了解我板在新生儿重症监护室:一项混合方法的研究。

IF 2.2 3区 医学 Q2 CRITICAL CARE MEDICINE
Christine L Byerly, Stephanie Levy, Paul Thurman, Gyasi Moscou-Jackson
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引用次数: 0

摘要

背景:“了解我”是一种以患者和家庭为中心的护理干预措施,其有效性的研究仅限于成年住院患者。目的:这项混合方法的研究考察了新生儿重症监护病房(NICU)特定的“了解我”委员会对护士和家属的同理心、信任和满意度的影响。方法:纳入5个单病房群的70个新生儿重症监护病房患者家庭和39名床边护士。小组被随机分配,继续使用标准的交流工具(例如,室内白板)或添加“了解我”板。家庭成员完成了感知移情、对护士的信任和满意度的有效测量。护士完成了一项有效的护理行为参与测量。定量数据采用广义线性混合模型进行分析。定性访谈有助于将调查结果背景化。结果:45名家庭成员和39名护士完成了研究。实施3个月后,护士对关怀行为参与的感知没有变化(P = 0.40)。2周后家庭成员共情知觉差异有统计学意义(P = 0.05)。对4个访谈的专题分析表明,“了解我”板帮助护士了解家庭,家庭了解孩子,但这只是众多工具中的一种。确定了对新生儿重症监护病房患者家长重要的以患者和家庭为中心的护理要素。结论:“了解我”可以促进新生儿重症监护病房的家庭中心护理,但家庭中心护理环境可能是最重要的。对新生儿重症监护室“了解我”板的价值进行进一步研究是有必要的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Get to Know Me Board in the Neonatal Intensive Care Unit: A Mixed-Methods Study.

Background: Research on effectiveness of the Get to Know Me board, a patient- and family-centered care intervention, is limited to adult inpatients.

Objectives: This mixed-methods study examined the effect of a neonatal intensive care unit (NICU)-specific Get to Know Me board on perceptions of empathy, trust, and satisfaction among nurses and families.

Methods: Seventy families of NICU patients and 39 bedside nurses across 5 single-patient room clusters were enrolled. Clusters were randomly assigned to continue using standard communication tools (eg, in-room whiteboard) or add the Get to Know Me board. Family members completed validated measures of perceived empathy, trust in nurses, and satisfaction. Nurses completed a validated measure of engagement in caring behaviors. Quantitative data were analyzed with generalized linear mixed models. Qualitative interviews helped contextualize the findings.

Results: Forty-five family members and 39 nurses completed the study. Three months after implementation, nurses' perception of engagement in caring behaviors was unchanged (P = .40). Family members' perception of empathy significantly differed after 2 weeks (P = .05). Thematic analysis of 4 interviews indicated that the Get to Know Me board helps nurses get to know families and families get to know their children but is only 1 of many tools. Patient- and family-centered care elements important to parents of NICU patients were identified.

Conclusions: The Get to Know Me board can promote family-centered care in the NICU, but a family-centered care environment may be most important. Additional studies of the value of the NICU Get to Know Me board are warranted.

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来源期刊
CiteScore
4.30
自引率
3.70%
发文量
103
审稿时长
6-12 weeks
期刊介绍: The editors of the American Journal of Critical Care (AJCC) invite authors to submit original manuscripts describing investigations, advances, or observations from all specialties related to the care of critically and acutely ill patients. Papers promoting collaborative practice and research are encouraged. Manuscripts will be considered on the understanding that they have not been published elsewhere and have been submitted solely to AJCC.
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