关于新生儿重症监护病房沟通质量的家长观点
Katherine F Guttmann1, Gabriella N Raviv, Christine A Fortney
1Division of Newborn Medicine, Department of Pediatrics, The Icahn School of Medicine at Mount Sinai, New York, New York, USA (Dr Guttmann and Ms Raviv); The Ohio State University College of Nursing Martha S. Pitzer Center for Women, Children, and Youth, Columbus, Ohio (Dr Fortney); Research Division, Hebrew Home at Riverdale, Riverdale, New York, USA (Dr Ramirez); Division of Hematology and Medical Oncology, Department of Medicine, The Icahn School of Medicine at Mount Sinai, New York, New York, USA (Dr Smith); Brookdale Department of Geriatrics and Palliative Medicine, The Icahn School of Medicine at Mount Sinai, New York, New York, USA (Dr Smith and Dr Guttmann).
新生儿重症监护室 (NICU) 的家长希望有清晰,充满希望的沟通,特别是在关键的前48小时. 了解家长的沟通需求对于改善婴儿重症监护室护理至关重要.
科学领域:
- 新生儿重症监护室 (NICU) 的通信.
- 父母在医疗保健机构的经验.
- 在儿科中进行定性研究.
背景情况:
- 现有文献强调,需要改善新生儿重症监护室 (NICU) 的沟通.
- 然而,关于家长对NICU沟通的看法的详细见解是有限的.
研究的目的:
- 探讨家长在NICU环境中对沟通的看法.
- 确定父母在新生儿住院期间的特定沟通需求和偏好.
主要方法:
- 进行了半结构化的认知访谈,对10名NICU患者的家长进行了采访.
- 利用面试成绩单的主题分析来确定关键主题.
- 面试问题是基于沟通质量等级的.
主要成果:
- 确定了四个主要主题:优势,挑战,人才和应对策略.
- 父母报告说,沟通质量各不相同,最初的48小时是脆弱的关键时期.
- 关于婴儿的状态和预后的清晰,充满希望的沟通是高度重视的.
结论:
- 结果可以为当前的NICU实践和未来的指导方针提供信息.
- 强调在住院后的前48小时内解决问题的重要性.
- 建议主动分享信息,并将希望纳入沟通策略.
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