多中心新生儿重症监护病房医护人员对以家庭为中心的护理的认知调查。

A Multisite Survey of NICU Healthcare Professionals' Perceptions About Family-Centered Care.

机构信息

Department of Family Health Care Nursing (Drs Franck and Gay) and Preterm Birth Initiative (Mss Hutchison and Kriz), University of California, San Francisco; Community Regional Medical Center, Fresno, California (Dr Cormier); Division of Neonatology, UCSF Benioff Children's Hospital, Oakland, California (Mss Moore and Ngo); UCSF Benioff Children's Hospital, San Francisco, California (Ms Bisgaard and Dr Sun); Kaiser Permanente Santa Clara, Santa Clara, California (Dr Lin); UC San Diego Health, Jacobs Medical Center, La Jolla, California (Ms Ekno); and UCLA Health, Los Angeles, California (Ms Ribero).

出版信息

Adv Neonatal Care. 2021 Jun 1;21(3):205-213. doi: 10.1097/ANC.0000000000000805.

DOI:10.1097/ANC.0000000000000805

PMID:33417328

Abstract

BACKGROUND

Family-centered care contributes to improved outcomes for preterm and ill infants. Little is known about the perceptions of neonatal intensive care unit (NICU) healthcare professionals regarding the degree to which their NICU practices or values family-centered care.

PURPOSE

The aims of this study were to describe attitudes and beliefs of NICU healthcare professionals about family-centered care and to explore professional characteristics that might influence those views.

METHODS

Data were derived from the baseline phase of a multicenter quasi-experimental study comparing usual family-centered NICU care with mobile-enhanced family-integrated care. Neonatal intensive care unit healthcare professionals completed the Family-Centered Care Questionnaire-Revised (FCCQ-R), a 45-item measure of 9 core dimensions of Current Practice and Necessary Practice for family-centered care.

RESULTS

A total of 382 (43%) NICU healthcare professionals from 6 NICUs completed 1 or more of the FCCQ-R subscales, 83% were registered nurses. Total and subscale scores on the Necessary Practice scale were consistently higher than those on the Current Practice scale for all dimensions of family-centered care (mean: 4.40 [0.46] vs 3.61 [0.53], P < .001). Only years of hospital experience and NICU site were significantly associated with Current Practice and Necessary Practice total scores.

IMPLICATIONS FOR PRACTICE

Ongoing assessment of the perceptions of NICU healthcare professionals regarding their current practice and beliefs about what is necessary for the delivery of high-quality family-centered care can inform NICU education, quality improvement, and maintenance of family-centered care during the COVID-19 pandemic.

IMPLICATIONS FOR RESEARCH

Further research is needed to identify additional factors that predict family-centered care perceptions and behaviors.

摘要

背景

以家庭为中心的护理有助于改善早产儿和患病婴儿的治疗效果。目前，人们对于新生儿重症监护病房（NICU）医护人员对其 NICU 实践或家庭为中心的护理价值观的认知程度知之甚少。

目的

本研究旨在描述 NICU 医护人员对以家庭为中心的护理的态度和信念，并探讨可能影响这些观点的专业特征。

方法

本研究的数据来自一项多中心准实验研究的基线阶段，该研究比较了常规以家庭为中心的 NICU 护理与移动增强的家庭综合护理。NICU 医护人员完成了《家庭为中心的护理问卷修订版》（FCCQ-R），这是一项 45 项的 9 个核心维度的当前实践和以家庭为中心的护理的必要实践的测量工具。

结果

共有 6 家 NICU 的 382 名（43%）NICU 医护人员完成了 1 个或多个 FCCQ-R 分量表，其中 83%为注册护士。在所有家庭为中心的护理维度上，必要实践量表的总分和分量表得分均明显高于当前实践量表（均值：4.40[0.46] vs 3.61[0.53]，P<.001）。只有医院工作年限和 NICU 地点与当前实践和必要实践总分显著相关。