Constructing educational content for neonatal palliative care: A Delphi method and needs analysis

IF 3.6 2区医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Nurse Education Today Pub Date : 2025-03-14 DOI:10.1016/j.nedt.2025.106687

Eunji Lee , Won-Oak Oh

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引用次数: 0

Abstract

Background

High-risk newborns face significant mortality risks and potential for recovery, making neonatal palliative care essential. However, existing neonatal palliative care education for neonatal intensive care unit (NICU) nurses often prioritizes end-of-life care and overlooks family involvement and long-term management needs.

Aim

To develop and prioritize neonatal palliative care educational content tailored for NICU nurses, addressing gaps in current curricula and supporting family-centered, evidence-based practice.

Methods

A three-round Delphi survey was conducted to identify key educational topics for neonatal palliative care, followed by a cross-sectional online survey to assess NICU nurses' perceived performance and importance for each topic. Participants included 148 NICU nurses from tertiary hospitals in South Korea with over six months of experience, excluding those with administrative roles. Educational needs were analyzed using the Locus for Focus model, Borich needs analysis, and Importance-Performance Analysis.

Results

This study identified 66 educational topics grouped into five domains: “Physiological care,” “Family-centered care,” “Continuity of care,” “Nursing professional development,” and “Multidisciplinary team approach.” High-priority topics included balancing critical and palliative care, managing stress, and navigating ethical challenges. Family-centered care was emphasized throughout the NICU stay, emphasizing family involvement in care, guidance on growth and development, and addressing social challenges. Continuity of care post-discharge was also highlighted, particularly rehabilitation, bereavement support, and community health resources.

Conclusion

This study offers a robust framework for developing evidence-based neonatal palliative care educational programs. By addressing contemporary issues and emphasizing long-term, holistic approaches, these findings contribute to advancing family-centered care and enhancing nursing competencies globally.

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背景高危新生儿面临着巨大的死亡风险和康复潜力，因此新生儿姑息治疗至关重要。Aim To develop and prioritize neonatal palliative care educational content tailored for NICU nurses, addressing gaps in current curricula and supporting family-centered, evidence-based practice.方法通过三轮德尔菲调查确定新生儿姑息治疗的关键教育主题，然后进行横断面在线调查，评估新生儿重症监护室护士对每个主题的认知表现和重要性。参与调查者包括来自韩国三级医院的 148 名新生儿重症监护室护士，他们都有 6 个月以上的工作经验，但不包括担任行政职务的护士。本研究确定了 66 个教育主题，分为五个领域："生理护理"、"以家庭为中心的护理"、"持续护理"、"护理专业发展 "和 "多学科团队方法"。高度优先的主题包括平衡危重病人护理和姑息治疗、管理压力和应对伦理挑战。在新生儿重症监护病房的整个住院期间，都强调以家庭为中心的护理，强调家庭参与护理、指导成长和发展以及应对社会挑战。出院后的持续护理也得到了强调，尤其是康复、丧亲之痛支持和社区卫生资源。通过解决当代问题并强调长期、全面的方法，这些研究结果有助于在全球范围内推进以家庭为中心的护理并提高护理能力。

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

Nurse Education Today 医学-护理

CiteScore

6.90

自引率

12.80%

发文量

349

审稿时长

58 days

期刊介绍： Nurse Education Today is the leading international journal providing a forum for the publication of high quality original research, review and debate in the discussion of nursing, midwifery and interprofessional health care education, publishing papers which contribute to the advancement of educational theory and pedagogy that support the evidence-based practice for educationalists worldwide. The journal stimulates and values critical scholarly debate on issues that have strategic relevance for leaders of health care education. The journal publishes the highest quality scholarly contributions reflecting the diversity of people, health and education systems worldwide, by publishing research that employs rigorous methodology as well as by publishing papers that highlight the theoretical underpinnings of education and systems globally. The journal will publish papers that show depth, rigour, originality and high standards of presentation, in particular, work that is original, analytical and constructively critical of both previous work and current initiatives. Authors are invited to submit original research, systematic and scholarly reviews, and critical papers which will stimulate debate on research, policy, theory or philosophy of nursing and related health care education, and which will meet and develop the journal''s high academic and ethical standards.