Knowledge of Nursing Journal
دانش پرستاری
Knowledge of Nursing
Medical Sciences
http://knjournal.ir
1
admin
-
2981-152X
10.61882/knjournal
en
jalali
1402
11
1
gregorian
2024
2
1
1
4
online
1
fulltext
en
بررسی پیادهسازی مراقبت خانواده محور در بخش های مراقبت ویژه نوزادان (NICUs) در کشورهای در حال توسعه: چالشها و راهحلها
A review of Challenges Associated with the Implementation of Family- Centered Care in the NICUs of Developing Countries: Challenges and Solutions
تخصصي
Special
كاربردي
Applicable
<span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin"">پسزمینه و هدف</span></span></span></b><b><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%">:</span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin"">در دو دهه گذشته، رویکرد مراقبت خانواده محور</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"> (FCC) </span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin"">چارچوب جدیدی برای بهبود کیفیت خدمات بهداشتی، به ویژه در بخش های مراقبت ویژه نوزادان</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"> (NICUs) </span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin"">ارائه داده است. از طریق مشارکت فعال خانوادهها در تصمیمگیری و برنامهریزی مراقبت، این رویکرد نه تنها پیوند عاطفی بین والدین و نوزادان را تقویت میکند، بلکه به بهبود نتایج بالینی مانند افزایش وزن و کاهش عوارض پزشکی نیز کمک میکند. هدف این مطالعه تعیین چالشهای پیادهسازی</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"> FCC </span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin"">در</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"> NICUs </span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin"">کشورهای در حال توسعه و نقش پرستاران در حل این چالشها است</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%">.</span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin"">روشها</span></span></span></b><b><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%">:</span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin"">این تحقیق بهصورت مقاله مروری طراحی شده و از دستورالعملهای</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"> PRISMA </span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin"">برای جستجو و انتخاب مقالات استفاده شده است. پایگاههای داده</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"> PubMed</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin"">، </span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%">Scopus</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin"">، </span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%">Web of Science</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin"">، </span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%">CINAHL </span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin"">و</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"> Embase </span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin"">برای شناسایی مطالعات مرتبط منتشر شده بین سالهای </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin"">۲۰۱۱</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin""> تا </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin"">۲۰۲۴</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin""> مورد استفاده قرار گرفت. در نهایت، </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin"">۴۵</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin""> مقاله طبق معیارهای ورود، برای تحلیل نهایی انتخاب شدند</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%">.</span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin"">نتایج</span></span></span></b><b><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%">:</span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin"">یافتهها نشان میدهند که پیادهسازی</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"> FCC </span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin"">در کشورهای در حال توسعه با موانع متعددی مواجه است، از جمله محدودیتهای مالی، کمبود پرسنل آموزشدیده، زیرساختهای بهداشتی ناکافی و تفاوتهای فرهنگی. مطالعات انجام شده در این کشورها نشان میدهد که این محدودیتها ارائه خدمات مناسب به خانوادهها و مشارکت فعال آنها در مراقبت نوزادی را مختل میکند. علاوه بر این، کمبود آموزشهای تخصصی برای پرستاران و حمایت ناکافی از سوی سیاستگذاران و مدیران بیمارستانها موانع اضافی برای پذیرش مؤثر این رویکرد ایجاد میکند</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%">.</span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span style="line-height:107%"><span style="font-family:"Times New Roman",serif">Background and Aim: </span></span></span></b><span style="font-size:10.0pt"><span style="line-height:107%"><span style="font-family:"Times New Roman",serif">Over the past two decades, the Family-Centered Care (FCC) approach has introduced a new framework for enhancing the quality of healthcare services, especially in Neonatal Intensive Care Units (NICUs). Through the active participation of families in decision-making and care planning, this approach not only strengthens the emotional bond between parents and newborns, but also improves clinical outcomes such as weight gain and reduces medical complications. The aim of this study is to determine the challenges of implementing FCC in the NICUs of developing countries and the role of nurses in addressing these challenges.</span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span style="line-height:107%"><span style="font-family:"Times New Roman",serif">Materials and m</span></span></span></b><b><span style="font-size:10.0pt"><span style="line-height:107%"><span style="font-family:"Times New Roman",serif">ethods: </span></span></span></b><span style="font-size:10.0pt"><span style="line-height:107%"><span style="font-family:"Times New Roman",serif">This research was designed as a review article, utilizing PRISMA guidelines for article search and selection. PubMed, Scopus, Web of Science, CINAHL, and Embase databases were used to identify relevant studies published between 2011 and 2024. Ultimately, 45 articles from low- and middle-income countries were selected for final analysis.</span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span style="line-height:107%"><span style="font-family:"Times New Roman",serif">Results: </span></span></span></b><span style="font-size:10.0pt"><span style="line-height:107%"><span style="font-family:"Times New Roman",serif">The findings indicated that implementing FCC in developing countries faces numerous obstacles and challenges, including limited financial resources, shortages of trained personnel, inadequate healthcare infrastructure, and cultural differences. Studies conducted in these countries show that such limitations hinder the provision of appropriate services to families and their active involvement in neonatal care. Furthermore, the lack of specialized training for nurses and insufficient support from policymakers and hospital administrators pose additional barriers to effective implementation of this approach.</span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span style="line-height:107%"><span style="font-family:"Times New Roman",serif">Conclusion:</span></span></span></b><span style="font-size:10.0pt"><span style="line-height:107%"><span style="font-family:"Times New Roman",serif"> To successfully implement FCC in NICUs of developing countries, it is essential to invest in nurse education and empowerment, strengthen managerial and policy support, and address cultural differences. Providing targeted training programs and establishing suitable infrastructure can help mitigate existing barriers, thereby ensuring better neonatal health outcomes and greater family satisfaction.</span></span></span></span></span></span><br>
مراقبت خانواده محور, بخش های مراقبت ویژه, نوزادان, کشورهای در حال توسعه, نقش پرستاران, چالشها.
Family Nursing, Intensive Care Units, Neonatal, Developing Countries, Nurses’ Role, Challenges, Solutions.
311
328
http://knjournal.ir/browse.php?a_code=A-10-95-2&slc_lang=en&sid=1
Farzaneh
Khoshakhlagh
فرزانه
خوش اخلاق
f.khoshakhlagh@abzums.ac.ir
1003194753284600580
1003194753284600580
No
Faculty of Nursing and Prehospital Emergency, Alborz University of Medical Sciences, Karaj, Iran.
Azamolmolouk
Elsagh
اعظم الملوک
الساق
a_elsagh@abzums.ac.ir
1003194753284600581
1003194753284600581
Yes
Faculty of Nursing and Prehospital Emergency, Alborz University of Medical Sciences, Karaj, Iran