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英国新生儿护理中实时视频流媒体技术的父母体验:一项定性研究。

Parental experiences of live video streaming technology in neonatal care in England: a qualitative study.

机构信息

Elizabeth Garrett Anderson Institute for Women's Health, University College London, London, UK.

University College London Hospital NHS Foundation Trust, London, UK.

出版信息

BMC Pediatr. 2023 Mar 4;23(1):107. doi: 10.1186/s12887-023-03907-4.

Abstract

BACKGROUND

The use of bedside cameras in neonatal units facilitates livestreaming of infants to support parental and family bonding when they are unable to be physically present with their baby. This study aimed to explore the experiences of parents of infants previously admitted for neonatal care and who used live video streaming to view their baby in real-time.

METHODS

Qualitative semi-structured interviews were conducted after discharge with parents of infants admitted for neonatal care on a tertiary level neonatal unit in the UK in 2021. Interviews were conducted virtually, transcribed verbatim and uploaded into NVivo V12 to facilitate analysis. Thematic analysis by two independent researchers was undertaken to identify themes representing the data.

RESULTS

Seventeen participants took part in sixteen interviews. Thematic analysis identified 8 basic themes which were grouped into 3 organizational themes: (1) family integration of the baby including parent-infant, sibling-infant, and wider family-infant attachment facilitated through livestreaming, (2) implementation of the livestreaming service including communication, initial set up of the livestreaming service, and areas for improvement, and (3) parental control including emotional, and situational control.

CONCLUSIONS

The use of livestreaming technology can provide parents with opportunities to integrate their baby into their wider family and friendship community and gain a sense of control over their baby's admission for neonatal care. On-going parental education around how to use, and what to expect from, livestreaming technology is required to minimise any potential distress from viewing their baby online.

摘要

背景

新生儿病房使用床边摄像头可实时直播婴儿的情况,便于父母和家人在无法与婴儿实际相处时建立联系。本研究旨在探索曾在英国三级新生儿病房接受新生儿护理并使用实时视频流观看婴儿的父母的体验。

方法

2021 年,对在英国一家三级新生儿病房接受新生儿护理的出院父母进行了定性半结构式访谈。访谈通过虚拟方式进行,逐字转录并上传到 NVivo V12 中以方便分析。由两名独立研究人员进行主题分析,以确定代表数据的主题。

结果

17 名参与者参加了 16 次访谈。主题分析确定了 8 个基本主题,这些主题分为 3 个组织主题:(1)通过直播促进婴儿的家庭融合,包括父母-婴儿、兄弟姐妹-婴儿和更广泛的家庭-婴儿联系;(2)直播服务的实施,包括沟通、直播服务的初始设置和改进领域;(3)父母控制,包括情绪和情境控制。

结论

使用直播技术可以为父母提供机会,将婴儿融入他们更广泛的家庭和朋友圈,并对他们婴儿的新生儿护理获得控制感。需要对父母进行有关如何使用和期望从直播技术中获得什么的持续教育,以尽量减少在线观看婴儿可能带来的任何潜在困扰。

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本文引用的文献

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Thematic analysis of qualitative data: AMEE Guide No. 131.定性数据分析的主题分析:AMEE 指南第 131 号。
Med Teach. 2020 Aug;42(8):846-854. doi: 10.1080/0142159X.2020.1755030. Epub 2020 May 1.

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