Parent Perspectives on Communication Quality in the Neonatal Intensive Care Unit.

IF 1.6 4区医学 Q2 NURSING

Advances in Neonatal Care Pub Date : 2024-08-01 Epub Date: 2024-07-08 DOI:10.1097/ANC.0000000000001178

Katherine F Guttmann, Gabriella N Raviv, Christine A Fortney, Mildred Ramirez, Cardinale B Smith

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引用次数: 0

Abstract

Background: Though prior literature has demonstrated that communication in the Neonatal Intensive Care Unit (NICU) needs to be improved, in-depth descriptions of parents' views of NICU communication are lacking.

Purpose: We sought (1) to explore parent perceptions of communication in the NICU and (2) to understand parents' communication needs and preferences.

Methods: We conducted in-depth semi-structured cognitive interviews utilizing concurrent probes with parents of 10 patients in our urban level IV Neonatal Intensive Care Unit over a period of 4 months (July 2021-October 2021). Interview questions were derived from the Quality of Communication scale. We conducted thematic analysis of interview transcripts modeled after work by Braun and Clarke.

Results: Four overarching themes were identified: Strengths, Challenges, People, and Coping Strategies. Parents reported a range of communication quality in the NICU. Results revealed that the first 48 hours of NICU hospitalization represent a period of vulnerability and uncertainty for parents. Parents value clear yet hopeful communication about a baby's clinical status and expected course.

Implications for practice and research: We hope that the concrete findings from this study can both inform practice in the NICU now and influence practice guidelines to include such components as emphasis on the first 48 hours, desire for proactive information sharing, and the importance of including hope.

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家长对新生儿重症监护室沟通质量的看法。

背景：目的：我们试图（1）探讨家长对新生儿重症监护室沟通的看法；（2）了解家长的沟通需求和偏好：我们在 4 个月的时间内（2021 年 7 月至 2021 年 10 月）对我们城市 IV 级新生儿重症监护病房的 10 名患者的家长进行了深入的半结构化认知访谈，访谈中使用了并发探询法。访谈问题源自沟通质量量表。我们仿照 Braun 和 Clarke 的研究对访谈记录进行了主题分析：结果：我们确定了四大主题：优势、挑战、人物和应对策略。家长们报告了在新生儿重症监护室的各种沟通质量。研究结果表明，新生儿重症监护室住院的前 48 小时是父母的脆弱期和不确定期。家长们重视就婴儿的临床状况和预期病程进行清晰而又充满希望的沟通：我们希望这项研究的具体结果既能为新生儿重症监护室的实践提供参考，又能影响实践指南，使其包括重视最初 48 小时、希望积极主动地分享信息以及包含希望的重要性等内容。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Advances in Neonatal Care NURSING-

CiteScore

2.60

自引率

5.90%

发文量

101

期刊介绍： Advances in Neonatal Care takes a unique and dynamic approach to the original research and clinical practice articles it publishes. Addressing the practice challenges faced every day—caring for the 40,000-plus low-birth-weight infants in Level II and Level III NICUs each year—the journal promotes evidence-based care and improved outcomes for the tiniest patients and their families. Peer-reviewed editorial includes unique and detailed visual and teaching aids, such as Family Teaching Toolbox, Research to Practice, Cultivating Clinical Expertise, and Online Features. Each issue offers Continuing Education (CE) articles in both print and online formats.