Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, USA.
Department of Quality, Safety and Practice Excellence, St. Louis Children's Hospital, MO, USA.
OTJR (Thorofare N J). 2022 Jul;42(3):238-247. doi: 10.1177/15394492221082051. Epub 2022 Mar 26.
The neonatal intensive care unit (NICU) is a dynamic system with multiple stakeholders and contextual factors impacting the implementation of novel practices. This qualitative study aimed to (a) define health care professionals' perceptions on the feasibility of implementing a sensory intervention to study its efficacy, and (b) elaborate on transactions occurring between NICU health care professionals and the proposed research. Eleven NICU professionals participated in one of three focus groups that were audio-recorded, transcribed, and analyzed thematically in NVivo first descriptively and then interpretively through a transactionalism lens. The health care professionals implied the intervention was feasible, but provided multiple suggestions to enhance implementation. The modification of familiar occupational practices, ingrained habits, and the potential impact on the collective occupational performance of NICU community members arose. Understanding occupations within the NICU as transactional allows for a broader view of occupational engagement and enhances knowledge of the nuances related to implementing clinical changes.
新生儿重症监护病房（NICU）是一个充满活力的系统，有多个利益相关者和影响新实践实施的背景因素。本定性研究旨在：(a) 定义医疗保健专业人员对实施感觉干预以研究其疗效的可行性的看法；(b) 详细说明 NICU 医疗保健专业人员与拟议研究之间发生的事务。11 名 NICU 专业人员参加了三个焦点小组中的一个，焦点小组的音频记录、转录，并在 NVivo 中进行了主题分析，首先进行描述性分析，然后通过交易主义视角进行解释性分析。医疗保健专业人员暗示该干预是可行的，但提出了多项建议以增强实施。这需要对熟悉的职业实践、根深蒂固的习惯进行修改，并可能对 NICU 社区成员的集体职业表现产生影响。将 NICU 中的职业理解为交易，可以更全面地了解职业参与，并增强对实施临床变化相关细微差别的认识。
