Journal of Neonatal Nursing最新文献_第4页

Council of International Neonatal Nurses (COINN) news page 国际新生儿护士理事会（COINN）新闻页面

Q2 Nursing

Journal of Neonatal Nursing

Pub Date : 2025-10-01 DOI: 10.1016/j.jnn.2025.101711

引用次数: 0

The relationship between participation in caregiving, maternal stress and maternal role among mothers whose babies are hospitalized in the neonatal intensive care unit 婴儿在新生儿重症监护病房住院的母亲参与照顾、母亲压力和母亲角色之间的关系

Q2 Nursing

Journal of Neonatal Nursing

Pub Date : 2025-09-30 DOI: 10.1016/j.jnn.2025.101721

Habibe Bay Özçalık, Bihter Akin

Aims

The transition to parenthood is a challenging learning process for parents. The process can become more stressful, especially for mothers when the newborn baby is admitted to the intensive care unit for some reason.

Methods

This study was conducted to determine the relationship between participation in caregiving and maternal stress and maternal role among mothers with babies in the neonatal intensive care unit in Turkey. Data were collected after the mothers had been providing care in the NICU for at least 24 h, with the babies being on average 5.02 ± 9.96 days old at the time of data collection. Data collection tools included the Assessment of Mothers’ Participation in Caregiving Scale to evaluate the level of caregiving involvement, the Semantic Differential Scale–Myself as a Mother to assess maternal role perception, and the NICU Parental Stressor Scale to measure stress levels related to the NICU environment.

Results

A total of 193 women whose babies were hospitalized in the neonatal intensive care unit were included in the study. The mean scores of the participants were 7.04 ± 0.64 on the Assessment of Mothers' Participation in Caregiving Scale, 43.33 ± 6.40 on the Semantic Differential Scale, and 3.29 ± 1.07 on the NICU Parental Stressor Scale. It was determined that there was a negative significant relationship between participation in caregiving and the mean scores on the total and sight and sounds and relationship with the infant and maternal role sub-dimensions of the Parental Stressor Scale (p < 0.05).

Conclusion

Considering the intensive care conditions, mothers should be allowed to see their babies as much as possible, and they should be supported to participate in the care.

对父母来说，过渡到为人父母是一个具有挑战性的学习过程。这个过程可能会变得更有压力，尤其是当新生儿因为某种原因被送进重症监护室时，对母亲来说。方法本研究旨在确定土耳其新生儿重症监护室中有婴儿的母亲参与护理与母亲压力和母亲角色之间的关系。数据采集于母亲在新生儿重症监护病房（NICU）提供护理至少24小时后，采集时婴儿平均年龄为5.02±9.96天。数据收集工具包括“母亲参与照顾量表”（评估母亲的照顾参与程度）、“我作为母亲语义差异量表”（评估母亲角色感知）和“新生儿重症监护病房父母压力源量表”（衡量与新生儿重症监护病房环境相关的压力水平）。结果共纳入193名新生儿重症监护病房的产妇。母亲参与护理量表的平均得分为7.04±0.64分，语义差异量表的平均得分为43.33±6.40分，新生儿重症监护病房父母应激源量表的平均得分为3.29±1.07分。结果表明，参与照料与父母压力源量表的总得分、视觉得分和声音得分均分以及与婴儿角色和母亲角色子维度的关系呈显著负相关（p < 0.05）。结论考虑重症监护的条件，应尽可能让母亲与婴儿见面，并支持母亲参与监护。

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引用次数: 0

Kangaroo care practice outcome of mothers with premature infant: The effectiveness on knowledge, perception, barrier and attachment 早产儿母亲袋鼠式护理实践效果：知识、感知、障碍和依恋的有效性

Q2 Nursing

Journal of Neonatal Nursing

Pub Date : 2025-09-27 DOI: 10.1016/j.jnn.2025.101730

Fatma Tas Arslan , Sibel Kücükoglu , Emine Üstün Sahin

Purpose

This study aimed to determine mothers’ knowledge, perceptions, barriers, and the relationship between maternal attachment and kangaroo care (KC) practices for preterm infants.

Patients and methods

A nonequivalent comparison group design was conducted with 104 mothers of preterm neonates in NICUs of three state hospitals in Konya, Türkiye. Participants were assigned to KC (n = 62) and non-KC (n = 42) groups. Data were collected using a personal information form, a KC questionnaire, and the Maternal Attachment Inventory (MAI).

