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与家庭建立联系:新生儿重症监护病房视频消息服务的实施

Building Connections with Families: Implementation of a Video-Messaging Service in the Neonatal Intensive Care Unit.

作者信息

Bott Stephanie, Dantas Fernandez Nicole, Narciso Janet, MacAlpine Janet, Quain Nicole, Rettie Julia, Sharpe Lia, Diambomba Yenge, Al Bizri Ayah, O'Brien Karel, Shah Vibhuti

机构信息

Department of Nursing, Mount Sinai Hospital, 600 University Avenue, Toronto, ON M5G 1X5, Canada.

Department of Paediatrics, Mount Sinai Hospital, 600 University Avenue, Toronto, ON M5G 1X5, Canada.

出版信息

Children (Basel). 2023 Aug 2;10(8):1338. doi: 10.3390/children10081338.

DOI:10.3390/children10081338
PMID:37628337
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10453278/
Abstract

BACKGROUND

Family involvement is vital to optimize the care of infants in the neonatal intensive care unit (NICU). Various technologies have been used to support communication with parents in the NICU. The purpose of this study was to evaluate the parent and staff experience and perception of the use of a cloud-based video-messaging service in our NICU.

METHODS

This study was a single center observational study conducted at Mount Sinai Hospital, Toronto, Canada. Following the implementation of a video-messaging service, parent and staff surveys were distributed to evaluate their experience and perception.

RESULTS

Parent responses were positive with respect to how the service helped them feel: closer to their infant (100%) and reassured about their infant's care (100%). Nursing staff responses indicated that they perceived a benefit to parents (100%) and to their building a relationship with families (79%). However, they also identified time constraints (85%) and the use of the technology hardware (24%) as challenges.

CONCLUSIONS

The use of an asynchronous video-messaging service was perceived as beneficial to both parents and staff in the NICU. Complaints pertained to the impact of the technology on nursing workflow and the difficulty using the hardware provided for use of the service.

摘要

背景

家庭参与对于优化新生儿重症监护病房(NICU)中婴儿的护理至关重要。已使用各种技术来支持NICU与家长之间的沟通。本研究的目的是评估家长和工作人员对在我们的NICU中使用基于云的视频消息服务的体验和看法。

方法

本研究是在加拿大多伦多西奈山医院进行的一项单中心观察性研究。在实施视频消息服务后,发放了家长和工作人员调查问卷以评估他们的体验和看法。

结果

家长对该服务如何帮助他们产生了积极的反应:感觉与婴儿更亲近(100%)以及对婴儿的护理放心(100%)。护理人员的回答表明,他们认为该服务对家长有益(100%),并且有助于他们与家庭建立关系(79%)。然而,他们也指出时间限制(85%)和技术硬件的使用(24%)是挑战。

结论

在NICU中,异步视频消息服务的使用被认为对家长和工作人员都有益。投诉涉及该技术对护理工作流程的影响以及使用为该服务提供的硬件的困难。

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The Role of Distance from Home to Hospital on Parental Experience in the NICU: A Qualitative Study.家到医院的距离对新生儿重症监护病房(NICU)中父母体验的影响:一项定性研究。
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本文引用的文献

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Psychosocial Difficulties Experienced By Parents Of Babies Treated In A Neonatal Intensive Care Unit During The Coronavirus Pandemic.父母在冠状病毒大流行期间在新生儿重症监护病房接受治疗的婴儿所经历的心理社会困难。
Arch Psychiatr Nurs. 2022 Dec;41:295-299. doi: 10.1016/j.apnu.2022.08.008. Epub 2022 Sep 6.
2
Improving Communication with Parents in the NICU during the COVID-19 Pandemic, a Study and Review of the Literature.在新冠疫情期间改善新生儿重症监护病房(NICU)与家长的沟通:一项文献研究与综述
Children (Basel). 2022 Nov 11;9(11):1739. doi: 10.3390/children9111739.
3
Asynchronous video messaging promotes family involvement and mitigates separation in neonatal care.异步视频消息传递可促进家庭参与并减轻新生儿护理中的分离感。
Arch Dis Child Fetal Neonatal Ed. 2021 Mar;106(2):172-177. doi: 10.1136/archdischild-2020-319353. Epub 2020 Sep 14.
4
Effectiveness of Family Integrated Care in neonatal intensive care units on infant and parent outcomes: a multicentre, multinational, cluster-randomised controlled trial.家庭综合护理在新生儿重症监护病房对婴儿和家长结局的有效性:一项多中心、多国、集群随机对照试验。
Lancet Child Adolesc Health. 2018 Apr;2(4):245-254. doi: 10.1016/S2352-4642(18)30039-7. Epub 2018 Feb 8.
5
Integrative Review of Technology to Support Communication With Parents of Infants in the NICU.支持与新生儿重症监护病房(NICU)婴儿家长沟通的技术综合综述。
J Obstet Gynecol Neonatal Nurs. 2017 May-Jun;46(3):357-366. doi: 10.1016/j.jogn.2016.11.019. Epub 2017 Mar 3.
6
Web Camera Use in the Neonatal Intensive Care Unit: Impact on Nursing Workflow.新生儿重症监护病房中网络摄像头的使用:对护理工作流程的影响
Clin Med Res. 2016 Mar;14(1):1-6. doi: 10.3121/cmr.2015.1286. Epub 2016 Feb 10.
7
Evaluation of the Family Integrated Care model of neonatal intensive care: a cluster randomized controlled trial in Canada and Australia.新生儿重症监护家庭综合护理模式评估:加拿大和澳大利亚的一项整群随机对照试验
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8
The parental experience of having an infant in the newborn intensive care unit.在新生儿重症监护病房照料婴儿的家长经历。
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