护士在新生儿重症监护室对早产婴儿实施睡眠保护的观点:一项定性研究
Yujing Gu1, Yunfei Tang1, Yan Xue2
1Nursing Department, Affiliated Children's Hospital of Jiangnan University (Wuxi Children's Hospital), Jiangsu, Wuxi, China.
BMC health services research
|March 6, 2025
概括
在新生儿重症监护室 (NICU) 改善早产婴儿的睡眠保护需要解决护士知识缺口和时间限制. 加强沟通和优先考虑婴儿睡眠是改善神经结果的关键.
科学领域:
- 新生儿重症监护室 (NICU) 护理科
- 婴儿睡眠科学 婴儿睡眠科学
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 优化睡眠-清醒周期的发展对于早产婴儿的长期神经健康至关重要.
- 目前,新生儿重症监护室的睡眠保护措施往往不够优化.
- 了解中国NICU护士面临的挑战是非常重要的,因为独特的医疗保健环境.
研究的目的:
- 为了确定在中国为早产婴儿实施睡眠保护的NICU护士的障碍和促进者.
- 通过COM-B模型探索护士对睡眠保护的看法.
- 为制定有针对性的干预措施提供信息.
主要方法:
- 半结构面试与15名NICU护士在一个中国的三级儿童医院.
- 采访以能力,机会,动机和行为 (COM-B) 模型为指导.
- 归纳主题分析与COM-B和理论领域框架 (TDF) 保持一致.
主要成果:
- 确定的主要障碍包括缺乏从业人员知识,父母沟通有限,以及难以解释婴儿线索.
- 机会障碍包括时间限制,跨学科合作不足,睡眠优先级低等.
- 激励因素包括积极的态度,组织支持和专业责任.
结论:
- 提高医疗保健专业知识和技能对于改善睡眠保护至关重要.
- 加强多学科合作和家长沟通至关重要.
- 提高睡眠保护的优先级和优化资源配置是有效实施的必要条件.
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