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注意差距:采用混合方法比较父母对即将到来的早产的信息需求与当前临床实践。

Mind the gap: Comparing parents' information needs about impending preterm birth to current clinical practices using a mixed methods approach.

作者信息

van Zijl Angela C M, Obermann-Borst Sylvia A, Hogeveen Marije, Verweij E J T Joanne, de Vries Willem B, Geurtzen Rosa, Labrie Nanon H M

机构信息

Department of Neonatology, Wilhelmina Children's Hospital, Lundlaan 6, 3582 EA Utrecht, the Netherlands.

Care4Neo, Neonatal Patient and Parent Advocacy Organization, Marshallweg 13 (unit 2), 3068 JN Rotterdam, the Netherlands.

出版信息

PEC Innov. 2024 May 31;4:100297. doi: 10.1016/j.pecinn.2024.100297. eCollection 2024 Dec.

Abstract

OBJECTIVE

To identify parents' information needs about impending very preterm birth and compare these needs to current information practices in the Netherlands.

METHODS

Step 1: We surveyed  = 203 parents of preterm infants to assess their information needs. Data were analyzed using inductive thematic analysis. Step 2a: We collected information resources from hospitals ( = 9 NICUs) and via an online search. These materials were analyzed using deductive thematic analysis. Step 2b: We compared findings from Steps 1-2a.

RESULTS

We identified four themes pertaining to parents' information needs: (1) participation in care, (2) emotional wellbeing, (3) experience/success stories, and (4) practical information about prematurity. Clinicians' and were considered prerequisites for optimal information-provision. Notably, hospital resources provided mainly medical information about prematurity with some emphasis on participation in care, while parent associations mainly focused on emotional wellbeing and experience/success stories.

CONCLUSION

While parents demonstrate clear information needs about impending very preterm birth, current information resources satisfy these partially.

INNOVATION

Our multidisciplinary research team included both scholars and veteran NICU parents. As such, we identified parents' information needs bottom-up. These parent-driven insights will be used to design an innovative, tailored information platform for parents about impending very preterm birth.

摘要

目的

确定父母对于即将到来的极早产的信息需求,并将这些需求与荷兰当前的信息提供实践进行比较。

方法

第一步:我们调查了203名早产儿的父母,以评估他们的信息需求。使用归纳主题分析法对数据进行分析。第二步a:我们从医院(9个新生儿重症监护病房)收集信息资源并通过在线搜索获取。使用演绎主题分析法对这些材料进行分析。第二步b:我们比较第一步至第二步a的结果。

结果

我们确定了与父母信息需求相关的四个主题:(1)参与护理,(2)情绪健康,(3)经历/成功故事,以及(4)关于早产的实用信息。临床医生的参与和沟通被认为是最佳信息提供的先决条件。值得注意的是,医院资源主要提供有关早产的医疗信息,并在一定程度上强调参与护理,而家长协会主要关注情绪健康和经历/成功故事。

结论

虽然父母对于即将到来的极早产表现出明确的信息需求,但当前的信息资源仅部分满足了这些需求。

创新

我们的多学科研究团队包括学者和新生儿重症监护病房的资深家长。因此,我们自下而上地确定了父母的信息需求。这些由家长驱动的见解将用于为父母设计一个关于即将到来的极早产的创新型、量身定制的信息平台。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e4c/11219962/a16c9ddc3c9c/gr1.jpg

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