Results

KC mothers (mean age 27.69 ± 6.44, had C-sections 66.1 %) had infants with significantly higher birth weight (p = 0.008). Groups also differed in many responses regarding KC knowledge, perceptions, and barriers. KC mothers also had higher MAI scores (p = 0.001, effect size = 0.613). Maternal attachment was significantly influenced by KC status, gestational age, birth weight, and hospitalization length, explaining 36.5 % of MAI variance (F = 14.229, p = 0.001).

Conclusions

Further research should investigate the long-term effects of protocol-based KC on mothers.

目的本研究旨在了解母亲依恋与早产儿袋鼠式护理（KC）之间的知识、认知、障碍以及关系。患者与方法采用非等效对照组设计，对云南省科尼亚市3家国立医院新生儿重症监护病房的104名早产儿母亲进行比较。参与者被分为KC组（n = 62）和非KC组（n = 42）。使用个人信息表、KC问卷和母亲依恋量表（MAI）收集数据。结果孕妇（平均年龄27.69±6.44岁，剖腹产率66.1%）所生婴儿出生体重明显增高（p = 0.008）。各组在KC知识、认知和障碍方面的许多反应也存在差异。KC母亲的MAI得分也较高（p = 0.001，效应量= 0.613）。产妇依恋受KC状态、胎龄、出生体重和住院时间的显著影响，解释了36.5%的MAI方差（F = 14.229, p = 0.001）。结论应进一步研究基于方案的KC对母亲的长期影响。

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引用次数: 0

End of life care in a fresh air space – a case report 空气清新的临终关怀-个案报告

Q2 Nursing

Journal of Neonatal Nursing

Pub Date : 2025-09-21 DOI: 10.1016/j.jnn.2025.101726

Kate Tantam BSc, MRes, RN , Melanie Philipps MBChB, MRCPCH, MA , Cassandra Rogers BSc, RCN , Rebecca Clarke BSc, RCN , Diane Keeling MSc, BSc, RN/ Dip. H.E. (Child)

Background

It is challenging for health care professionals (HCPs) to support palliative care within the stressful environment of a Neonatal Intensive Care Unit (NICU). Access to a fresh air space can provide families with a choice around how to manage end of life care whilst collaborative working within a standard operating procedure can support HCPs to feel empowered.

Case presentation

A neonate, born with an unexpected congenital genetic disorder, requiring significant therapy to manage her diagnosis was facilitated to spend time with family in a fresh air space. Collaborative working by HCPs enabled the infant to be transferred to the organisations intensive care garden where the families end of life wishes could be fulfilled.

Outcome/results

Parental reflections of the experience demonstrated the positive impact of fresh air space in providing normality and memorable moments in a non-clinical environment. The HCPs involved felt proud and privileged to be able to fulfil the families wishes and shared their learning within a local standard operating procedure (SOP) to support subsequent transfers to the intensive care garden.

Implications

Collaborative working strengthens the choices and opportunities available to families. Safe transfer to outdoor space is feasible and provides personalisation of care in a non-clinical environment. Preparation is key and risk can be manged through discussions with the family and the use of a SOP.

背景卫生保健专业人员（HCPs）在新生儿重症监护病房（NICU）的压力环境中支持姑息治疗是具有挑战性的。获得新鲜空气的空间可以为家庭提供如何管理临终关怀的选择，而在标准操作程序内的协作工作可以支持医护人员感到被授权。一个新生儿，出生时患有一种意想不到的先天性遗传疾病，需要显著的治疗来管理她的诊断，促进花时间与家人在一个新鲜的空气空间。医护人员的协同工作使婴儿能够被转移到组织的重症监护花园，在那里家庭的临终愿望可以得到满足。结果/结果父母对这次经历的反思证明了新鲜空气空间在非临床环境中提供正常和难忘时刻的积极影响。参与的医护人员感到自豪和荣幸，能够满足家庭的愿望，并在当地标准操作程序（SOP）中分享他们的学习，以支持随后转移到重症监护花园。协作工作加强了家庭的选择和机会。安全转移到室外空间是可行的，并在非临床环境中提供个性化护理。准备是关键，风险可以通过与家属讨论和使用SOP来管理。

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引用次数: 0

Nursing Intervention Model of Continuing Premature Infant Discharge Planning (PITA) improves mothers' self-efficacy for overcoming stunting in Indonesia 持续早产儿出院计划（PITA）的护理干预模式提高了印度尼西亚母亲克服发育迟缓的自我效能感

Q2 Nursing

Journal of Neonatal Nursing

Pub Date : 2025-09-19 DOI: 10.1016/j.jnn.2025.101728

Herlina , Yeni Rustina , Dessie Wanda

Background

Indonesia suffers triple burden and is a country with a high prevalence of stunting. Infants born prematurely contribute to stunting while mothers experience self-efficacy problems.

