医护人员对家长参与儿科重症监护病房危急事件的认知：一项定性研究
The Healthcare Staffs' Perception of Parents' Participation in Critical Incidents at the PICU, a Qualitative Study.
作者信息
Hansson Julia, Hörnfeldt Amanda, Björling Gunilla, Mattsson Janet
机构信息
Children's Perioperative Medicine and Intensive Care, Karolinska University Hospital, 17164 Stockholm, Sweden.
Department of Health Sciences, The Swedish Red Cross University College, 12141 Stockholm, Sweden.
出版信息
Nurs Rep. 2021 Aug 30;11(3):680-689. doi: 10.3390/nursrep11030064.
BACKGROUND
Internationally, there are very few guidelines regarding how near relations can be taken care of on a children's intensive care unit. Despite knowledge about the positive effects of parental presence, staff frequently reject parents out of insecurity. This study aimed to investigate health professionals' understanding of letting parents be present throughout critical situations. A qualitative method with semi-structured interviews was used to answer the aim of his study. Nine persons participated in the study, both physicians and nurses. The result showed that health professionals' main view is that parents' presence is positive. However, their presence often has lower priority than the medical focus of the child and the health professionals' concern of failure.
CONCLUSION
Health professionals have the power to decide if parents can be present in critical situations. Only when a parent demands to be present does that demand beat the decisions made by health professionals. Lack of resources within the team and fear of parents becoming a disturbance or a distraction are cited as the primary reasons not to let parents be present.
背景
在国际上，关于在儿童重症监护病房中如何照顾近亲的指导方针非常少。尽管了解父母陪伴的积极影响，但工作人员常常因缺乏安全感而拒绝父母陪伴。本研究旨在调查卫生专业人员对在危急情况下让父母陪伴的理解。采用半结构化访谈的定性方法来实现本研究的目的。九人参与了该研究，包括医生和护士。结果表明，卫生专业人员的主要观点是父母陪伴是积极的。然而，他们的陪伴往往比关注孩子的医疗状况以及卫生专业人员对失败的担忧优先级更低。
结论
卫生专业人员有权决定父母是否能在危急情况下陪伴。只有当父母要求陪伴时，该要求才会胜过卫生专业人员做出的决定。团队内部资源匮乏以及担心父母成为干扰因素被认为是不让父母陪伴的主要原因。
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