Athena Institute, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands; Department of Pediatrics and Neonatology, OLVG, 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):1526-1552. doi: 10.1016/j.pec.2021.04.023. Epub 2021 May 6.
To synthesize and analyse the literature on the effects of parent-provider communication during infant hospitalization in the neonatal (intensive) care unit (NICU) on parent-related outcomes.
Systematic review with meta-synthesis and narrative synthesis. Databases (PubMed, PsycINFO, Cochrane Library, CINAHL, Web of Science, Scopus) were searched in October/November 2019. Studies reporting, observing, or measuring parent-related effects of parent-provider communication in the NICU were included. Study quality was assessed using the Quality Assessment Tool for Studies with Diverse Designs. Qualitative studies were meta-synthesized using deductive and inductive thematic analysis. Quantitative studies were analysed using narrative synthesis.
5586 records were identified; 77 were included, reporting on N = 6960 parents, N = 693 providers, and N = 300 NICUs. Analyses revealed five main (positive and negative) effects of parent-provider interaction on parents' (1) coping, (2) knowledge, (3) participation, (4) parenting, and (5) satisfaction. Communication interventions appeared impactful, particularly in reducing parental stress and anxiety. Findings confirm and refine the NICU Communication Framework.
Parent-provider communication is a crucial determinant for parental well-being and satisfaction with care, during and following infant hospitalization in the NICU. R. Practice Implications: Providers should particularly consider the impact on parents of their day-to-day interaction - the most occurring form of communication of all.
综合分析新生儿（重症）监护病房（NICU）中父母与医护人员沟通对父母相关结局的影响的文献。
系统评价与元综合及叙述性综合。2019 年 10 月/11 月检索了PubMed、PsycINFO、Cochrane 图书馆、CINAHL、Web of Science、Scopus 数据库。纳入了报告、观察或测量 NICU 中父母与医护人员沟通对父母相关影响的研究。使用具有不同设计的研究质量评估工具评估研究质量。使用演绎和归纳主题分析对定性研究进行元综合。使用叙述性综合对定量研究进行分析。
共确定了 5586 条记录；纳入了 77 项研究，报告了 6960 名父母、693 名提供者和 300 个 NICU 的情况。分析结果揭示了父母与医护人员互动对父母（1）应对能力、（2）知识、（3）参与、（4）育儿和（5）满意度的五个主要（积极和消极）影响。沟通干预措施似乎具有影响力，特别是在减轻父母的压力和焦虑方面。研究结果证实并完善了 NICU 沟通框架。
父母与医护人员的沟通是 NICU 中婴儿住院期间和之后父母幸福感和护理满意度的关键决定因素。
R. 实践意义：提供者尤其应该考虑其日常互动对父母的影响，因为这是所有沟通形式中最常见的形式。