Objectives

This study aims to analyze the effect of the PITA continuing nursing intervention model on the self-efficacy of preterm infant mothers.

Methods

This study is a true experimental study on 44 mother-preterm infant dyads were obtained by simple random sampling, block randomization, with an intervention in the form of structured and continuous health education from the hospital until 12 weeks after discharge or until the infant reaches three months of correction age. Data were analyzed using dependent t-test, independent t-test, and ANCOVA test.

Results

There was an effect of the PITA Nursing Intervention Model on maternal self-efficacy after controlling for parity, previous experience caring for premature infants, education, and maternal age (p-value = 0.011). The correlation test showed that there was a correlation between the PITA Nursing Intervention Model and maternal self-efficacy (p-value <0.001).

Conclusion

The PITA Nursing Intervention Model was effective in increasing maternal self-efficacy. Researchers suggest examining the relationship between maternal self-efficacy and the practice of caring for premature infants after hospitalization.

印度尼西亚承受着三重负担，是一个发育迟缓高发的国家。过早出生的婴儿会导致发育迟缓，而母亲则会遇到自我效能问题。目的探讨PITA持续护理干预模式对早产儿母亲自我效能感的影响。方法采用简单随机抽样、分组随机的方法，对44对早产儿母子进行了真实的实验研究，并对其进行了有组织的、持续的健康教育，干预时间为出院后12周或婴儿达到矫正年龄3个月。数据分析采用相关t检验、独立t检验和ANCOVA检验。结果在控制胎次、早产儿护理经验、教育程度和母亲年龄后，PITA护理干预模型对母亲自我效能感有显著影响（p值= 0.011）。相关检验显示，PITA护理干预模型与产妇自我效能感存在相关性（p值<；0.001）。结论PITA护理干预模式能有效提高产妇自我效能感。研究人员建议检查母亲自我效能感与住院后照顾早产儿的做法之间的关系。

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引用次数: 0

Development, implementation, and assessment of a mobile application for remote care and consultation for newborns and infants: A study protocol 开发、实施和评估用于新生儿和婴儿远程护理和咨询的移动应用程序：一项研究方案

Q2 Nursing

Journal of Neonatal Nursing

Pub Date : 2025-09-19 DOI: 10.1016/j.jnn.2025.101727

Solmaz Ghanbari-Homaie , Alireza Atashi , Hanieh Asgharian , Reza Radfar , Fatemeh Haji Ali Asghari , Seyedeh-Pooneh Jenani

Background

Several mobile applications have been commercially designed in Iran to educate parents. The main weaknesses of these existing apps include the lack of scientifically-based content, the absence of references for most of the information, the lack of precise and scientific methodologies for their design and evaluation, the absence or inconsistency of specialized consultations by professional healthcare providers, the lack of a reminder and alert system for unfavorable growth or development conditions, and the absence of a guidance system for emergencies.

Method/design

A mixed-methods approach will be used to develop the mobile application for infant and newborn care and assess its acceptability and usability. The development process will adhere to the ADDIE model. A widely recognized instructional design frame work which consists of 5 phases: Analysis, Design, Development, Implementation and Evaluation.

Discussion

Previous studies emphasize the effective role of digital health technologies in enhancing access to healthcare services and improving health outcomes including: Enhancing Parental Awareness and Performance; Early Identification of Developmental Issues; Improving Access to Specialized Services; Reducing Emergency and Hospital Visits; and Security. Despite the mentioned benefits, challenges exist in the use of health applications. For example, some parents may hesitate to use these tools due to unfamiliarity with technology or privacy concerns. Additionally, there is a need for further evaluations to determine the long-term effectiveness of these apps.

