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母亲在新生儿重症监护病房的隐私体验:一项定性研究。

Mothers' experiences of privacy in neonatal intensive care units: A qualitative study.

机构信息

Department of Pediatric and Neonatal Intensive Care Nursing Education, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.

Nursing and Midwifery Care Research Center, Department of Critical Care, School of Nursing & Midwifery, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Nurs Crit Care. 2024 Sep;29(5):1100-1109. doi: 10.1111/nicc.13110. Epub 2024 Jul 3.

Abstract

BACKGROUND

Examining the privacy experiences of mothers in neonatal intensive care units (NICUs) can play a crucial role in bolstering patient privacy safeguards and elevating the overall quality of health care. However, our understanding of mothers' experiences regarding privacy issues they may face after their infants' hospitalization in the NICU is limited.

AIM

This study aimed to investigate the experiences of mothers concerning privacy within NICUs to contribute valuable insights for improving infant care and privacy protection.

DESIGN

A qualitative content analysis using a conventional approach was conducted. A total of 18 participants, with diverse sociodemographic backgrounds, were interviewed using open-ended questions. Qualitative content analysis was undertaken for data analysis.

SETTING

The study was conducted in the NICU of an urban teaching hospital in Iran.

RESULTS

The study identified four main themes: 'understanding of privacy', 'fluctuating respect for privacy', 'efforts to maintain privacy' and 'privacy barriers'. Participants viewed privacy as multidimensional, influenced by cultural and religious factors. Respect for privacy varied, with instances of both adherence and violation. Mothers employed strategies to preserve privacy, emphasizing the importance of their infants' privacy. Privacy barriers included hospital attire, the physical space of the NICU, inhomogeneous human resources and insufficient supervision and training.

CONCLUSION

This study, the first of its kind in the NICU context, provides valuable insights into maternal experiences of privacy. Integrating these insights into practice and future research can contribute to creating more empathetic and privacy-respecting NICU environments.

RELEVANCE TO CLINICAL PRACTICE

Health care providers can use these findings to enhance support for mothers, potentially reshaping physical spaces and communication practices within NICUs.

摘要

背景

研究新生儿重症监护病房(NICU)中母亲的隐私体验对于加强患者隐私保护和提高整体医疗质量至关重要。然而,我们对母亲在婴儿住院期间可能面临的隐私问题的体验了解有限。

目的

本研究旨在调查母亲在 NICU 中对隐私的体验,为改善婴儿护理和隐私保护提供有价值的见解。

设计

采用传统方法进行定性内容分析。共有 18 名参与者,具有不同的社会人口学背景,使用开放式问题进行访谈。采用定性内容分析进行数据分析。

地点

该研究在伊朗一家城市教学医院的 NICU 进行。

结果

研究确定了四个主要主题:“对隐私的理解”、“隐私尊重的波动”、“维护隐私的努力”和“隐私障碍”。参与者认为隐私是多维度的,受文化和宗教因素的影响。对隐私的尊重程度不同,既有遵守的情况,也有违反的情况。母亲们采取了策略来保护隐私,强调了他们婴儿隐私的重要性。隐私障碍包括医院着装、NICU 的物理空间、人力资源不均一以及监督和培训不足。

结论

这项研究是 NICU 背景下的首例研究,提供了有关母亲隐私体验的宝贵见解。将这些见解纳入实践和未来的研究中,可以为创建更具同理心和尊重隐私的 NICU 环境做出贡献。

临床相关性

医疗保健提供者可以利用这些发现来加强对母亲的支持,可能会重塑 NICU 中的物理空间和沟通实践。

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