Background: 

Preterm birth is traumatic for both the infant and parents. Trauma-informed developmental neuroprotective care (TIDNC) may positively influence the outcomes for micro-preemie infants (infants born before 26 weeks' gestation) as well as support parents in crisis.

Purpose: 

To explore how TIDNC influences micro-preemie parents' perceptions of nursing care and support.

Methods: 

A descriptive cross-sectional study was conducted at a 56-bed level III neonatal intensive care unit (NICU). A convenience sample of micro-preemie parents (n = 16, 46%) completed the Nurse Parent Support Tool (NPST) questionnaire, which included 2 open-ended questions.

Results: 

These parents scored high scores on the NPST (mean = 4.62 ± 0.24), indicating most parents felt support from the nursing staff and perceived individualized family-centered high-quality nursing care. Subscale scores were higher than all previous studies. Parents perceived high levels of support most of the time to almost always. Although 4 themes were closely associated with the subscales, the fifth theme, Praise has not been previously documented. Parents were grateful for nurses who provided compassionate care and support during one of the most difficult times of their lives.

Implications for Practice: 

TIDNC encourages robust nurse–parent authentic caring relationships, which are foundational to the parents' perceptions of nursing care and support. These relationships, built on mutual trust, respect, and genuine listening, appear to foster an exceptionally high degree of support.

Implications for Research: 

More research is needed to examine how unit culture, characteristics of nurses, parents, and infants as well as infant outcomes influence micro-preemie parents' perception of care and further explore the nature of support.

中文翻译：

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微型早产儿父母对创伤知情发育性神经保护护理和护理支持的看法

背景： 

早产对婴儿和父母双方都是一种创伤。创伤知情发育性神经保护护理(TIDNC) 可能对微型早产儿（妊娠 26 周前出生的婴儿）的结局产生积极影响，并支持处于危机中的父母。

目的： 

探讨 TIDNC 如何影响微型早产儿父母对护理和支持的看法。

方法： 

在拥有 56 个床位的 III 级新生儿重症监护病房 (NICU) 进行了一项描述性横断面研究。微型早产父母的便利样本（n = 16，46%）完成了护士父母支持工具 (NPST) 调查问卷，其中包括 2 个开放式问题。

结果： 

这些父母在 NPST 上得分很高（平均 = 4.62 ± 0.24），表明大多数父母感受到了护理人员的支持，并感受到了以家庭为中心的个性化高质量护理。子量表分数高于所有以前的研究。父母在大多数时间几乎总是感受到高水平的支持。尽管有 4 个主题与子量表密切相关，但第五个主题“赞美”以前没有记录。父母们非常感谢在他们生命中最困难的时期之一提供富有同情心的护理和支持的护士。

实践意义： 

TIDNC 鼓励稳固的护士-父母真正的关怀关系，这是父母对护理和支持的看法的基础。这些建立在相互信任、尊重和真诚倾听基础上的关系似乎促进了异常高度的支持。

研究意义： 

需要更多的研究来检验单位文化、护士、父母和婴儿的特征以及婴儿的结果如何影响微型早产儿父母对护理的看法，并进一步探索支持的性质。