Implementation and Practice Barriers of Family-Centered Care Encountered by Neonatal Nurses

医学 授权 护理部 新生儿重症监护室 背景(考古学) 多级模型 临床实习 以家庭为中心的护理 同情 家庭医学 儿科 医疗保健 古生物学 机器学习 经济 法学 生物 经济增长 计算机科学 政治学
作者
Nesibe S. Kutahyalioglu,Katherine N. Scafide,Kevin R Mallinson,Amy D’Agata
出处
期刊:Advances in Neonatal Care [Ovid Technologies (Wolters Kluwer)]
卷期号:22 (5): 432-443 被引量:7
标识
DOI:10.1097/anc.0000000000000948
摘要

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