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Neonatal Nurses' Report of Family-Centered Care Resources and Practices
Advances in Neonatal Care ( IF 1.7 ) Pub Date : 2022-10-01 , DOI: 10.1097/anc.0000000000000964
Ashley Weber , Heather Kaplan , Kristin Voos , Mason Elder , Emma Close , Heather Tubbs-Cooley , Tamilyn Bakas , Sue Hall

Background: 

A paucity of studies describes the prevalence of family-centered care (FCC) practices and resources in US neonatal units.

Purpose: 

To identify US prevalence of FCC practices and resources and to identify the largest gaps in resource provision.

Methods: 

Neonatal nurses completed an online survey through national conferences (eg, NANN educational conference), neonatal organization Web sites (eg, NANN research survey), and social media (eg, NANN and NPA Facebook). Nurses provided demographics and the National Perinatal Association Self-Assessment on Comprehensive Family Support, a 61-item checklist of FCC practices and resources from 6 categories: family-centered developmental care, staff education/support, peer support, palliative care, discharge education, and mental health support.

Results: 

Nurses (n = 103) reported lowest resources for Peer Support and Mental Health Support. About a third had a neonatal intensive care unit parent advisory committee (n = 39; 37.9%). Only 43.7% (n = 45) had necessary amenities for families to stay with their infants. Less than a third felt that mental health professionals were adequately staffed to provide counseling to parents (n = 28; 27.5%). Very few nurses had adequate training on providing parents psychological support (n = 16; 15.8%). More than half (n = 58; 56.3%) stated that all staff receive training in family-centered developmental care. Finally, less than half (n = 42; 40.8%) stated that staff see parents as equal members of the care team.

Implications for Practice: 

We demonstrate a consistent and widespread lack of training provided to neonatal staff in nearly every aspect of comprehensive FCC support.

Implications for Research: 

Researchers need to identify unit/organizational interventions that increase adoption and implementation of FCC practices and resources.



中文翻译:

新生儿护士关于以家庭为中心的护理资源和实践的报告

背景: 

很少有研究描述美国新生儿病房中以家庭为中心的护理 (FCC) 实践和资源的普遍性。

目的: 

确定美国 FCC 实践和资源的普遍性,并确定资源提供方面的最大差距。

方法: 

新生儿护士通过全国性会议(例如 NANN 教育会议)、新生儿组织网站(例如 NANN 研究调查)和社交媒体(例如 NANN 和 NPA Facebook)完成了一项在线调查。护士提供人口统计数据和全国围产期协会综合家庭支持自我评估,这是一份 61 项 FCC 实践清单和来自 6 个类别的资源:以家庭为中心的发展护理、员工教育/支持、同伴支持、姑息治疗、出院教育、和心理健康支持。

结果: 

护士 (n = 103) 报告的同伴支持和心理健康支持资源最少。大约三分之一有新生儿重症监护病房家长咨询委员会(n = 39;37.9%)。只有 43.7% (n = 45) 有必要的设施供家庭与婴儿同住。不到三分之一的人认为心理健康专业人员配备充足,可以为父母提供咨询(n = 28;27.5%)。很少有护士接受过为父母提供心理支持的充分培训(n = 16;15.8%)。超过一半(n = 58;56.3%)表示所有员工都接受了以家庭为中心的发展护理培训。最后,不到一半(n = 42;40.8%)表示工作人员将父母视为护理团队的平等成员。

对实践的影响: 

我们证明,在全面的 FCC 支持的几乎所有方面,都普遍缺乏为新生儿工作人员提供的培训。

对研究的影响: 

研究人员需要确定增加采用和实施 FCC 实践和资源的单位/组织干预措施。

更新日期:2022-09-01
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