影响父母参与生命危险新生儿决策的因素:定性研究 父母参与决策
Marjan Banazadeh1,2,3, Sedigheh Khanjari2,3, Fateme Behmaneshpour1
1Department of Nursing, School of Nursing, Alborz University of Medical Sciences, Karaj, Iran.
Journal of education and health promotion
|October 21, 2024
概括
诸如健康素养,自我效能,信仰和生活条件等家长因素会影响生命危险的新生儿的决策. 培训医疗保健专业人员以家庭为中心的护理对于更好的家长参与至关重要.
科学领域:
- 新生儿重症监护中心
- 儿科的决策能力
- 以家庭为中心的护理
背景情况:
- 父母是生命危险的新生儿 (LTC) 的关键决策者.
- 对于LTCs的新生儿,父母参与决策 (DM) 往往是不充分的.
- 对影响家长参与这些关键决策的因素的研究有限.
研究的目的:
- 探索影响家长参与决策 (DM) 的家长因素,对新生儿有危及生命的条件 (LTCs).
主要方法:
- 在四个III级新生儿重症监护室 (NICU) 进行的定性研究.
- 通过使用传统的内容分析,进行了22次深入的,半结构化的,面对面的访谈,并进行了分析.
- 从297个编码的含义单位中,出现了四个主要类别.
主要成果:
- 父母的能力 (健康素养,情绪状态,感知) 显著影响参与.
- 父母的自我效能 (角色感知,自我意识,角色接受) 是一个关键因素.
- 信念 (宗教信仰,文化价值观) 和生活条件 (工作,家庭,通勤) 也影响参与.
结论:
- 父母因素至关重要,需要在以家庭为中心的护理 (FCC) 原则中为医疗保健专业人员提供培训.
- 护士应该承认父母的能力,并向他们告知他们的权利,以防止边缘化.
- 正式的新生儿息护理 (NPC) 计划和多学科团队可以加强沟通,并纳入家长的需求和价值观.
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