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Nursing & parental perceptions of neonatal care in Central Vietnam: a longitudinal qualitative study

机译:越南中部地区新生儿护理的护理和父母观念:一项纵向定性研究

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Background Neonatal mortality accounts for nearly three quarters of all infant deaths in Vietnam. The nursing team are the largest professional group working with newborns, however do not routinely receive neonatal training and there is a lack of research into the impact of educational provision. This study explored changes in nursing perceptions towards their role following a neonatal educational intervention. Parents perceptions of nursing care were explored to determine any changes as nurses gained more experience. Method Semi-Structured qualitative interviews were conducted every 6?months over an 18?month period with 16 nurses. At each time point, parents whose infant was resident on the neonatal unit were invited to participate in an interview to explore their experiences of nursing care. A total of 67 parents participated over 18?months. Interviews were conducted and transcribed in Vietnamese before translation into English for manifest content analysis facilitated by NVivo V14. Results Analysis of nursing transcripts identified 14 basic categories which could be grouped (23) into 3 themes: (1) perceptions of the role of the neonatal nurse, (2) perception of the parental role and (3) professional recollections. Analysis of parent transcripts identified 14 basic categories which could be grouped into 3 themes: (1) information sharing, (2) participation in care, and (3) personal experience. Conclusions Qualitative interviews highlighted the short term effect that the introduction of an educational intervention can have on both nursing attitudes towards and parental experience of care in one neonatal unit in central Vietnam. Nurses shared a growing awareness of their role along with its ethical issues and challenges, whilst parents discussed their overall desire for more participation in their infants care. Further research is required to determine the long term impact of the intervention, the ability of nurses to translate knowledge into clinical practice through assessment of nursing knowledge and competence, and the impact and needs of parents. A greater understanding will allow us to continue to improve the experiences of nurses and parents, and highlight how these areas may contribute towards the reduction of infant mortality and morbidity in Vietnam.
机译:背景新生儿死亡率占越南所有婴儿死亡的近四分之三。护理团队是与新生儿打交道的最大的专业团队,但是没有定期接受新生儿培训,因此缺乏对教育提供的影响的研究。这项研究探讨了在新生儿教育干预后护理观念对其角色的改变。探索了父母对护理的看法,以确定随着护士获得更多经验而发生的任何变化。方法在18个月的时间内,每6个月对16名护士进行半结构化的定性访谈。在每个时间点,邀请婴儿在新生儿科住院的父母参加访谈,以探讨他们的护理经验。共有67位家长参加了18个月以上的活动。访谈进行了越南语录和转录,然后翻译成英文,以借助NVivo V14进行清单内容分析。结果护理成绩单分析确定了14个基本类别,可以分为(23)3个主题:(1)对新生儿护士角色的认识,(2)对父母角色的认识和(3)专业回忆。父母成绩单的分析确定了14个基本类别,可以分为3个主题:(1)信息共享,(2)参与护理和(3)个人经历。结论定性访谈强调了在越南中部一个新生儿科中引入教育干预措施可能对护理态度和父母的护理经验产生的短期影响。护士对自己的角色及其道德问题和挑战的认识与日俱增,而父母则讨论了他们希望更多地参与婴儿护理的总体愿望。需要进行进一步的研究以确定干预措施的长期影响,护士通过评估护理知识和能力将知识转化为临床实践的能力以及父母的影响和需求。加深了解将使我们能够继续改善护士和父母的经验,并强调这些领域如何有助于降低越南的婴儿死亡率和发病率。

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