Background: 

Approximately 7 out of every 100 births in the United States result in admission to the neonatal intensive care unit (NICU), which contributes to a delay in initial physical contact between the parents and their newborn. While family-centered care (FCC) increases opportunities for parent–infant connection, implementation barriers persist in clinical practice. Research has yet to examine whether organizational and nursing factors of empowerment and compassion fatigue (CF) in the NICU are associated with FCC practice.

Purpose: 

The aim of this study was to determine the relationship between empowerment, CF, and FCC practices among NICU nurses.

Methods: 

This quantitative portion of a mixed-methods study used a cross-sectional, descriptive correlational design. Bedside NICU nurses with at least 6-month experience were recruited to complete an anonymous online survey using established, valid, and reliable instruments.

Results: 

Except for organizations with Magnet status, there were no significant differences in FCC practice within individual and institutional characteristics. Hierarchical linear regression model indicated nurse empowerment was a strong predictor of FCC practice (β= 0.31, R² = 0.35, P < .001). There was only a weak, inverse association between CF and FCC practices (r =−0.199, P < .001).

Implication for Research and Practice: 

Further qualitative research will integrate these findings to understand the process by which neonatal nurses engage in FCC practices in the context of NICU setting. Future studies should examine facilitators and barriers of FCC practice in the NICU. Strategies (eg, policies and trainings) to increase nurse empowerment and support for FCC implementation should be developed and evaluated.

中文翻译：

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新生儿护士遇到的以家庭为中心的护理实施与实践障碍

背景： 

在美国，每 100 名新生儿中大约有 7 名会被送入新生儿重症监护病房 (NICU)，这会导致父母与新生儿之间的初次身体接触出现延迟。虽然以家庭为中心的护理 (FCC) 增加了亲子联系的机会，但在临床实践中仍然存在实施障碍。研究尚未检验 NICU 中赋权和同情疲劳 (CF) 的组织和护理因素是否与 FCC 实践相关。

目的： 

本研究的目的是确定NICU 护士授权、CF 和 FCC 实践之间的关系。

方法： 

混合方法研究的定量部分使用了横断面、描述性相关设计。招募至少有 6 个月经验的床边NICU 护士使用既定、有效和可靠的工具完成匿名在线调查。

结果： 

除了具有 Magnet 地位的组织外，FCC 实践在个人和机构特征方面没有显着差异。分层线性回归模型表明护士授权是 FCC 实践的有力预测因素（β= 0.31，R ² = 0.35，P <.001）。CF 和 FCC 实践之间只有微弱的反向关联 ( r =−0.199, P < .001)。

对研究和实践的启示： 

进一步的定性研究将整合这些发现，以了解新生儿护士在 NICU 环境中参与 FCC 实践的过程。未来的研究应该检查 NICU 中 FCC 实践的促进因素和障碍。应制定和评估增加护士授权和支持 FCC 实施的策略（例如，政策和培训）。