van Burgsteden Lotte, Lamerichs Joyce, Hoogerwerf Annemarie, Te Molder Hedwig, de Jong Miranda
Department of Language, Literature and Communication, Vrije Universiteit Amsterdam, De Boelelaan 1105 1081, HV, Amsterdam, the Netherlands.
Knowledge Center Health and Wellbeing, University of Applied Sciences Windesheim Zwolle, Campus 2, 8017, CA, Zwolle, the Netherlands.
PEC Innov. 2024 Jul 30;5:100327. doi: 10.1016/j.pecinn.2024.100327. eCollection 2024 Dec 15.
The novel concept of Family-Integrated Care (FICare) requires nurses to be parents' partners in neonatal care. We combined analyses of real-life parent-nurse conversations and interviews to elucidate nurses' role in providing psychosocial support to parents. Findings inform the development of communication training on topicalizing parents' feelings.
Conversation analysis of 15 audio-recorded parent-nurse conversations, and thematic analysis of interviews with 2 nurses.
In parent-nurse conversations, nurses showed a "balancing act" in formulating parents' feelings, revealing the complexities of addressing parents' feelings. Overall, parents confirmed nurses' formulations, but also expanded or modified them, or indicated restricted conversational space. In the interviews, nurses discussed four purposes of conversations with parents, emphasizing elaborating on parents' feelings, while discussing associated challenges.
Our conversation analysis revealed a continuum of nurses' formulations of parents' feelings, and nurses' reflections illuminated how and when the formulations were used to invite parents' "feelings talk".
This study is the first to use conversation analysis to analyze parent-nurse conversations. Additionally, it pioneers combining these analyses with interviews, inviting nurses to reflect on how to incorporate the findings into FICare. This combination strongly informs the development of tailored communication training, drawing from real-life conversations and nurses' articulated needs.
家庭整合护理（FICare）这一全新理念要求护士成为新生儿护理中家长的合作伙伴。我们结合对现实生活中家长与护士对话的分析以及访谈，以阐明护士在为家长提供心理社会支持方面的作用。研究结果为开展关于探讨家长感受的沟通培训提供了依据。
对15段家长与护士对话的音频记录进行对话分析，并对2名护士进行访谈的主题分析。
在家长与护士的对话中，护士在表述家长感受时表现出“平衡行为”，揭示了处理家长感受的复杂性。总体而言，家长认可护士的表述，但也会进行扩展、修改，或者表示对话空间受限。在访谈中，护士讨论了与家长对话的四个目的，强调阐述家长的感受，同时讨论了相关挑战。
我们的对话分析揭示了护士对家长感受表述的连续性，护士的反思阐明了这些表述如何以及何时被用于引发家长的“感受交流”。
本研究首次运用对话分析来分析家长与护士的对话。此外，它率先将这些分析与访谈相结合，邀请护士思考如何将研究结果纳入家庭整合护理。这种结合从现实生活对话和护士明确表达的需求出发，为量身定制的沟通培训的发展提供了有力依据。
