新生儿重症监护室婴儿疼痛管理的家长经验。

IF 1.8 4区医学 Q2 NURSING

Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing Pub Date : 2024-11-01 DOI:10.1016/j.jogn.2024.08.004

Carol McNair, Mary McAllister, Linda S. Franck, Bonnie Stevens, Anna Taddio

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引用次数: 0

摘要

目的探讨新生儿重症监护室中父母的疼痛护理经验以及他们参与婴儿疼痛管理的情况，并进一步验证父母参与新生儿疼痛管理模式的概念：描述性定性研究：地点：加拿大多伦多一家学术附属教学医院的三级新生儿重症监护室：从 2019 年到 2022 年，有目的地抽样调查了 10 名新生儿重症监护室的婴儿家长：我们对参与者进行了一对一的半结构化访谈。我们使用新生儿疼痛管理中的家长参与框架作为概念模型。我们采用演绎式主题分析法对访谈数据进行编码，如果数据与概念模型不一致，则进行归纳编码：结果：我们确定了一个总体主题：家长的能力和信心。在这一总体主题下，我们确定了以下主题：作为守门人的医疗保健提供者、父母的信念、信息/支持、父母与婴儿的亲近程度以及压力和焦虑。数据支持了家长参与新生儿疼痛管理模式中各要素的相关性：结论：医疗服务提供者在决定父母何时以及如何安慰婴儿方面起着关键作用。此外，父母的信念、信息和/或支持以及他们与婴儿的亲近程度也影响着父母提供疼痛管理的能力和信心。

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Parents’ Experiences With Infant Pain Management in the NICU

Objectives

To explore parents’ experiences of pain care and their participation in their infants’ pain management in the NICU and to further validate the concepts of the parental involvement in neonatal pain management model.

Design

Descriptive qualitative study.

Setting

Tertiary Level 3 NICU in an academically affiliated teaching hospital in Toronto, Canada.

Participants

A purposeful sample of 10 parents of infants in the NICU from 2019 to 2022.

Methods

We conducted one-on-one semistructured interviews with participants. We used the parental involvement in neonatal pain management framework as the conceptual model. We coded interview data using deductive thematic analysis and created inductive codes if data did not align with the conceptual model.

Results

We identified one overarching theme: Competence and Confidence of Parents. Within this overarching theme, we identified the following themes: Health Care Providers as Gatekeepers, Beliefs of Parents, Information/Support, Parent–Infant Proximity, and Stress and Anxiety. Data supported the relevance of elements in the parental involvement in neonatal pain management model.

Conclusions

Health care providers play a key role in determining when and how parents comfort their infants. In addition, the beliefs of parents, information and/or support, and their proximity to their infants affected parents’ competence and confidence in providing pain management.

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来源期刊

Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing 医学-妇产科学

CiteScore

3.20

自引率

5.60%

发文量

审稿时长

43 days

期刊介绍： JOGNN is a premier resource for health care professionals committed to clinical scholarship that advances the health care of women and newborns. With a focus on nursing practice, JOGNN addresses the latest research, practice issues, policies, opinions, and trends in the care of women, childbearing families, and newborns. This peer-reviewed scientific and technical journal is highly respected for groundbreaking articles on important - and sometimes controversial - issues. Articles published in JOGNN emphasize research evidence and clinical practice, building both science and clinical applications. JOGNN seeks clinical, policy and research manuscripts on the evidence supporting current best practice as well as developing or emerging practice trends. A balance of quantitative and qualitative research with an emphasis on biobehavioral outcome studies and intervention trials is desired. Manuscripts are welcomed on all subjects focused on the care of women, childbearing families, and newborns.