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首页> 外文期刊>Journal of paediatrics and child health >Caring for crying babies: A mixed‐methods study to understand factors influencing nurses' and doctors' management of infant colic
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Caring for crying babies: A mixed‐methods study to understand factors influencing nurses' and doctors' management of infant colic

机译：关心哭泣的婴儿：一种混合方法，了解影响护士和医生幼儿园管理的因素

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Aim The aim of this study was to determine the barriers and enablers influencing the uptake of two recommendations from a tertiary paediatric hospital's clinical practice guidelines by maternal and child health nurses (MCHNs) and emergency department (ED) doctors: (i) explaining normal crying; and (ii) avoiding attributing crying to gastro‐oesophageal reflux (GOR) and limiting anti‐reflux medication use. Methods The study was designed as 1‐h focus group discussions, guided by the Theoretical Domains Framework, and a short questionnaire, with a purposive sample of MCHNs and ED doctors in Victoria, Australia in (March to September) 2015. Analyses were conducted by inductive content analysis to identify key barriers and enablers. Results A total of 53 MCHNs and 25 ED doctors participated in 11 discussions. For explaining normal crying, key enablers were: adequate experience/competency, perceiving it was their role to explain and belief it prevented over‐medicalisation. The main barriers were time restriction and beliefs about parents' perceptions. For MCHNs, key barriers to avoid attributing crying to GOR were: lack of knowledge and confusion around their role in diagnosing GOR. For ED doctors, key barriers to limiting anti‐reflux medication were: parents requesting medication, concern about disrupting the parent–primary‐care practitioner relationship and belief it was not their role to cease anti‐reflux medication. Conclusions Overall, MCHN and ED doctors were proficient in describing normal crying. However, several barriers to best practice were identified, including time constraints and belief about consequences of intervening. These results will be used to develop effective interventions to address the identified barriers and enablers to optimise the management of infant colic.
机译：目的这项研究的目的是确定影响大专儿童卫生护士（MCHNS）和急诊部门（ED）医生的第三位儿科医院临床实践指南的两项建议的障碍和推动者：（i）解释正常哭泣; （ii）避免将胃肠反流（GOR）造成呼叫，并限制抗反流药物使用。方法该研究被设计为1-H焦点小组讨论，由理论域框架指导，以及一项短暂的问卷，其中一个短暂的问卷，澳大利亚维多利亚州维多利亚州的MCHNS和ED医生样本2015年。分析是由归纳内容分析识别关键障碍和推动者。结果共有53名MCHNS和25名ED医生参加了11名讨论。为解释正常哭泣，关键推动者是：充足的经验/能力，感知到他们可以解释和信仰它阻止过度医学的作用。主要障碍是关于父母的看法的时间限制和信仰。对于MCHNS来说，避免归因于GOR哭泣的关键障碍是：缺乏围绕他们在诊断GOR中的作用的知识和混乱。对于ED医生来说，限制抗反流药物的关键障碍是：父母要求药物治疗，担心扰乱父母初级保健从业者的关系和信念，这并不是他们停止抗反流药物的作用。结论总体而言，MCHN和ED医生精通描述正常哭泣。然而，确定了几种最佳实践的障碍，包括时间限制和对干预后果的信念。这些结果将用于制定有效的干预措施，以解决所识别的障碍和使能器，以优化婴儿绞痛的管理。

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