Nyaloko Madimetja, Lubbe Welma, Moloko-Phiri Seepaneng S, Shopo Khumoetsile D
NuMIQ Research Focus Area, North-West University, Potchefstroom, South Africa.
J Health Popul Nutr. 2025 Jul 10;44(1):246. doi: 10.1186/s41043-025-00960-w.
To present a conceptual framework for healthcare professionals and stakeholders to ensure culturally sensitive preterm infant care in the neonatal intensive care unit.
Integrating cultural determinants in preterm infant care in the neonatal intensive care unit is crucial to help yield positive health outcomes. Culturally sensitive care addresses the unique needs of families from diverse backgrounds; however, its implementation is lacking.
Employing data from descriptive qualitative study and integrative literature review, five-step developmental process was used to construct a conceptual framework: (1) Gathering evidence through an integrative literature review; (2) Conducting a qualitative study; (3) Merging findings from an integrative literature review and a qualitative study; (4) Conceptual framework development; and (5) Visualisation of the developed conceptual framework.
The study merged the integrated literature review and qualitative findings to assemble a comprehensive list of cultural determinants, categorising them into four groups: parental, family, environmental, and healthcare service factors. These groups served as building blocks for the conceptual framework development using six key components of the Practical Orientation Theory: context, agents, dynamics, procedures, recipients, and terminus.
The developed conceptual framework will guide healthcare professionals and stakeholders in integrating cultural determinants of parents in preterm infant care. Based on the findings, recommendations were made regarding practical strategies for implementing culturally sensitive care.
Applying a conceptual framework in the neonatal intensive care unit can inform culturally sensitive care for preterm infants and their families. This framework has the potential to yield several benefits, including the improvement of therapeutic relationships between healthcare professionals and families. Additionally, culturally sensitive care may foster increased parental involvement, facilitating family-led interventions in healthcare practices. Ultimately, these positive shifts in care dynamics have the potential to contribute to improved health outcomes for preterm infants in the neonatal intensive care unit.
为医疗保健专业人员和利益相关者提供一个概念框架，以确保新生儿重症监护病房中对早产儿的护理具有文化敏感性。
将文化因素纳入新生儿重症监护病房的早产儿护理中，对于取得积极的健康结果至关重要。具有文化敏感性的护理能够满足不同背景家庭的独特需求；然而，其实施情况却有所欠缺。
利用描述性定性研究和综合文献综述的数据，采用五步发展过程构建概念框架：（1）通过综合文献综述收集证据；（2）进行定性研究；（3）合并综合文献综述和定性研究的结果；（4）开发概念框架；（5）将已开发的概念框架可视化。
该研究合并了综合文献综述和定性研究结果，汇编出一份全面的文化因素清单，并将其分为四组：父母因素、家庭因素、环境因素和医疗服务因素。这些组作为使用实践导向理论的六个关键组成部分（背景、主体、动态、程序、接受者和终点）开发概念框架的基石。
所开发的概念框架将指导医疗保健专业人员和利益相关者在早产儿护理中纳入父母的文化因素。基于研究结果，针对实施具有文化敏感性护理的实际策略提出了建议。
在新生儿重症监护病房应用概念框架可为对早产儿及其家庭的具有文化敏感性的护理提供指导。该框架有可能带来诸多益处，包括改善医疗保健专业人员与家庭之间的治疗关系。此外，具有文化敏感性的护理可能会促进父母更多地参与，推动以家庭为主导的医疗保健实践干预。最终，护理动态方面的这些积极转变有可能为新生儿重症监护病房中的早产儿带来更好的健康结果。
