Parents' perceptions of staff competency in a neonatal intensive care unit
Parents' perceptions of staff competency in a neonatal intensive care unit
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DOI：
10.1046/j.1365-2702.2003.00783.x
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发表时间：
2003-09-01
影响因子：
4.2
通讯作者：
Galvin, K
中科院分区：
文献类型：
--
作者：
Cescutti-Butler, L;Galvin, K
本研究旨在探讨新生儿加护病房（NICU）家长对医护人员能力的认知。这项研究开始使用扎根理论方法，但由于一些限制因素而进行了修改。八个父母的婴儿符合一些纳入标准进行了采访，使用重点谈话访谈。然后，对这些报告进行了转录和专题分析。研究方法随着研究的发展而改变，因为实际和道德的原因：抽样策略和缺乏机会充分利用恒定的比较方法，从数据中出现了四个关键主题，将能力概念化为照顾：父母被促进融入单元，不感到负担;父母在单元中感到控制;父母可以选择不观察其婴儿的任务和程序;父母和跨专业小组进行良好的沟通，并提供适当的信息。这些讨论的背景下，现有的literation.In的结论，研究结果有助于突出如何父母的能力在专业的看法是不完全基于技能和任务，但在许多照顾行为。扎根理论的方法产生了一些领域的探索，特别是，在新生儿重症监护病房的背景下，照顾的概念基础及其与能力的联系的想法。关爱行为包括学习与家庭分担责任。研究结果表明，当父母将控制权“移交”给父母，并更加重视父母的支持时，他们会觉得自己不像“客人”。这些想法得到了现有文献的支持。提出了一些方法问题。
The aim of this study was to explore and describe parents' perceptions of staff competency in a neonatal intensive care unit (NICU). The study set out to use a grounded theory approach that was modified because of a number of constraints. Eight parents whose babies met a number of inclusion criteria were interviewed using focused conversational interviews. They were then transcribed and thematically analysed. The research approach was modified as the study developed because of practical and ethical access reasons: the sampling strategy and lack of opportunity to exploit fully the constant comparative method.Four key themes which conceptualize competency as caring emerged from the data: parents are facilitated to integrate into the unit and do not feel a burden; parents feel in control whilst in the unit; parents have a choice to opt out from observing tasks and procedures on their baby; parents and the interprofessional team communicate well and provide appropriate information. These are discussed in the context of available literature.In conclusion, the results of the study serve to highlight how parents' perceptions of competence in a professional are not based solely on skills and tasks but on many caring behaviours. The grounded theory approach has generated a number of areas for exploration, in particular, ideas about the conceptual basis of caring in an NICU context and its links to competence. The caring behaviours involve learning to share responsibility with families. The findings suggest that when there is 'a handing over' of control to parents and a greater emphasis on parent support, they feel less like 'guests'. These ideas are supported by the available literature. A number of methodological issues are raised.