Division of Neonatology and Pediatric Intensive Care, University Children's Hospital Zurich, Zurich, Switzerland.
University of Zurich, Zurich, Switzerland.
J Matern Fetal Neonatal Med. 2024 Dec;37(1):2356036. doi: 10.1080/14767058.2024.2356036. Epub 2024 Nov 25.
Neonates with medical problems need transfer from the place of birth to a neonatal (intensive care) unit after birth by a specialized neonatal transport team. Neonatal transport is accompanied by a high emotional burden for the families due to spatial separation, uncertainty and care for the neonate. This survey of parents' needs was a quality control project of the neonatal transport team of the University Children's Hospital Zurich, Switzerland. The aim was to identify areas for improvement of family-centred care and to derive concrete suggestions for adjustments in the transport process.
This single-center prospective cross-sectional study included parents of neonates transported between January 2021 and February 2022. Based on a literature review, an anonymous questionnaire was developed (mini-Delphi method) and conducted using an online survey tool. The survey results were analyzed descriptively.
The response rate was 77% (168/217). The majority of parents agreed with the current procedures for neonatal transports and experienced the transport team as professional. There were no (emotional) support measures applied by the transport team which were not approved by the parents. Some parents suggested the following additions: the possibility of parental accompaniment during transport, contact by telephone on arrival at the destination hospital, and an improvement in the transmission of medical information, both prenatally and in the context of transport.
There is potential for improvement in meeting parental needs during neonatal transport. Some parental suggestions can be implemented easily and cost-effectively. The importance of professional communication and situationally adapted information for parents was confirmed.
新生儿出生后，由于空间上的分离、对新生儿的护理存在不确定性等原因，会导致其出现各种医学问题，需要由专业的新生儿转运团队将其从出生地点转运到新生儿（重症监护）病房。这对新生儿家庭来说，会带来很大的心理负担。该研究是瑞士苏黎世大学儿童医院新生儿转运团队的一项质量控制项目，旨在调查父母的需求，明确以家庭为中心的护理需要改进的领域，并提出具体的调整建议。
这是一项单中心前瞻性横断面研究，纳入了 2021 年 1 月至 2022 年 2 月期间接受转运的新生儿的父母。基于文献回顾，采用匿名问卷（迷你德尔菲法），并使用在线调查工具进行调查。对调查结果进行描述性分析。
应答率为 77%（168/217）。大多数父母对目前的新生儿转运程序表示认可，并认为转运团队专业。转运团队采取的措施均得到了父母的认可，没有父母不支持（情绪）支持措施。一些父母建议增加以下内容：在转运过程中允许父母陪同、在到达目的地医院时可以通过电话联系、改善产前和转运过程中医疗信息的传递。
在新生儿转运过程中，满足父母的需求还有改进的空间。一些父母的建议可以很容易且经济有效地实施。研究还证实了专业沟通和根据情况为父母提供信息的重要性。