背景：在伊朗，一些商业设计的移动应用程序用于教育父母。这些现有应用程序的主要弱点包括缺乏科学的内容，大多数信息缺乏参考，缺乏精确和科学的设计和评估方法，缺乏专业医疗服务提供者的专业咨询或不一致，缺乏对不利生长或发展条件的提醒和警报系统，以及缺乏紧急情况的指导系统。方法/设计将采用混合方法开发婴幼儿护理移动应用程序，并评估其可接受性和可用性。开发过程将遵循ADDIE模型。一个被广泛认可的教学设计框架由五个阶段组成：分析、设计、开发、实施和评估。先前的研究强调数字卫生技术在增加获得卫生保健服务和改善健康结果方面的有效作用，包括：提高父母的意识和绩效；早期发现发展问题；改善获得专门服务的机会；减少急诊和医院就诊；和安全。尽管有上述好处，但在使用保健应用程序方面仍存在挑战。例如，一些家长可能会因为不熟悉技术或隐私问题而不愿使用这些工具。此外，还需要进一步评估以确定这些应用程序的长期有效性。

{"title":"Development, implementation, and assessment of a mobile application for remote care and consultation for newborns and infants: A study protocol","authors":"Solmaz Ghanbari-Homaie , Alireza Atashi , Hanieh Asgharian , Reza Radfar , Fatemeh Haji Ali Asghari , Seyedeh-Pooneh Jenani","doi":"10.1016/j.jnn.2025.101727","DOIUrl":"10.1016/j.jnn.2025.101727","url":null,"abstract":"<div><h3>Background</h3><div>Several mobile applications have been commercially designed in Iran to educate parents. The main weaknesses of these existing apps include the lack of scientifically-based content, the absence of references for most of the information, the lack of precise and scientific methodologies for their design and evaluation, the absence or inconsistency of specialized consultations by professional healthcare providers, the lack of a reminder and alert system for unfavorable growth or development conditions, and the absence of a guidance system for emergencies.</div></div><div><h3>Method/design</h3><div>A mixed-methods approach will be used to develop the mobile application for infant and newborn care and assess its acceptability and usability. The development process will adhere to the ADDIE model. A widely recognized instructional design frame work which consists of 5 phases: Analysis, Design, Development, Implementation and Evaluation.</div></div><div><h3>Discussion</h3><div>Previous studies emphasize the effective role of digital health technologies in enhancing access to healthcare services and improving health outcomes including: Enhancing Parental Awareness and Performance; Early Identification of Developmental Issues; Improving Access to Specialized Services; Reducing Emergency and Hospital Visits; and Security. Despite the mentioned benefits, challenges exist in the use of health applications. For example, some parents may hesitate to use these tools due to unfamiliarity with technology or privacy concerns. Additionally, there is a need for further evaluations to determine the long-term effectiveness of these apps.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 5","pages":"Article 101727"},"PeriodicalIF":0.0,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145106048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

“Structured counseling regarding breast milk donation and skill in breast milk expression among lactating mothers in comprehensive lactation management center at tertiary level health care centre: A quasi-experimental study” “三级保健中心哺乳综合管理中心哺乳母亲母乳捐献与表达技巧结构化咨询：准实验研究”

Q2 Nursing

Journal of Neonatal Nursing

Pub Date : 2025-09-17 DOI: 10.1016/j.jnn.2025.101719

Priyanka Darade , Mukesh Chandra Sharma , S. Thanigainathan , V.A. Raghu

Background

Breast milk donation is recommended as the first alternative when a mother can't breastfeed their babies.

Objectives

The study aimed to evaluate the effectiveness of structured nurse–led lactation management counselling (SNLLMC) on awareness and perception of milk donation and skill in milk expression among lactating mothers in the tertiary care hospital.

Method

A quasi-experimental study involving 60 lactating mothers at the tertiary health care hospital, using non-probability convenience sampling to allocate 30 samples each in control and experimental groups. Awareness and perception regarding breast milk donation was assessed using a self-structured questionnaire, a five-point Likert scale, and skill in breast milk expression was evaluated using an observational checklist. The experimental group received structured nurse-led lactation management counselling for 30 min, while the control group received routine counselling.

Result

In the experimental group, significant improvements were found in awareness (t = 12.607, p < 0.000), perception of breast milk donation (t = 21.967, p = 0.001), and skill in milk expression (t = 32.748, p < 0.000) from pretest to post-test. Compared to the control group, the experimental group also showed substantial enhancements in awareness (t = 13.236, p < 0.000), perception (t = 19.355, p < 0.001) of breast donation, and skill in milk expression (t = 21.716, p < 0.000). Additionally, family type (p = 0.015) and occupation (p = 0.041) significantly influenced awareness and perception levels (p = 0.004 and p = 0.034, respectively), while maternal education (p = 0.013) correlated significantly with skill in milk expression.

