J Obstet Gynecol Neonatal Nurs. 2024 Nov;53(6):648-657.e3. doi: 10.1016/j.jogn.2024.08.004. Epub 2024 Sep 27.
To explore parents' experiences of pain care and their participation in their infants' pain management in the NICU and to further validate the concepts of the parental involvement in neonatal pain management model.
Descriptive qualitative study.
Tertiary Level 3 NICU in an academically affiliated teaching hospital in Toronto, Canada.
A purposeful sample of 10 parents of infants in the NICU from 2019 to 2022.
We conducted one-on-one semistructured interviews with participants. We used the parental involvement in neonatal pain management framework as the conceptual model. We coded interview data using deductive thematic analysis and created inductive codes if data did not align with the conceptual model.
We identified one overarching theme: Competence and Confidence of Parents. Within this overarching theme, we identified the following themes: Health Care Providers as Gatekeepers, Beliefs of Parents, Information/Support, Parent-Infant Proximity, and Stress and Anxiety. Data supported the relevance of elements in the parental involvement in neonatal pain management model.
Health care providers play a key role in determining when and how parents comfort their infants. In addition, the beliefs of parents, information and/or support, and their proximity to their infants affected parents' competence and confidence in providing pain management.
探讨父母在新生儿重症监护病房（NICU）中照顾患儿疼痛的体验以及参与患儿疼痛管理的情况，并进一步验证父母参与新生儿疼痛管理模式的概念。
描述性定性研究。
加拿大安大略省多伦多市一家学术附属教学医院的三级 3 级 NICU。
2019 年至 2022 年间，NICU 中 10 名婴儿的有目的抽样父母。
我们对参与者进行了一对一的半结构化访谈。我们使用父母参与新生儿疼痛管理框架作为概念模型。我们使用演绎主题分析对访谈数据进行编码，如果数据与概念模型不一致，则创建归纳代码。
我们确定了一个总体主题：父母的能力和信心。在这个总体主题下，我们确定了以下主题：医疗保健提供者作为把关人、父母的信念、信息/支持、父母与婴儿的亲近程度以及压力和焦虑。数据支持父母参与新生儿疼痛管理模型中相关要素的相关性。
医疗保健提供者在确定何时以及如何让父母安慰婴儿方面起着关键作用。此外，父母的信念、信息和/或支持以及他们与婴儿的亲近程度影响了父母在提供疼痛管理方面的能力和信心。
