新生儿重症监护病房临终关怀中父母亲和体验的质性研究。

IF 1.5 4区 医学 Q3 NURSING
Eva-Lotta Funkquist, Alva Lindquist, Ann Edner
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引用次数: 0

摘要

目的:探讨父母在新生儿期重症死亡新生儿护理中的亲和体验。设计:通过对10位在新生儿重症监护室照顾并死亡婴儿的父母进行7次访谈来收集数据。方法:先采用归纳内容分析对访谈进行初步处理,再采用演绎内容分析对访谈进行处理,并以依恋理论为理论框架。结果:从父母的描述中出现了三个主要主题:1。父母与医疗保健提供者的关系:父母与医疗保健提供者之间的联盟可以促进沟通,例如,使用建议来促进父母在护理中的作用;2. 父母与婴儿的关系:父母希望履行保护父母的角色,参与照顾和决策对父母未来的幸福很重要;和3。父母与自我的关系:在这种未知的情况下,父母对为人父母的期望被打破,他们感到羞耻和无能为力。结论:父母与医疗服务提供者的关系影响着父母与孩子的关系以及他们对医疗服务的体验。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Qualitative Study of Parents' Experiences of Bonding in End-of-Life Care in a Neonatal Intensive Care Unit.

Aim: To examine the parent's experiences of bonding in the care of newborns who were seriously ill during the neonatal period and did not survive.

Design: Data were collected through 7 interviews with 10 parents whose infants were cared for and died in a neonatal intensive care unit.

Methods: The interviews were pilot processed using inductive content analysis and then processed again using deductive content analysis with the attachment theory applied as a theoretical frame.

Results: Three main themes emerged from the parents' descriptions: 1. The parents' relationship with the healthcare provider: an alliance between the parent and the healthcare provider can facilitate communication, for example, the use of proposals to promote parents' role in the care; 2. The parents' relationship with the infant: parents' wish to fulfill the role of a protective parent, and it is of importance for the parents' future well-being to take part in care and decision making; and 3. The parents' relationship with the own self: in this unknown situation, parents' expectations of parenthood are broken, and they experience feelings of shame and powerlessness.

Conclusion: The relationship between the parent and the healthcare provider affects how the parents bond with their child and their experiences of the healthcare.

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来源期刊
CiteScore
1.60
自引率
7.70%
发文量
147
审稿时长
>12 weeks
期刊介绍: The Journal of Perinatal and Neonatal Nursing (JPNN) strives to advance the practice of evidence-based perinatal and neonatal nursing through peer-reviewed articles in a topic-oriented format. Each issue features scholarly manuscripts, continuing education options, and columns on expert opinions, legal and risk management, and education resources. The perinatal focus of JPNN centers around labor and delivery and intrapartum services specifically and overall perinatal services broadly. The neonatal focus emphasizes neonatal intensive care and includes the spectrum of neonatal and infant care outcomes. Featured articles for JPNN include evidence-based reviews, innovative clinical programs and projects, clinical updates and education and research-related articles appropriate for registered and advanced practice nurses. The primary objective of The Journal of Perinatal & Neonatal Nursing is to provide practicing nurses with useful information on perinatal and neonatal nursing. Each issue is PEER REVIEWED and will feature one topic, to be covered in depth. JPNN is a refereed journal. All manuscripts submitted for publication are peer reviewed by a minimum of three members of the editorial board. Manuscripts are evaluated on the basis of accuracy and relevance of content, fit with the journal purpose and upcoming issue topics, and writing style. Both clinical and research manuscripts applicable to perinatal and neonatal care are welcomed.
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