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新生儿转运过程中的家长经历。

Parental experiences of the neonatal transfer process.

作者信息

Fraser Caroline, Harrison Catherine M

机构信息

Leeds Centre for Newborn Care Leeds Teaching Hospitals NHS Trust, Great George Street, Leeds, UK.

Embrace, Yorkshire and Humber Infant and Childrens transport service Capitol Close, Barnsley, UK.

出版信息

Pediatr Res. 2025 Sep 17. doi: 10.1038/s41390-025-04402-5.

Abstract

BACKGROUND

Parental feedback rates of the neonatal transfer process are 9-11% in the UK. Only clinical and logistical quality markers currently exist to benchmark transport teams. The aims were to: explore parental experiences of the neonatal transfer process, determine ways to improve parental feedback rates about the transfer process and develop potential family centred transport quality markers.

METHODS

A mixed study design (qualitative and quantitative) involving parents who had experienced the neonatal transfer process using semistructured group interviews (n = 5) and a structured survey (n = 453). Thematic analysis was performed on the results.

RESULTS

74.6% parents were satisfied with their overall experience, 53% parents travelled with their babies, 52.6% parents felt involved in the transport process and 9% parents reported giving feedback to the transport team. The most frequently reported areas of importance included parental involvement and travelling with their baby, communication and information provision, logistics and mental health effects. Neonatal transfers were reported to have long lasting impacts on mental health by several parents.

CONCLUSIONS

Satisfaction rates for the transfer process were high, however improvements were suggested by many respondents regarding communication, logistics and family centred care. Development of parental experience quality markers for neonatal transport may improve this.

IMPACT QUESTIONS

Parental satisfaction with the neonatal transfer process in the UK is high Areas to improve upon include parents travelling with their baby and involvement in their care, communication and logistics There are mental health impacts from the transfer process alone This is the biggest published study of it's type and highlights areas for transport teams and the wider network to collaboratively work on to improve family centred experiences as well as some suggested family centred quality markers.

摘要

背景

在英国,新生儿转运过程中家长的反馈率为9%-11%。目前仅有临床和后勤质量指标可用于评估转运团队。本研究旨在:探索家长对新生儿转运过程的体验,确定提高家长对转运过程反馈率的方法,并制定以家庭为中心的潜在转运质量指标。

方法

采用混合研究设计(定性和定量),研究对象为经历过新生儿转运过程的家长,采用半结构式小组访谈(n = 5)和结构化调查(n = 453)。对结果进行主题分析。

结果

74.6%的家长对总体体验感到满意,53%的家长与婴儿同行,52.6%的家长感觉参与了转运过程,9%的家长报告向转运团队提供了反馈。最常被提及的重要方面包括家长参与及与婴儿同行、沟通与信息提供、后勤保障以及心理健康影响。多位家长表示新生儿转运对心理健康有长期影响。

结论

转运过程的满意度较高,但许多受访者建议在沟通、后勤保障和以家庭为中心的护理方面加以改进。制定新生儿转运家长体验质量指标可能会改善这一情况。

影响问题

英国家长对新生儿转运过程的满意度较高 有待改进的方面包括家长与婴儿同行及参与其护理、沟通和后勤保障 仅转运过程就会对心理健康产生影响 这是同类研究中规模最大的已发表研究,突出了转运团队和更广泛网络需要共同努力改进以家庭为中心体验的领域,以及一些建议的以家庭为中心的质量指标。

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