Krick Jeanne A, Rholl Erin L, Callahan Katherine Press, Harris Kelly W, Weiss Elliott Mark
Department of Pediatrics, Brooke Army Medical Center, San Antonio, TX, USA.
Department of Pediatrics, Medical College of Wisconsin, Milwaukee, WI, USA.
J Perinatol. 2025 Apr 16. doi: 10.1038/s41372-025-02299-w.
Our objective was to conduct a scoping review of the literature to inform a modified taxonomy of uncertainty in the NICU, for the purpose of better identifying and defining different experiences of uncertainty for parents and medical teams. We conducted a systematic literature search for studies examining an element of uncertainty in the NICU. Data extraction was guided by Han's taxonomy of uncertainty and a thematic analysis informed the modified taxonomy. We included 55 articles, leading to three major alterations of Han's taxonomy. We believe this modified taxonomy of uncertainty in the NICU provides a more nuanced understanding of the specific uncertainties faced in this context, leading to a better understanding of the different needs of families and medical teams. It also highlights the need for targeted strategies to further explore and manage these uncertainties.
我们的目标是对文献进行范围综述，以形成新生儿重症监护病房（NICU）不确定性的修订分类法，目的是更好地识别和定义家长及医疗团队不同的不确定性体验。我们对研究NICU中不确定性因素的研究进行了系统的文献检索。数据提取以韩氏不确定性分类法为指导，主题分析为修订分类法提供了依据。我们纳入了55篇文章，对韩氏分类法进行了三项主要修订。我们认为，这种NICU不确定性的修订分类法能更细致地理解该背景下所面临的特定不确定性，从而更好地理解家庭和医疗团队的不同需求。它还凸显了制定针对性策略以进一步探索和管理这些不确定性的必要性。
