Factors Influencing Implementation of Family-Centered Care in a Neonatal Intensive Care Unit
Factors Influencing Implementation of Family-Centered Care in a Neonatal Intensive Care Unit
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DOI：
10.3389/fped.2020.00222
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发表时间：
2020-05-06
影响因子：
2.6
通讯作者：
van den Hoogen, Agnes
中科院分区：
文献类型：
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作者：
Maatman, Sabine M. Oude;Bohlin, Kajsa;van den Hoogen, Agnes
背景：全世界大约 10% 的新生儿是早产儿。这些婴儿通常被送入新生儿重症监护病房 (NICU)。 NICU 环境中存在着不自然的光线、噪音和反复的干扰，对于入住 NICU 的婴儿来说压力非常大。此外，父母的分离会给婴儿和父母带来压力。以家庭为中心的护理 (FCC) 是一种支持父母参与婴儿护理的方法。 FCC 是一种基于医疗保健专业人员和患者家属之间合作关系的医疗保健规划、交付和评估方法。与标准护理病房的父母相比，入住 FCC 病房的婴儿的父母压力较小。 目标：尽管 FCC 对家庭和患者有益，但实施可能具有挑战性。因此，了解哪些因素会促进或阻碍 FCC 的实施非常重要。本研究根据在新生儿重症监护病房工作的医疗保健专业人员的意见，探讨了影响新生儿重症监护病房实施 FCC 的因素。方法：采用描述性通用定性设计，采用半结构化访谈和归纳主题分析。这项国际多中心研究在瑞典、挪威和荷兰三个欧洲国家的三家医院进行。结果：七名新生儿护理护士、一名护士助理、五名新生儿科医生和三名管理人员参与了这项研究。分析数据时确定了四个方面，即：员工行为变化、家庭需求、环境和沟通。最重要的是，几乎所有医疗保健专业人员都表示，专业人员的心态会影响 FCC 的实施。结论：医疗保健专业人员将父母视为主要照顾者的心态会影响 FCC 的实施方式以及父母如何参与婴儿护理。
Background: Approximately 10% of all births worldwide are preterm. Often these infants are admitted at a Neonatal Intensive Care Unit (NICU). The NICU environment with periods of unnatural light, noise and repeated disturbances is very stressful for infants admitted to the NICU. In addition separation of parents causes stress for both infant and parents. A way to support and include parents in the care for their infants is Family-Centered Care (FCC). FCC is an approach of planning, delivery and evaluation of healthcare, based on a partnership between healthcare professionals and families of patients. Parents of infants who were admitted to an FCC unit were less stressed compared to parents at a Standard Care unit.Aim: Although FCC is beneficial to families and patients, implementation can be challenging. Therefore it is important to know which factors can contribute or withhold the implementation of FCC. This study explored factors that influence implementation of FCC in NICU's according to healthcare professionals that work in a NICU with the concept FCC.Method: A descriptive generic qualitative design with semi-structured interviews and inductive thematic analyses was used. This international multi-center study was conducted in three hospitals in three European countries: Sweden, Norway, and The Netherlands.Results: Seven neonatal care nurses, one nurse assistant, five neonatologists, and three managers participated in this study. Four aspects were identified, when analyzing the data, namely: Behavioral change in staff, Family needs, Environment, and Communication. Most important is that almost all healthcare professionals described that the mind-set of the professional influences the implementation of FCC.Conclusion: The mind-set of healthcare professionals in seeing parents as primary caregiver influences the way FCC is practiced and how parents are involved in the care for their infant.