COVID-19大流行高峰后探视限制期间新生儿重症监护病房以家庭为中心的护理所面临的挑战:家长和护士观点的定性研究

IF 0.7 Q4 NURSING
Siriporn Vetcho, S. Phumdoung, Victoria J. Kain, Piyada Chaisri
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引用次数: 0

摘要

以家庭为中心的护理对于新生儿重症监护病房的亲子关系和合作医疗至关重要。COVID-19 探视限制阻碍了这种护理的有效性,并给泰国的监护病房带来了挑战。本研究在泰国南部的一家医院进行,探讨了护士和家长在探视限制政策下实施以家庭为中心的护理的观点,从而提供适用于全球的见解。研究采用了探索性描述定性方法,在 2023 年 6 月至 8 月期间对 10 名护士和 10 名家长进行了半结构式访谈,以探索他们的细微观点。访谈采用半结构化访谈指南,面对面单独进行,并使用主题分析法对访谈记录进行分析,以确定重要主题。研究结果包括五个主题:1)让父母参与护理的心态;2)父母获得心理支持;3)沟通的挑战;4)限制探视时间的负面影响;5)在特殊情况下允许灵活的探视时间。要为婴儿提供尽可能最好的护理,就必须采取适应性强且灵活的方法,以满足每个家庭的独特需求。此外,医疗服务提供者需要探索在不同情况下,如何在新生儿重症监护室探视限制期间有效实施以家庭为中心的护理。有必要进一步研究泰国新生儿重症监护病房在限制家属探视的政策下,护士如何具体实施以家庭为中心的护理,以及医院管理者如何给予支持。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Challenges of Family-Centered Care in a Neonatal Intensive Care Unit during the Visitation Restrictions After COVID-19 Pandemic Peak: A Qualitative Study of Parents’ and Nurses’ Perspectives
Family-centered care is crucial for parent-infant bonding and collaborative healthcare in neonatal intensive care units. COVID-19 visitation restrictions have hindered this care’s effectiveness and posed challenges in Thai units. This study, conducted in a southern Thailand hospital, explored nurses’ and parents’ perspectives on implementing family-centered care during restricted visitation policies, providing globally applicable insights. An exploratory-descriptive qualitative approach was used, involving semi-structuredinterviews with ten nurses and ten parents to explore their nuanced perspectives from June to August 2023. The interviews were conducted face-to-face, individually, using a semi-structured interview guide, and the transcripts were analyzed using thematicanalysis to identify significant themes. Findings from this study comprised five themes: 1) Having a mindset to involve parents in care, 2) Parents receiving psychological support, 3) Challenges of communication, 4) Negative impact of restricted visiting times, and 5) Accommodating flexible visiting hours in exceptional circumstances. Providing the best possible care for infants requires an adaptable and flexible approach to meet each family’s unique needs. Additionally, healthcare providers need to explore how they can implementfamily-centered care effectively during visiting restrictions in the NICU in different contexts. Further research is necessary to investigate the practical implementation of this by nurses and how hospital administrators can support it in Thai neonatal intensive care units under policies restricting family visits.
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来源期刊
CiteScore
1.40
自引率
14.30%
发文量
3
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