关键词: Caregivers Family NEONATOLOGY Paediatric gastroenterology Percieved Social Support Systematic Review

Mesh : Humans Intensive Care Units, Neonatal Infant, Newborn Systematic Reviews as Topic Infant, Premature Qualitative Research Health Personnel Family Research Design

来  源:   DOI:10.1136/bmjopen-2024-084884   PDF(Pubmed)

Abstract:
BACKGROUND: The underdevelopment of preterm infants can lead to delayed progression through key early milestones. Demonstration of safe oral feeding skills, constituting proper suck-swallow reflex are requirements for discharge from the neonatal intensive care unit (NICU) to ensure adequate nutrition acquisition. Helping an infant develop these skills can be draining and emotional for both families and healthcare staff involved in the care of preterm infants with feeding difficulties. Currently, there are no systematic reviews evaluating both family and healthcare team perspectives on aspects of oral feeding. Thus, we first aim to evaluate the current knowledge surrounding the perceptions, experiences and needs of families with preterm babies in the context of oral feeding in the NICU. Second, we aim to evaluate the current knowledge surrounding the perceptions, experiences and needs of healthcare providers (physicians, advanced practice providers, nurses, dietitians, speech-language pathologists and occupational therapists) in the context of oral feeding in the NICU.
METHODS: A literature search will be conducted in multiple electronic databases from their inception, including PubMed, CINHAL, Embase, the Cochrane Central Register for Controlled Trials and PsycINFO. No restrictions will be applied based on language or data of publication. Two authors will screen the titles and abstracts and then review the full text for the studies\' inclusion in the review. The data will be extracted into a pilot-tested data collection sheet by three independent authors. To evaluate the quality, reliability and relevance of the included studies, the Critical Appraisal Skills Programme checklist will be used. The overall evidence will be assessed using the Grading of Recommendation Assessment, Development and Evaluation criteria. We will report the results of the systematic review by following the Enhancing Transparency in Reporting the synthesis of Qualitative research checklist.
BACKGROUND: Ethical approval of this project is not required as this is a systematic review using published and publicly available data and will not involve contact with human subjects. Findings will be published in a peer-reviewed journal.
UNASSIGNED: CRD42023479288.
摘要:
背景:早产儿发育不足可通过关键的早期里程碑导致进展延迟。演示安全的口服喂养技巧,需要从新生儿重症监护病房(NICU)出院,以确保获得足够的营养。帮助婴儿发展这些技能对于参与喂养有困难的早产儿护理的家庭和医护人员来说都是筋疲力尽和情绪化的。目前,没有系统评价家庭和医疗团队对口服喂养方面的观点。因此,我们首先旨在评估围绕感知的当前知识,在NICU口服喂养的情况下,早产儿家庭的经验和需求。第二,我们的目标是评估围绕感知的当前知识,医疗保健提供者的经验和需求(医生,高级实践提供商,护士,营养师,语言病理学家和职业治疗师)在NICU中进行口服喂养。
方法:从成立之初,将在多个电子数据库中进行文献检索,包括PubMed,CINHAL,Embase,控制试验和PsycINFO的Cochrane中央登记册。不会根据发布的语言或数据应用任何限制。两位作者将筛选标题和摘要,然后回顾全文,将研究纳入评论。数据将由三位独立作者提取到经过试点测试的数据收集表中。为了评估质量,纳入研究的可靠性和相关性,将使用关键评估技能计划清单。总体证据将使用推荐评估等级进行评估,开发和评估标准。我们将通过遵循“增强报告透明度”的定性研究综合清单来报告系统审查的结果。
背景:不需要对该项目的道德批准,因为这是使用已发布和公开数据的系统审查,并且不涉及与人类受试者的接触。研究结果将发表在同行评审的期刊上。
CRD42023479288。
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