The Challenges of Implementing Family-Centered Care in NICU from the Perspectives of Physicians and Nurses

被引：62

作者：

Mirlashari, Jila ^{[1
,2
]}

Brown, Helen ^{[3
]}

Fomani, Fatemeh Khoshnavay ^{[1
]}

de Salaberry, Julie ^{[4
,5
]}

Zadeh, Tahereh Khanmohamad ^{[6
]}

Khoshkhou, Fatemeh ^{[7
]}

机构：

[1] Univ Tehran Med Sci, Sch Nursing & Midwifery, Tehran, Iran

[2] Univ British Columbia, Dept OBGYN, Womens Hlth Res Inst, Vancouver, BC, Canada

[3] Univ British Columbia, Sch Nursing, Vancouver, BC, Canada

[4] BC Womens Hosp, Hlth Ctr, Neonatal Intens Care, Maternal Newborn Programs, Vancouver, BC, Canada

[5] BC Womens Hosp, Hlth Ctr, Neonatal Follow Up, Vancouver, BC, Canada

[6] Univ Tehran Med Sci, Markaz Tebi Pediat Hosp, Tehran, Iran

[7] UBC Hosp, Vancouver, BC, Canada

来源：

JOURNAL OF PEDIATRIC NURSING-NURSING CARE OF CHILDREN & FAMILIES | 2020年 / 50卷

关键词：

Qualitative research; Family-centered care; Neonatal intensive care; COMMUNICATION; EDUCATION; BARRIERS; FATHERS; FACILITATORS; PERCEPTIONS; KNOWLEDGE; PROGRAM; ORIGINS; QUALITY;

D O I：

10.1016/j.pedn.2019.06.013

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Purpose: The purpose of this study was to investigate physicians' and nurses' perspectives on the challenges of implementing the FCC in the neonatal intensive care unit. Design and method: The study employed a qualitative design to conduct five focus groups with 25 nurses and 15 physicians (n = 40). All of the nurse participants identified as female; 73% held a bachelor's degree in nursing and 59% had been working as a neonatal nurse for >10 years. Of the physicians, 55% identified as male, 43% held positions as neonatologists and 39% had a minimum of 3 years of experience in neonatal intensive care. Results: Three themes, power imbalance, psychosocial issues, and structural limitation, and related sub-themes were constructed using thematic analyses. Conclusion: The implementation of family-centered care in the neonatal intensive care unit in Iran is shaped by the health care provider, cultural, legal and operational challenges. To optimize effective and sustained implementation, these influential factors must be addressed. (C) 2019 Elsevier Inc. All rights reserved.

引用

页码：E91 / E98

页数：8

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