Athena Institute, Vrije Universiteit Amsterdam, the Netherlands.
Department of Pediatrics and Neonatology, OLVG, Amsterdam, the Netherlands; Amsterdam UMC, University of Amsterdam, Vrije Universiteit, Emma Children's Hospital, Amsterdam, the Netherlands.
Patient Educ Couns. 2021 Jul;104(7):1505-1517. doi: 10.1016/j.pec.2020.11.029. Epub 2020 Nov 28.
To assess the main functions of parent-provider communication in the neonatal (intensive) care unit (NICU) and determine what adequate communication entails according to both parents and health professionals.
A systematic review and meta-synthesis of qualitative research. PubMed, Ebsco/PsycINFO, Wiley/Cochrane Library, Ebsco/CINAHL, Clarivate Analytics/Web of Science Core Collection, and Elsevier/Scopus were searched in October-November 2019 for records on interpersonal communication between parents and providers in neonatal care. Title/abstract screening and full-text analysis were conducted by multiple, independent coders. Data from included articles were analyzed using deductive and inductive thematic analysis.
43 records were included. Thematic analysis of data resulted in the development of the NICU Communication Framework, including four functions of communication (1. building/maintaining relationships, 2. exchanging information, 3. (sharing) decision-making, 4. enabling parent self-management) and five factors that contribute to adequate communication across these functions (topic, aims, location, route, design) and, thereby, to tailored parent-provider communication.
The NICU Communication Framework fits with the goals of Family Integrated Care to encourage parent participation in infants' care. This framework forms a first step towards the conceptualization of (adequate) communication in NICU settings.
Findings can be used to improve NICU communication in practice, in particular through the mnemonic TAILORED.
评估新生儿（重症监护病房）中父母与提供者之间沟通的主要功能，并根据父母和卫生专业人员的意见，确定充分沟通需要具备的条件。
对 2019 年 10 月至 11 月间在 PubMed、Ebsco/PsycINFO、Wiley/Cochrane Library、Ebsco/CINAHL、Clarivate Analytics/Web of Science Core Collection 和 Elsevier/Scopus 上搜索的有关新生儿护理中父母与提供者之间人际沟通的定性研究进行了系统回顾和元综合。由多名独立编码员进行标题/摘要筛选和全文分析。使用演绎和归纳主题分析对纳入文章的数据进行分析。
共纳入 43 项记录。对数据的主题分析导致形成了新生儿重症监护病房沟通框架，包括沟通的四项功能（1. 建立/维持关系，2. 交换信息，3. （共享）决策，4. 使父母能够自我管理）和有助于在这些功能中实现充分沟通的五个因素（主题、目标、地点、途径、设计），从而实现针对父母与提供者沟通的定制化。
新生儿重症监护病房沟通框架符合家庭综合护理的目标，以鼓励父母参与婴儿护理。该框架是在新生儿重症监护病房环境中对（充分）沟通进行概念化的第一步。
研究结果可用于改善新生儿重症监护病房沟通实践，特别是通过记忆术 TAILORED。
