在新生儿重症监护室建立家庭与工作人员关系的挑战和解决方案:一项定性研究
Katherine Guttmann1,2, Elise Belkin3,4, Rachel Deming5
1Division of Newborn Medicine, Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, New York.
新生儿重症监护室的工作人员面临影响家庭关系的挑战,包括父母的焦虑和信任问题. 改善专业间的团队合作和沟通可以提高家庭工作人员的动态和患者的结果.
科学领域:
- 医疗保健
- 新生儿重症监护
- 心理学
背景情况:
- 在新生儿重症监护室 (NICU) 中,家庭与工作人员的关系至关重要.
- 了解员工对这些关系的看法对于改善护理至关重要.
- 在平衡临床需求与家庭参与方面存在挑战.
研究的目的:
- 从员工的角度来看,确定影响新生儿重症监护室家庭员工关系的因素.
- 探讨医疗保健专业人员面临的一般和特定角色的挑战.
- 收集工作人员提出的解决方案,以加强家庭与工作人员的互动.
主要方法:
- 在第四级城市NICU进行定性研究.
- 五个重点小组由22名NICU医疗人员组成 (医生,执业护士,护士,社会工作者,职业治疗师).
- 聚焦组数据的混合感应-演主题分析.
主要成果:
- 员工报告了诸如家长焦虑,决策,信任问题以及影响关系的员工假设等一般挑战.
- 一些挑战是普遍的 (例如,时间有限),而另一些则是独特的 (例如,社会工作的耻辱感).
- 可能的解决方案包括加强专业间的团队合作和沟通.
结论:
- 需要进行结构性,文化性和临床性的改变,
- 跨专业的沟通,创伤照顾培训和有组织的会议显示出希望.
- 改善以家庭为中心的沟通,团队合作和心理社会资源可以提高家庭和工作人员的互动和结果.
更多相关视频
14:43A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
11:50Clinical Practice Protocol of Creative Music Therapy for Preterm Infants and Their Parents in the Neonatal Intensive Care Unit
Published on: January 7, 2020
相关概念视频
Ethical Dilemmas I
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
Ethical Issues
Ethical Concerns in Healthcare:
Nursing Implementation
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
Nursing Interventions II: Selecting and Classifying the Nursing Interventions
Interdisciplinary Care: The Health Care Team-I
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
Interdisciplinary Care: The Health Care Team-II
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