Conclusion

The study showed that SNLLMC significantly improved awareness, perception of breast milk donation, and milk expression skills among lactating mothers. The findings recommend implementing nurse-led counselling in milk banks to enhance these outcomes.

当母亲不能母乳喂养婴儿时，建议将母乳捐赠作为第一选择。目的评价结构化护士主导的泌乳管理咨询（SNLLMC）对三级医院泌乳母亲的泌乳意识和泌乳表达技能的影响。方法采用准实验方法对60名三级医院哺乳期母亲进行研究，采用非概率方便抽样法，对照组和实验组各30例。对母乳捐赠的意识和感知使用自结构问卷，五点李克特量表进行评估，母乳表达技能使用观察性检查表进行评估。实验组接受护士引导的结构化泌乳管理辅导，辅导时间为30 min，对照组接受常规辅导。结果试验组在认知（t = 12.607, p < 0.000）、母乳捐赠认知（t = 21.967, p = 0.001）、母乳表达技能（t = 32.748, p < 0.000）方面均较测试前和测试后有显著提高。与对照组相比，实验组对捐赠乳房的认知（t = 13.236, p < 0.000）、感知（t = 19.355, p < 0.001）和泌乳技能（t = 21.716, p < 0.000）均有显著提高。此外，家庭类型（p = 0.015）和职业（p = 0.041）显著影响意识和感知水平（p = 0.004和p = 0.034），而母亲教育程度（p = 0.013）与奶表达技能显著相关。结论SNLLMC可显著提高哺乳期母亲对母乳捐赠的认知和表达能力。研究结果建议在母乳库中实施护士主导的咨询，以提高这些结果。

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引用次数: 0

Comparative efficacy of non-pharmacological interventions involving parent on pain during invasive procedure among preterm baby: A systematic review and network meta-analysis 涉及父母的非药物干预对早产儿侵入性手术疼痛的比较疗效：系统回顾和网络荟萃分析

Q2 Nursing

Journal of Neonatal Nursing

Pub Date : 2025-09-17 DOI: 10.1016/j.jnn.2025.101717

Mega Hasanul Huda , Herry Susanto , Yeni Rustina , Faizul Hasan , Roselyn Chipojola , Hasriza Eka Putra , Robiyatul Adawiyah , Harimat Hendarwan , Amir Su'udi , Defi Efendi , Wiwit Kurniawati

Background

The efficacy of various non-pharmacological interventions involving parents to reduce preterm infants’ pain during invasive procedures remains unclear. This systematic review and network meta-analysis aimed to compare their effectiveness.

Methods

We conducted a systematic search across eight databases (PubMed, ScienceDirect, CINAHL, Embase, Scopus, SAGE Journals, Cochrane Central, ClinicalKey). The analysis used GeMTC software for network meta-analysis.

Results

A total of 22 RCTs including 2036 participants were included. Kangaroo mother care (KMC) significantly reduced pain responses (SMD: 1.4; 95 % CI: −2.3 to - 0.61). KMC ranked highest among all interventions for alleviating pain during procedures such as heel lancing, venipuncture, and cannulation.

Conclusions

While KMC appears to be the most effective non-pharmacological intervention to reduce pain in preterm infants compared to standard care, further high-quality studies are needed to confirm these findings.

背景：各种涉及父母的非药物干预措施在侵入性手术中减少早产儿疼痛的效果尚不清楚。本系统综述和网络荟萃分析旨在比较其有效性。方法系统检索8个数据库（PubMed, ScienceDirect， CINAHL, Embase, Scopus, SAGE Journals, Cochrane Central, ClinicalKey）。分析采用GeMTC软件进行网络元分析。结果共纳入22项随机对照试验，共纳入受试者2036人。袋鼠式母亲护理（KMC）显著降低了疼痛反应（SMD: 1.4; 95% CI: - 2.3至- 0.61）。KMC在治疗过程中减轻疼痛的所有干预措施中排名最高，如脚跟穿刺、静脉穿刺和插管。结论：与标准护理相比，KMC似乎是减轻早产儿疼痛最有效的非药物干预措施，但需要进一步的高质量研究来证实这些发现。

