在NICU中探索以家庭为中心的护理:一个有基础的理论方法论
1College of Nursing Science, Kyunghee University, Seoul, Republic of Korea.
Qualitative health research
|November 28, 2024
概括
新生儿重症监护室 (NICU) 的以家庭为中心的护理 (FCC) 涉及父母和医疗保健提供者 (HCP) 之间的动态"护理联盟"过程. 这种合作对于高危婴儿至关重要.
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)
- 基于理论的方法论方法论.
背景情况:
- 在NICU的高风险婴儿需要专门的护理,包括父母和医疗保健提供者 (HCP).
- 了解以家庭为中心的护理 (FCC) 的动态对于优化结果至关重要.
研究的目的:
- 从家长和医疗人员的角度探讨高风险婴儿在NICU的以家庭为中心的护理 (FCC) 的经验.
- 了解NICU环境中的FCC所涉及的过程和相互作用.
主要方法:
- 基于理论的方法,遵循科尔宾和斯特劳斯.
- 与家长和在NICU设置中经验丰富的医疗保健工作者进行了深入采访.
- 理论和雪球采样,使用MAXQDA软件分析数据.
主要成果:
- 开发了一个由71个概念,27个子类别和11个高级类别组成的框架.
- 确定了一个称为"护理联盟"的四阶段过程模型:[流浪]-[一心一意地接近]-[成为一个和的团队]-[继续照顾].
- 这一过程凸显了FCC在NICU中的动态和协作性质.
结论:
- 在NICU的FCC是一个动态的过程,需要父母和医疗人员之间的相互理解.
- 促进开放的沟通,尊重父母的角色,促进参与是关键.
- 建议与多种群体进行进一步的研究,以加强FCC的战略.
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