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改善新生儿重症监护病房以家庭为中心的护理实施情况:增强父母参与婴儿护理的能力。

Improving the Implementation of Family-Centered Care Within the Neonatal Care Unit: Empowering Parents to Participate in Infant Care.

作者信息

McDonald Rebecca, Moloney Willoughby

机构信息

Kidz First Neonatal Care, Middlemore Hospital, Auckland, New Zealand (Ms McDonald); and University of Auckland, Auckland, New Zealand (Dr Moloney).

出版信息

J Perinat Neonatal Nurs. 2023;37(3):242-251. doi: 10.1097/JPN.0000000000000738.

Abstract

BACKGROUND

Internationally, approximately 15 million babies are born prematurely every year. In New Zealand, 1 neonatal ward may care for 1000 infants annually. Family-centered care (FCC) is a philosophy used in neonates to enhance positive outcomes for infants, parents, and staff by recognizing the strengths and needs of infants and their families.

OBJECTIVE

This research assessed how a neonatal environment could be improved to ensure parents feel welcomed and empowered to participate in their infant's care.

PARTICIPANTS

Survey data from 67 health professionals and 51 parents of infants who received neonatal care for more than 7 days. Four in-depth interviews with parents and 5 with health professionals.

METHODS

A mixed-methods research design was used. Phase 1 collected quantitative data using the Family-Centered Care Questionnaire. Phase 2 composed of face-to-face interviews with health professionals and parents.

RESULTS

Implementing FCC practices to improve health outcomes for infants, parents, and staff is important. Recommendations for improvement were formulated from the themes.

CONCLUSION

The perspectives of parents and health professionals have enabled the development of recommendations to improve the implementation of FCC practice in the neonatal environment. These may lead to better parental experience and improved infant health outcomes.

摘要

背景

在国际上,每年约有1500万婴儿早产。在新西兰,一个新生儿病房每年可能要照顾1000名婴儿。以家庭为中心的护理(FCC)是一种用于新生儿护理的理念,通过认识到婴儿及其家庭的优势和需求,来提高婴儿、父母和工作人员的积极护理效果。

目的

本研究评估了如何改善新生儿护理环境,以确保父母感到受欢迎并有能力参与婴儿的护理。

参与者

来自67名医护人员和51名接受新生儿护理超过7天的婴儿父母的调查数据。对4名父母和5名医护人员进行了深入访谈。

方法

采用混合方法研究设计。第一阶段使用以家庭为中心的护理问卷收集定量数据。第二阶段包括对医护人员和父母的面对面访谈。

结果

实施以家庭为中心的护理措施以改善婴儿、父母和工作人员的健康护理效果很重要。根据这些主题制定了改进建议。

结论

父母和医护人员的观点有助于制定建议,以改善新生儿护理环境中以家庭为中心的护理措施的实施。这可能会带来更好的父母体验和改善婴儿的健康护理效果。

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