Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Islamic Republic of Iran.
Maternal, Fetal and Neonatal Research Center, Family Health Research Institute, Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran.
East Mediterr Health J. 2024 May 29;30(5):356-362. doi: 10.26719/2024.30.5.356.
Studies have shown short-term and long-term positive effects of family-centred care interventions on neonatal and maternal health, and developmental outcomes in neonatal intensive care units. However, some challenges and barriers limit implementation of family-centred care.
To investigate parental barriers to implementing family-centred care in a neonatal intensive care unit in Islamic Republic of Iran.
A conventional content analysis was conducted at a neonatal intensive care unit in Tehran, Islamic Republic of Iran from 2020 to 2021. Twenty semi-structured interviews and 9 field notes were conducted. The interview data were analysed using the Graneheim and Lundman method and the demographic data were analysed using SPSS version 21.
Two themes emerged from the data analysis. The first theme was "inefficiency of playing the parental role", with 2 main categories of "face unpleasant feelings" and "inappropriate presence and participation". The second theme was "ineffective involvement of parents in the care", with 3 main categories of "lack of effective communication with personnel", "interference of parents in the treatment process", and "given insufficient information by parents".
Parental barriers to the provision of family-centred care featured prominently in the study. Therefore, to improve neonatal and family health, there is a need for involvement, coordination and effective communication between the medical teams and parents to create a supportive and friendly environment in neonatal intensive care units.
研究表明，以家庭为中心的护理干预对新生儿和产妇健康以及新生儿重症监护病房的发育结果具有短期和长期的积极影响。然而，一些挑战和障碍限制了以家庭为中心的护理的实施。
调查伊朗伊斯兰共和国新生儿重症监护病房实施以家庭为中心的护理的父母障碍。
2020 年至 2021 年，在伊朗德黑兰的一家新生儿重症监护病房进行了常规内容分析。进行了 20 次半结构化访谈和 9 次现场记录。使用 Graneheim 和 Lundman 方法对访谈数据进行分析，使用 SPSS 版本 21 对人口统计数据进行分析。
数据分析中出现了两个主题。第一个主题是“扮演父母角色的效率低下”，有 2 个主要类别，分别是“面对不愉快的感觉”和“不适当的存在和参与”。第二个主题是“父母参与护理无效”，有 3 个主要类别，分别是“与工作人员缺乏有效沟通”、“父母对治疗过程的干扰”和“父母提供的信息不足”。
本研究突出了提供以家庭为中心的护理的父母障碍。因此，为了改善新生儿和家庭的健康，医疗团队和父母之间需要进行协作、协调和有效的沟通，以在新生儿重症监护病房营造支持性和友好的环境。
