什么算是NICU家庭会议? :对父母和专业人士观点的定性研究
Animesh Sabnis1, Amanda McArthur, Eunice Hagen
1Author Affiliations: Department of Pediatrics, David Geffen School of Medicine (DGSOM), University of California, Los Angeles (UCLA), Los Angeles, California (Dr Sabnis); Office of Health Equity and Inclusive Excellence, UCLA Health System, Los Angeles, California (Dr Sabnis); Division of General Internal Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland (Dr McArthur); Department of Clinical Science, Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, California (Dr Hagen); Geisel School of Medicine, Dartmouth College, Hanover, New Hampshire (Ms Fojo); UCLA Santa Monica Medical Center, Intensive Care Nursery, UCLA Health, Santa Monica, Los Angeles, California (Ms Hackett); and Department of Family Medicine, DGSOM, UCLA, Los Angeles, California (Dr Tarn).
本研究确定了新生儿重症监护室 (NICU) 家庭会议的基本标准,强调护士参与. 一个新的检查清单可以帮助监控和改进这些关键的家长-专业沟通事件.
科学领域:
- 新生儿护理 新生儿护理
- 家庭为中心的护理.
- 医疗保健的沟通 医疗保健的沟通
背景情况:
- 新生儿重症监护室 (NICU) 的跨学科家庭会议改善了父母的福祉和共同决策.
- 现有的家庭会议定义缺乏NICU特定的背景.
- 婴儿重症监护室的设置需要为家庭会议量身定制的标准.
研究的目的:
- 通过确定家长和临床医生的价值观和期望来定义NICU特定的家庭会议.
- 为量化新生儿家庭会议制定一个检查清单.
主要方法:
- 半结构面试的定性主题分析.
- 涉及13名家长和25名来自学术NICU的医疗保健专业人员 (护士,新生儿科医生,社会工作者).
主要成果:
- 一个NICU家庭会议被定义为一个私人,坐着的,严重的对话,涉及父母,护士和新生儿科医生.
- 在"会议" (共享理解) 和"更新" (一般对话) 之间进行区分.
- 确定了开展必要的家庭聚会的障碍和解决方案.
结论:
- 护士的存在和参与对于NICU家庭会议中的有效沟通至关重要.
- 一个以NICU为中心的定义和检查清单可以增强家长和专业人员之间的沟通,并监控以家庭为中心的护理.
- 进一步的研究应该验证检查清单,并解决护士参与的障碍.
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