University Hospital, Neonatal Intensive Care Unit, Uppsala, Sweden; Uppsala University, Department of Womeńs and Childreńs Health, S-751 85 Uppsala, Sweden.
Department of Nursing Science, University of Turku, Kinakvarngatan 10, 20520 Turku, Finland.
Sex Reprod Healthc. 2024 Sep;41:101010. doi: 10.1016/j.srhc.2024.101010. Epub 2024 Jul 18.
The aim of this study was to investigate care practices among Neonatal Intensive Care Units (NICU) providing Therapeutic hypothermia (TH), and more specific to investigate staff's experiences of parental participation, presence, and possibilities of being close with their infant during TH.
A descriptive, qualitative, and quantitative study. All Swedish NICUs providing TH (n = 10) participated. Data were collected during January-April 2021 via a questionnaire followed by a semi-structured interview with the registered nurse and the neonatologist responsible for TH at each unit. Descriptive statistics were calculated, and a qualitative content analysis was performed.
All NICUs allowed parents unlimited stay with their infants and were keen to support parental presence, which was a prerequisite for promoting parent-infant closeness. Standardized routines regarding the infants' care space and course of action were described as time-efficient and staff-saving, which freed up time to focus on the families.
Standardized routines regarding the care space setup and the medical and caring approach, as well as the NICU environment and practices around the families, can promote or curb the possibilities of parent-infant closeness. Well-established care practices and good environmental conditions with flexibility regarding the family's needs are therefore required.
本研究旨在调查提供治疗性低温（TH）的新生儿重症监护病房（NICU）的护理实践，更具体地调查工作人员在 TH 期间参与、存在和接近婴儿的经验。
这是一项描述性、定性和定量研究。所有提供 TH 的瑞典 NICU（n=10）均参与其中。数据于 2021 年 1 月至 4 月通过问卷收集，随后对每个单位负责 TH 的注册护士和新生儿科医生进行半结构化访谈。计算了描述性统计数据，并进行了定性内容分析。
所有 NICU 均允许父母无限期陪伴婴儿，并热衷于支持父母的存在，这是促进父母与婴儿亲近的前提。描述了关于婴儿护理空间和行动方案的标准化常规，这些常规高效省时，为工作人员节省了时间，以便专注于家庭。
关于护理空间设置以及医疗和护理方法的标准化常规，以及围绕家庭的 NICU 环境和实践，可以促进或抑制父母与婴儿亲近的可能性。因此，需要建立良好的护理实践和良好的环境条件，并灵活满足家庭的需求。
