Vetcho Siriporn, Ullman Amanda J, Petsky Helen, Wiroonpanich Wantanee, Cooke Marie
School of Nursing and Midwifery, Griffith University, Brisbane, Queensland, Australia.
Menzies Health Institute Queensland, Griffith University, Brisbane, Queensland, Australia.
Nurs Crit Care. 2023 Jan;28(1):47-55. doi: 10.1111/nicc.12711. Epub 2021 Sep 21.
Family-centered care (FCC) has been successfully incorporated into daily practice in many neonatal intensive care units (NICUs) worldwide. However, the implementation of FCC in lower-resourced settings, such as Thailand, can be challenging and needs to be further explored.
To identify parents' and interdisciplinary professionals' perceptions of FCC and to describe the opportunities to improve FCC in a Thai NICU.
An exploratory qualitative approach was used.
The data were collected through face-to-face, semi-structured, individual interviews based on an interview guide. This study was conducted before the outbreak of coronavirus disease 2019 (February 2020) in a hospital in southern Thailand. Inductive thematic analysis was used to analyse interview data.
Participants were parents (n = 9) and interdisciplinary professionals (n = 8). The results revealed four key themes: (a) Recognizing and responding to individual families' different readiness and their rights and values, (b) working in a parent-interdisciplinary partnership to provide care, (c) lacking resources and motivation and (d) understanding of care requirements and providing help/sympathy.
The interdisciplinary professionals accepted that FCC is necessary for clinical practice, but there are some challenges in the Thai NICUs context because of the system of health care delivery. The findings highlighted that interdisciplinary professionals often viewed parents' involvement as an obstacle to providing neonatal care.
Further research is recommended to investigate how FCC is operationalized by interdisciplinary professionals and how hospital administrators can be supported to implement the FCC approach into clinical practice in Thai NICUs.
以家庭为中心的护理（FCC）已在全球许多新生儿重症监护病房（NICU）成功融入日常实践。然而，在资源匮乏的地区，如泰国，实施FCC可能具有挑战性，需要进一步探索。
确定家长和跨学科专业人员对FCC的看法，并描述泰国一家NICU改善FCC的机会。
采用探索性定性研究方法。
基于访谈指南，通过面对面、半结构化的个人访谈收集数据。本研究于2019年冠状病毒病爆发前（2020年2月）在泰国南部的一家医院进行。采用归纳主题分析法分析访谈数据。
参与者包括家长（n = 9）和跨学科专业人员（n = 8）。结果揭示了四个关键主题：（a）认识并回应各个家庭不同的准备情况及其权利和价值观；（b）在家长与跨学科团队的合作关系中提供护理；（c）缺乏资源和动力；（d）了解护理需求并给予帮助/同情。
跨学科专业人员承认FCC在临床实践中是必要的，但由于医疗保健提供系统的原因，泰国的NICU存在一些挑战。研究结果强调，跨学科专业人员常常将家长的参与视为提供新生儿护理的障碍。
建议进一步研究，以调查跨学科专业人员如何实施FCC，以及如何支持医院管理人员在泰国的NICU将FCC方法应用于临床实践。
