新生儿重症监护病房中黑人家庭的需求和经验
Devlynne S Ondusko1, Susanne Klawetter2, Emily Hawkins Carter1
1Department of Pediatrics, Division of Neonatology, Oregon Health & Science University, Portland, Oregon.
Pediatrics
|December 18, 2024
概括
黑人家庭在新生儿重症监护室 (NICU) 面临不信任和创伤. 建议包括建立信任,改善心理健康支持,尊重父母的角色,以提高护理质量.
科学领域:
- 新生儿重症监护室 (NICU) 的护理质量
- 少数民族家庭的医疗保健经验.
- 医疗保健中的结构性种族主义.
背景情况:
- 了解黑人家庭在NICU的经历对于改善护理至关重要.
- 之前的研究已经强调了少数群体医疗保健方面的差异.
- 家庭支持在NICU停留期间显著影响婴儿的结果和父母的福祉.
研究的目的:
- 探索黑人家庭在NICU的家庭支持方面的经验.
- 确定在NICU环境中改善护理质量的具体领域.
- 收集黑人家庭的建议,以提高他们的NICU经验.
主要方法:
- 与黑人家庭进行半结构化的定性访谈和焦点小组.
- 包括2020年1月至2022年2月期间入住NICU的婴儿家庭.
- 利用记录成绩单的反射主题分析来解释数据.
主要成果:
- 确定了一些关键主题,包括不信任,恐惧,过度警,创伤,'黑人强'的神话,警务和破坏育儿.
- 家庭建议NICU工作人员获得信任,尊重关切,提供心理健康支持和富有同情心的护理.
- 家庭强调支持他们的父母角色的重要性,并解决有偏见的待遇.
结论:
- 黑人家庭在NICU中经历了差异性待遇,反映了系统性种族主义和对医疗系统缺乏信任.
- 实施家庭建议 - - 透明的沟通,宣传,心理健康支持和减少偏见 - - 可以改善护理.
- 解决这些问题可能会减轻NICU中黑人家庭的超级警和创伤轨迹.
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