Modificaciones de los cuidados centrados en el desarrollo y la familia en cuidados intensivos neonatales durante la pandemia por COVID-19 en un hospital de España: un estudio cualitativo

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
M.B. Martin-Caballero RN, MSc , O. Arrogante RN, MSc, PhD , P. Martín–Casas PT, MSc, PhD , R. Ortiz-Gutiérrez PT, MSc, PhD
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引用次数: 0

Abstract

Introduction

Family centered developmental care (FCDC) are a philosophy of care in the neonatal care units (NICU), based on the control of sensory stimulation the adequate position and of newborn and the family involvement of cares. Nursing staff are the main providers of this care. Sanitary measure to control of the COVID-19, such as the use of masks, isolation of positive cases and capacity limit, conditioned the implementation of FCDC.

Objectives

To understand the meaning of the experience of the nursing staff of a neonatal intensive care unit (NICU) on the implementation of the FCDC, under the sanitary measures imposed for the containment of COVID-19.

Methods

A qualitative study was conducted from the descriptive phenomenological paradigm in which NICU nurses were recruited. The qualitative data collection was carried out through open-ended and semi-structured interviews. These were analyzed respectively through a preliminary narrative analysis and a thematic analysis of the informant nurses’ narratives and discourses.

Results

Three open-ended and 7 semi-structured interviews were conducted from which three main topics emerged: 1) changes in the FCDC derived from the sanitary restrictions implemented for the containment of COVID-19; 2) changes in interpersonal relationships in the context of a pandemic, and 3) transition to normality.

Conclusions

The nurses of NICU perceived changes in the implementation of the FCDC due to the containment of COVID-19, that modified the relationship with the parents of NB, accelerating their training as caregivers, and involved the implementation of new measures such as video calls.

西班牙一家医院在 COVID-19 大流行期间修改新生儿重症监护中以发展和家庭为中心的护理:一项定性研究
导言以家庭为中心的发育护理(FCDC)是新生儿护理病房(NICU)的一种护理理念,其基础是控制感官刺激、新生儿的适当体位和家庭参与护理。护理人员是这种护理的主要提供者。目标了解新生儿重症监护室(NICU)护理人员在为遏制 COVID-19 而采取的卫生措施下实施 FCDC 的经验意义。方法从描述性现象学范式出发进行定性研究,招募 NICU 护士参加。通过开放式和半结构式访谈收集定性数据。结果进行了 3 次开放式访谈和 7 次半结构式访谈,从中发现了三个主要议题:1)为遏制 COVID-19 而实施的卫生限制给 FCDC 带来的变化;2)大流行病背景下人际关系的变化;3)向正常状态的过渡。结论新生儿重症监护室的护士认为,由于 COVID-19 的遏制,FCDC 的实施发生了变化,改变了与新生儿父母的关系,加快了他们作为护理人员的培训,并实施了视频通话等新措施。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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