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父母对于加强新生儿重症监护中伙伴关系的看法。

Parents' Views to Strengthen Partnerships in Newborn Intensive Care.

作者信息

Ferreira Alexie, Ferretti Emanuela, Curtis Krista, Joly Cynthia, Sivanthan Myuri, Major Nathalie, Daboval Thierry

机构信息

Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.

Department of Pediatrics, University of Ottawa, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada.

出版信息

Front Pediatr. 2021 Sep 27;9:721835. doi: 10.3389/fped.2021.721835. eCollection 2021.

Abstract

Parental involvement in their newborn's neonatal intensive care reduces stress and helps with the parent-child attachment, transition to home, and future development. However, parents' perspectives are not often sought or considered when adapting family-centered care in neonatal intensive care units (NICUs). To identify what parents believe helps or hinders their involvement in their newborn's care when admitted to our Level 3B NICU. Between August and October 2018, nine mothers and one father were interviewed during three 60- to 90-min audiotaped focus groups using a semi-structured interview tool. From the content analysis of the verbatims, three reviewers identified key themes that affected how involved parents could be in their newborn's care. Parents provided examples of factors that facilitated or restricted their involvement. The analysis identified themes: (1) parent-staff interactions, (2) supportive/trustworthy healthcare professionals, (3) consistency in care and caring staff, (4) family, couple, and peer support, (5) newborn status, (6) resources and education for parents, (7) the NICU environment, and (8) academic and research participation. We identified a conceptual framework to allow our NICU team to prioritize working strategies to strengthen parental involvement in newborn care. In addition to implementing ways to involve parents, we need to address parents' satisfaction with their participation. These findings may help other investigators explore parents' expectations toward their NICU experience.

摘要

父母参与新生儿重症监护可减轻压力,并有助于亲子依恋、顺利过渡到家庭生活以及未来发展。然而,在新生儿重症监护病房(NICU)采用以家庭为中心的护理模式时,往往不会征求或考虑父母的意见。为了确定父母认为在我们的三级B类新生儿重症监护病房,哪些因素有助于或阻碍他们参与新生儿护理。2018年8月至10月期间,我们使用半结构化访谈工具,在三个时长60至90分钟的录音焦点小组中,对九位母亲和一位父亲进行了访谈。通过对访谈记录的内容分析,三位评审人员确定了影响父母参与新生儿护理程度的关键主题。父母提供了促进或限制他们参与的因素示例。分析确定的主题有:(1)父母与医护人员的互动;(2)支持性/值得信赖的医护专业人员;(3)护理的连贯性及有爱心的工作人员;(4)家庭、伴侣和同伴的支持;(5)新生儿状况;(6)为父母提供的资源和教育;(7)新生儿重症监护病房的环境;(8)学术和研究参与。我们确定了一个概念框架,以便我们的新生儿重症监护病房团队能够优先制定工作策略,加强父母对新生儿护理的参与。除了实施让父母参与的方法外,我们还需要关注父母对其参与情况的满意度。这些研究结果可能有助于其他研究人员探索父母对新生儿重症监护病房体验的期望。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d776/8504452/601523aa7c97/fped-09-721835-g0001.jpg

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