护理人员对早期脑麻或婴儿高风险指标的沟通的看法
Faith Kim1, Sylvan Ryder1, Arden Marin1
1Department of Pediatrics, NewYork-Presbyterian Morgan Stanley Children's Hospital/Columbia University Medical Center, New York.
JAMA network open
|July 8, 2025
概括
护理人员希望早些时候,关于脑 (CP) 诊断或CP (HRCP) 指定高风险的积极沟通. 他们更喜欢实用的下一步和重新评估时间表,强调基于优势的讨论.
科学领域:
- 新生儿神经病学 新生儿神经病学
- 发育儿科 发育儿科
- 儿童健康结果的结果
背景情况:
- 早期发现脑 (CP) 越来越常见.
- 了解护理人员对关于CP诊断和CP (HRCP) 指定高风险的沟通的观点,对于改善护理至关重要.
- 当前的沟通策略可能无法充分为护理人员做好这些指定的准备.
研究的目的:
- 检查护理人员对临床医生沟通的看法,当他们的婴儿接受CP诊断或HRCP指定时.
- 确定临床医生如何与家庭讨论这些结果的改进领域.
主要方法:
- 一项前性定性研究,涉及与诊断患有CP或被指定为HRCP的婴儿的照顾者进行面试.
- 从IV级NICU和高风险婴儿随访计划的护理人员收集数据.
- 采访采用两个独立审稿人的定向定性内容分析进行了分析.
主要成果:
- 采访了23名护理人员,其中婴儿被诊断患有CP或指定HRCP,平均年龄分别为6.07个月和7.50个月.
- 关键主题包括缺乏准备,负面的沟通经验,情绪反应和对实践的反.
- 大多数护理人员希望早些时候进行对话,更喜欢积极的语言,并寻求实际的下一步措施和明确的再评估时间表.
结论:
- 护理人员愿意接受关于CP和HRCP名称的早期讨论.
- 沟通应该是积极的,以优势为基础,并包括明确的后续和再评估计划.
- 优先考虑有针对性的,早期的对话可以提高照顾者的理解和情绪准备.
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