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首页> 外文期刊>BMC Pediatrics >Transition to parenthood in the neonatal care unit: a qualitative study and conceptual model designed to illuminate parent and professional views of the impact of webcam technology
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Transition to parenthood in the neonatal care unit: a qualitative study and conceptual model designed to illuminate parent and professional views of the impact of webcam technology

机译：新生儿护理部门向父母身份的过渡：定性研究和概念模型，旨在阐明父母和专业人士对网络摄像头技术影响的看法

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Background Complications during pregnancy, childbirth and/or the postnatal period may result in the admission of a baby to a neonatal unit (NNU). While the survival and long-term prospects of high-risk infants are enhanced by admission, the enforced separation of the parent and child may have psychological consequences for both. There is a need to develop and evaluate interventions to help parents ‘feel closer’ to their infants in circumstances where they are physically separated from them. In this paper we present findings from an in-depth, theoretically-driven, evaluation of a technological innovation designed to address this need. The study sought to explore parent and professional views of the impact of the technology, which transmits real-time images of the baby via a webcam from the NNU to the mother’s bedside in the post-natal care environment. Methods A qualitative approach was adopted, guided by a critical realist perspective. Participants were recruited purposively from a NNU located in East-central Scotland. Thirty-three parents and 18 professionals were recruited. Data were collected during individual, paired and small group interviews and were analysed thematically. Following the initial analysis process, abductive inference was used to consider contextual factors and mechanisms of action appearing to account for reported outcomes. Results Views on the technology were overwhelmingly positive. It was perceived as a much needed and important advancement in care delivery. Benefits centred on: enhanced feelings of closeness and responsiveness; emotional wellbeing; physical recovery; and the involvement of family/friends. These benefits appeared to function as important mechanisms in supporting the early bonding process and wider transition to parenthood. However, for a small number of the parents, use of the technology had not enhanced their experience and it is important, as with any intervention, that professionals monitor the parents’ response and act accordingly. Conclusions With a current global increase in premature births, the technology appears to offer an important solution to periods of enforced parent-infant separation in the early post-natal period. The current study is one of a few world-wide to have sought to evaluate this form of technology in the neonatal care environment.
机译：背景技术怀孕，分娩和/或产后期间的并发症可能导致婴儿进入新生儿科（NNU）。虽然高危婴儿的存活率和长期前景会因入院而得到改善，但父母与子女的强制分居可能会对双方产生心理影响。有必要制定和评估干预措施，以帮助父母在与婴儿身体分离的情况下“亲近婴儿”。在本文中，我们从理论驱动的深度评估中提出了旨在解决这一需求的技术创新成果。这项研究试图探索父母和专业人士对该技术影响的看法，该技术通过网络摄像头从NNU将婴儿的实时图像从NNU传输到产后护理环境中的母亲床边。方法采用定性方法，以批判的现实主义观点为指导。参与者是有意从位于苏格兰中东部的NNU招募的。招募了33位父母和18位专业人员。在个人，成对和小组访谈中收集数据，并进行专题分析。在最初的分析过程之后，使用了归纳推理来考虑情境因素和似乎解释所报告结果的作用机制。结果对该技术的看法绝大多数是正面的。人们认为这是护理服务中急需且重要的进步。好处集中在：增强亲密感和响应能力;情感福祉;身体康复;以及家人/朋友的参与。这些好处似乎是支持早期建立联系过程和向父母更广泛过渡的重要机制。但是，对于少数父母来说，使用该技术并没有增加他们的经验，并且像任何干预措施一样，由专业人员监视父母的反应并采取相应的行动很重要。结论随着目前全球早产的增加，该技术似乎为出生后早期强制父母与婴儿分离的时期提供了重要的解决方案。当前的研究是全球范围内试图在新生儿护理环境中评估这种技术形式的少数研究之一。

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