-implementation surveys (n=42), 88% perceived a benefit of the service on their neonatal experience. Families rated a positive impact of the service on anxiety, sleep, family involvement and relationships with staff. Qualitative responses indicated enhanced emotional closeness, increased involvement in care and a positive effect on breastmilk expression. Seventy-seven post-implementation staff surveys were also collected. Staff rated the service as easy to use, with minimal impact on workload. Seventy-one percent (n=55) felt the service had a positive impact on relationships with families. Staff identified the need to manage parental expectations in relation to the number of videos that could be sent.
Asynchronous video messaging improves parental experience, emotional closeness to their baby and builds supportive relationships between families and staff. Asynchronous video supports models of family integrated care and can mitigate family separation, which could be particularly relevant during the COVID-19 pandemic.
评估一种安全视频消息服务作为新生儿护理组成部分时家长和工作人员的体验。
纳入定量和定性项目的多中心评估。
英国二级和三级新生儿病房。
新生儿住院患者家属和新生儿科工作人员。
使用基于云的安全异步视频消息服务，让新生儿科工作人员向家属发送短消息。评估于2019年7月至11月进行。
家长体验，包括焦虑程度、参与护理情况、家长与工作人员之间的关系以及母乳挤出情况。
在实施前的调查（n = 41）中，家属报告了高度的压力和焦虑，并对使用该服务持接受态度。在实施后的调查（n = 42）中，88%的人认为该服务对他们的新生儿体验有益。家属认为该服务对焦虑、睡眠、家庭参与度以及与工作人员的关系有积极影响。定性反馈表明情感联系增强、参与护理的程度增加以及对母乳挤出有积极作用。还收集了77份实施后的工作人员调查问卷。工作人员认为该服务易于使用，对工作量影响最小。71%（n = 55）的人觉得该服务对与家属的关系有积极影响。工作人员指出需要管理家长对可发送视频数量的期望。
异步视频消息传递改善了家长体验、增强了他们与宝宝的情感联系，并在家庭和工作人员之间建立了支持性的关系。异步视频支持家庭综合护理模式，可减轻家庭分离，这在2019冠状病毒病大流行期间可能尤为重要。
