在新生儿重症监护病房中对以家庭为中心的护理的感知障碍:一种定性研究
Alhassan Sibdow Abukari1,2, Shelley Schmollgruber1
1Department of Nursing Education, School of Therapeutic Sciences, Faculty of Health Sciences, University of the Witwatersrand, Parktown, Johannesburg, South Africa.
加纳新生儿重症监护室 (NICU) 的家庭中心护理 (FCC) 的障碍包括家庭压力,沟通不良和设施限制. 解决这些问题是提高家庭满意度和新生儿护理质量的关键.
科学领域:
- 新生儿重症监护室 (NICU) 的护理.
- 以家庭为中心的护理 (FCC)
背景情况:
- 新生儿重症监护室 (NICU) 中的以家庭为中心的护理 (FCC) 与改善家庭满意度和护理质量有关.
- 在NICU中实施FCC的上下文障碍仍未得到充分研究,特别是在加纳.
研究的目的:
- 描述加纳NICU中的以家庭为中心的护理 (FCC) 实践.
- 识别和理解影响FCC在这些环境中的实施的上下文障碍.
主要方法:
- 使用了一种描述性的定性设计.
- 通过24次采访和12次聚焦小组讨论与家庭,护士,助产士和医生收集数据.
- 使用MAXQDA软件进行了主题分析,并遵守了COREQ的指导方针.
主要成果:
- 两个主要主题出现了:感知到的家庭障碍和感知到的设施障碍.
- 家庭障碍包括压力,焦虑,信息分享不足以及文化/宗教因素.
- 设施障碍包括空间/物流问题,工作量,人员短缺,入口限制和员工负面态度.
结论:
- 加纳NICU中FCC的主要障碍是与家庭相关的 (压力,沟通,文化) 和与设施相关的 (资源,人员,访问,态度).
- 解决这些障碍对于提高家庭满意度和新生儿护理质量至关重要.
- 未来的NICU设计和沟通策略应该优先考虑家庭融合和舒适.
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