National Institute of Nursing Education, Post Graduate Institute of Medical Education and Research, Chandigarh, 160012, India.
Division of Neonatology, Department of Pediatrics, Post Graduate Institute of Medical Education and Research, Chandigarh, 160012, India.
Indian J Pediatr. 2024 Apr;91(4):351-357. doi: 10.1007/s12098-023-04691-w. Epub 2023 Jun 26.
To explore the opinions and beliefs of physicians about integrating families into the care system of hospitalized preterm neonates.
The setting was Neonatal Intensive Care Unit (NICU) of a tertiary care center in North India. Focus group discussions (FGDs) were conducted with the physicians using a pre-validated FGD topic guide. The FGDs were audio-recorded and transcribed. The meanings were drawn, and dependability was ensured. Themes and sub-themes were generated and finalized with a common consensus.
Five FGDs were conducted involving 28 physicians. The physicians opined that making families a part of the care system has several benefits, though they brought out some concerns. They opined that involving parents gives them confidence and satisfaction as they get empowered about neonatal care at the hospital and home after discharge. They reported difficulties in communication due to perceived inadequacy in counseling skills, language barriers and literacy levels of families, and lack of adequate time due to clinical overload. They identified nurses and public health nurses as an important bridge between physicians and families, and peer support as a useful facilitator. They suggested that role assignments to team members, training in counseling and communication, improving the comfort of parents and organizing information in easy-to-understand audio- visual content can help improve the family integration.
The physicians highlighted practical barriers, facilitators, and remedial measures to effectively integrate the families into the care system of preterm hospitalized neonates. There is a need to address the concerns of all stakeholders including the physicians for successful implementation of family integration.
探讨医生对将家庭纳入住院早产儿护理系统的意见和信念。
研究地点为印度北部一家三级护理中心的新生儿重症监护病房（NICU）。使用预先验证的焦点小组讨论（FGD）主题指南对医生进行 FGD。对 FGD 进行录音和转录。提取意义并确保可信赖性。通过共同共识生成和最终确定主题和子主题。
共进行了 5 次 FGD，涉及 28 名医生。医生们认为将家庭纳入护理系统有很多好处，但也提出了一些担忧。他们认为，让父母参与其中，会使他们在医院和出院后在家中获得新生儿护理方面更有信心和满足感。他们报告说，由于咨询技巧不足、语言障碍和家庭读写水平、以及由于临床负担过重而缺乏足够的时间，导致沟通困难。他们认为护士和公共卫生护士是医生和家庭之间的重要桥梁，同伴支持是一个有用的促进者。他们建议为团队成员分配角色、培训咨询和沟通技巧、提高父母的舒适度以及组织易于理解的视听内容的信息，可以帮助改善家庭融合。
医生强调了将家庭有效纳入早产儿住院护理系统的实际障碍、促进因素和补救措施。需要解决包括医生在内的所有利益相关者的关切，以成功实施家庭融合。