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引用次数: 0

Implementation of the neonatal necrotizing enterocolitis early detection system (NeoNEEDS) in preterm infants: A quality improvement study 早产儿新生儿坏死性小肠结肠炎早期检测系统（neoneed）的实施：一项质量改善研究

Q2 Nursing

Journal of Neonatal Nursing

Pub Date : 2025-09-12 DOI: 10.1016/j.jnn.2025.101725

Hartin I.K. Nadi, Yeni Rustina, Mega Hasanul Huda

Background

Preterm infants have a higher risk of developing necrotizing enterocolitis (NEC) due to immature organ systems. Early detection is essential to reduce complications and support timely management. This study aimed to evaluate the implementation of the NeoNEEDS instrument as a tool for early NEC detection in preterm infants.

Methods

This study employed a quality improvement design using the five-step Evidence-Based Practice (EBP) process: ask, gather, appraise, act, and evaluate.

Results

The NeoNEEDS instrument demonstrated high sensitivity (83.3 %) and specificity (81.3 %) in identifying NEC. Among all parameters, feeding tolerance showed the highest sensitivity (100 %) and a specificity of 70 %. A NeoNEEDS score of ≥3.5 indicated a high risk for NEC, warranting close clinical monitoring. The instrument showed a statistically significant association with NEC detection (p < 0.001).

Conclusion

These findings support the clinical use of NeoNEEDS to enhance early NEC identification and guide timely interventions.

背景：由于器官系统不成熟，早产儿发生坏死性小肠结肠炎（NEC）的风险较高。早期发现对于减少并发症和支持及时治疗至关重要。本研究旨在评估将neoneds仪器作为早产儿早期NEC检测工具的实施情况。方法本研究采用五步循证实践（EBP）流程进行质量改进设计：询问、收集、评估、行动和评估。结果neoneds检测NEC的灵敏度和特异度分别为83.3%和81.3%。在所有参数中，摄食耐受性的敏感性最高（100%），特异性为70%。neoneed评分≥3.5表示NEC的高风险，需要密切的临床监测。该仪器与NEC检出率有统计学显著相关性（p < 0.001）。结论：本研究结果支持临床应用neoneedas加强NEC早期识别和指导及时干预。

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引用次数: 0

Navigating paradoxes in open-bay neonatal intensive care: A qualitative study of nurses' experiences 在开放式新生儿重症监护中导航悖论：护士经验的定性研究

Q2 Nursing

Journal of Neonatal Nursing

Pub Date : 2025-09-12 DOI: 10.1016/j.jnn.2025.101724

Mirit Cohen, Orly Benor, Etti Naimi

Purpose

To explore nurses' lived experiences of working in open-bay neonatal intensive care units and how the visible environment influences their professional practice.

Methods

A qualitative descriptive study using focus group methodology. Twenty-five nurses participated in five focus groups. Data were analyzed using thematic analysis.

Results

Three interconnected paradoxes emerged: professional visibility versus personal exposure; collective support versus individual autonomy; and professional boundaries versus emotional connection with families. Nurses developed adaptive, context-sensitive strategies to navigate these paradoxes through dynamic professional reasoning.

Conclusions

This study reveals paradox navigation as a fundamental yet unrecognized competency in neonatal intensive care nursing. Unlike traditional approaches seeking resolution, effective neonatal nurses hold contradictory demands in dynamic tension.

Practice implications

Nursing education must incorporate paradox management skills essential for contemporary neonatal care. Healthcare organizations should recognize that certain workplace tensions represent inherent features requiring navigation rather than elimination, offering new pathways for supporting nurse resilience.

目的探讨开放式新生儿重症监护病房护士的生活经历及可见环境对其专业实践的影响。方法采用焦点小组法进行定性描述性研究。25名护士参加了5个焦点小组。数据采用专题分析进行分析。结果出现了三个相互关联的悖论：职业知名度与个人曝光率；集体支持vs个人自主；职业界限和与家庭的情感联系。护士开发适应性，上下文敏感的策略，通过动态的专业推理导航这些悖论。结论本研究揭示了悖论导航是新生儿重症监护中一项基本但未被认识到的能力。不同于传统的方法寻求解决，有效的新生儿护士在动态紧张持有矛盾的需求。实践意义护理教育必须纳入当代新生儿护理所必需的悖论管理技能。医疗机构应该认识到，某些工作场所的紧张关系代表了需要导航而不是消除的固有特征，为支持护士的适应能力提供了新的途径。

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引用次数: 0