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高危新生儿父母在新生儿重症监护病房中使用电子健康的障碍和促进因素:系统评价方案。

Barriers to, and facilitators of, eHealth utilisation by parents of high-risk newborn infants in the NICU: a scoping review protocol.

机构信息

Nursing, Zhejiang Chinese Medical University, Hangzhou, China.

Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada

出版信息

BMJ Open. 2023 May 18;13(5):e068759. doi: 10.1136/bmjopen-2022-068759.

Abstract

INTRODUCTION

Parental presence in the neonatal intensive care unit (NICU) has been demonstrated to enhance infant growth and development, reduce parental anxiety and stress and strengthen parent-infant bonding. Since eHealth technology emerged, research on its utilisation in NICUs has risen substantially. There is some evidence that incorporating such technologies in the NICU can reduce parental stress and enhance parent confidence in caring for their infant.Several countries, including China, restrict parental attendance in NICUs, citing infection control challenges, issues of privacy and confidentiality and perceived additional workload for healthcare professionals. Due to COVID-19 pandemic-related shortages of personal protective equipment and uncertain mode of transmission, many NICUs around the world closed to parental visiting and engagement in neonatal care.There is anecdotal evidence that, given pandemic-related restrictions, eHealth technologies, have increasingly been used in NICUs as a potential substitute for in-person parental presence.However, the constraints and enablers of technologies in these situations have not been exhaustively examined. This scoping review aims to update the literature on eHealth technology utilisation in the NICU and to explore the literature on the challenges and facilitators of eHealth technology implementation to inform future research.

METHODS AND ANALYSIS

The five-stage Arksey and O'Malley methodological framework and the Joanna Briggs Institute scoping review methodology will serve as the foundation for this scoping review. Eight databases will be searched for the relevant literature published between January 2000 and August 2022 in either English or Chinese. Grey literature will be manually searched. Data extraction and eligibility screening will be carried out by two impartial reviewers. There will be periods of both quantitative and qualitative analysis.

ETHICS AND DISSEMINATION

Since all data and information will be taken from publicly accessible literature, ethical approval would not be necessary. A peer-reviewed publication will be published with the results of this scoping review.

TRIAL REGISTRATION NUMBER

This scoping review protocol was registered in Open Science Framework and can be found here: https://osf.io/AQV5P/.

摘要

简介

在新生儿重症监护病房(NICU)中,父母的存在已被证明可以促进婴儿的生长和发育,减轻父母的焦虑和压力,并加强父母与婴儿之间的联系。自从电子健康技术出现以来,对其在 NICU 中应用的研究大幅增加。有一些证据表明,在 NICU 中采用此类技术可以减轻父母的压力,增强父母照顾婴儿的信心。包括中国在内的一些国家限制父母进入 NICU,理由是感染控制挑战、隐私和保密性问题以及医护人员认为额外增加了工作量。由于 COVID-19 大流行期间个人防护设备短缺和传播方式不确定,全球许多 NICU 停止了父母探视和参与新生儿护理。有传闻证据表明,由于大流行相关限制,电子健康技术在 NICU 中越来越多地被用作父母亲自在场的替代方法。然而,这些情况下技术的限制因素和促进因素尚未得到全面研究。本次范围综述旨在更新关于 NICU 中电子健康技术应用的文献,并探讨电子健康技术实施的挑战和促进因素的文献,以为未来的研究提供信息。

方法与分析

本范围综述将以 Arksey 和 O'Malley 的五阶段方法框架和 Joanna Briggs 研究所范围综述方法为基础。将在 2000 年 1 月至 2022 年 8 月期间,在英文或中文的 8 个数据库中搜索相关文献。将手动搜索灰色文献。数据提取和资格筛选将由两名公正的评审员进行。将进行定量和定性分析。

伦理与传播

由于所有数据和信息都将取自公开可获取的文献,因此不需要伦理批准。这项范围综述的结果将以同行评审的出版物形式发表。

注册号

本范围综述方案已在开放科学框架中注册,可在此处找到:https://osf.io/AQV5P/。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6721/10200903/11fd07e6af2b/bmjopen-2022-068759f01.jpg

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