[影响新生儿重症监护病房护士发育照护表现的因素]
[Factors Influencing Developmental Care Performance among Neonatal Intensive Care Units Nurses].
作者信息
Hong Hyemi, Son Hyun-Mi
出版信息
Child Health Nurs Res. 2020 Apr;26(2):131-139. doi: 10.4094/chnr.2020.26.2.131. Epub 2020 Apr 30.
PURPOSE
This study was conducted to identify factors related to developmental care performance among neonatal intensive care units (NICU) nurses.
METHODS
The participants were 139 nurses who had provided care to premature infants for more than 6 months and were recruited from the NICU of 8 hospitals. Data were collected from September 1 to December 1, 2017 through questionnaires that encompassed developmental care performance, developmental care perceptions, and the nursing work environment.
RESULTS
More than half (51.8%) of the participants responded that they had never received developmental care education, and for 89.6% of those who had received developmental care education, it was a one-time event. The average developmental care performance of NICU nurses was 0.81, with a range of 0.5~1 point. Multiple regression analysis, demonstrated that the nursing work environment (β=.27, =.001) and developmental care perceptions (β=.23, =.004) influenced developmental care performance, with a total explanatory power of 14%.
CONCLUSION
Based on these results, developmental care education for the NICU nurses must be provided systematically. In addition, strategies to improve nurses' perceptions of developmental care and to provide appropriate support for the nursing work environment can promote developmental care performance.
目的
本研究旨在确定新生儿重症监护病房（NICU）护士中与发育护理表现相关的因素。
方法
参与者为139名护士，他们为早产儿提供护理超过6个月，且从8家医院的新生儿重症监护病房招募而来。2017年9月1日至12月1日通过问卷收集数据，问卷涵盖发育护理表现、发育护理认知以及护理工作环境。
结果
超过半数（51.8%）的参与者表示他们从未接受过发育护理教育，而在接受过发育护理教育的人中，89.6%的人仅接受过一次。新生儿重症监护病房护士的发育护理表现平均分为0.81分，范围在0.5至1分之间。多元回归分析表明，护理工作环境（β = 0.27，P = 0.001）和发育护理认知（β = 0.23，P = 0.004）影响发育护理表现，总解释力为14%。
结论
基于这些结果，必须为新生儿重症监护病房护士系统地提供发育护理教育。此外，提高护士对发育护理的认知并为护理工作环境提供适当支持的策略可以促进发育护理表现。
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