Al-Moteri Modi, Althobiti Raneem Mohammed, Talal Alsalmi Rahaf, Ibraheem Almalki Nadeen, Moala Alsufyani Waad, Abdullah Alghamdi Ghida, Fahad Albogami Shahad, Fahid Alotaibe Mjd, Naeem Alameen Nora, Aljuaid Jamil, M Algamdi Maaidah, Owaydh Almutiry Saud
Medical Surgical Nursing Department, College of Nursing, Taif University, POB, Taif, Saudi Arabia.
Children's Hospital. At Taif, Saudi Arabia.
PLoS One. 2025 May 7;20(5):e0322785. doi: 10.1371/journal.pone.0322785. eCollection 2025.
Nurses in the neonatal intensive care unit (NICU) play a crucial role in health communication, yet their voices are often overlooked. This study explores communication challenges from nurses' perspectives to develop a sustainable communication infrastructure.
A workshop-based participatory design (WBPD) was used, where NICU nurses worked collaboratively to identify communication barriers. Thematic analysis was conducted using the culture-centered approach (CCA) to ensure context-specific solutions, integrating both researcher insights and NICU-based communication infrastructure design.
A multilevel communication infrastructure model was developed to enhance nurse-parent interactions in the NICU. Key findings highlight that effective communication hinges on three interconnected factors: (1) nurses' skills and access to resources, (2) institutional policies supporting standardized protocols and mentorship programs, and (3) systemic mechanisms for fostering shared understanding. Participants advocated for structured training, culturally responsive practices, and language support tools to address diverse needs. The proposed model integrates learner-centered training, interprofessional collaboration, communicative algorithms, and healthy boundaries to establish a cohesive, inclusive framework.
Nurse-led, multilevel interventions are essential for improving NICU communication. The proposed model enhances training, policies, and culturally responsive strategies, supporting more effective nurse-parent interactions and improved neonatal care. Beyond the NICU, this framework offers a transferable model for enhancing communication in other high-stress healthcare environments, ensuring more inclusive and structured communication practices across diverse settings.
新生儿重症监护病房（NICU）的护士在健康沟通中起着至关重要的作用，但她们的声音往往被忽视。本研究从护士的角度探讨沟通挑战，以建立一个可持续的沟通基础设施。
采用基于工作坊的参与式设计（WBPD），让NICU护士共同协作识别沟通障碍。使用以文化为中心的方法（CCA）进行主题分析，以确保针对具体情境的解决方案，将研究者的见解与基于NICU的沟通基础设施设计相结合。
开发了一个多层次的沟通基础设施模型，以加强NICU中护士与家长之间的互动。主要研究结果表明，有效的沟通取决于三个相互关联的因素：（1）护士的技能和资源获取情况；（2）支持标准化协议和指导计划的机构政策；（3）促进共同理解的系统机制。参与者倡导进行结构化培训、采用文化响应性做法以及提供语言支持工具，以满足多样化的需求。所提出的模型整合了以学习者为中心的培训、跨专业协作、沟通算法和健康界限，以建立一个连贯、包容的框架。
由护士主导的多层次干预对于改善NICU的沟通至关重要。所提出的模型加强了培训、政策和文化响应性策略，支持更有效的护士与家长互动以及改善新生儿护理。除了NICU之外，这个框架还提供了一个可转移的模型，用于加强其他高压力医疗环境中的沟通，确保在不同环境中采用更具包容性和结构化的沟通做法。
