目的:研究移民和少数民族父母在新生儿重症监护病房有新生婴儿的经历,并探索医疗保健专业人员为移民和少数民族家庭提供护理的经验。
方法:由eMERGe指南提供的荟萃人种学综述。
方法:我们进行了系统的文献综述。如果他们探索了新生儿重症监护病房中的移民或少数民族父母经历以及在新生儿重症监护中为移民和少数民族家庭提供护理的健康专业经验,则包括研究。报告遵循ENTREQ准则。
方法:数据库搜索包括CINAHL,MEDLINE,PubMed,PsycINFO,Scopus和谷歌学者。使用布尔搜索策略来识别定性研究。开始日期没有限制;结束日期为2022年8月23日。使用JoannaBriggs研究所定性研究标准进行筛查和文章质量评估的PRISMA指南。
结果:初步搜索产生了2468篇文章,9条符合纳入标准。确定了三个总体主题:(1)压倒性的情绪,(次主题:压倒性的不足;内疚的文化表现形式;不属于),(2)支持圈,(子主题:个人水平-灵性;与家庭联系的外部水平;结构化的对等支持),(3)与医疗保健专业人员谈判关系(子主题:连接;断开;语言障碍)。医疗保健专业人员与移民和少数族裔父母之间的互动是最强烈的反复主题。
结论:移民和少数民族家庭的需求与所提供的服务支持之间可能存在不匹配,这表明需要改善新生儿重症监护。尽管面临挑战,父母带来了文化和家庭的力量,支持他们度过这段时间,许多新生儿重症监护工作人员提供文化上尊重的护理。
■应鼓励专业人士识别并与家庭优势一起工作,以确保父母在新生儿重症监护病房得到支持。研究结果可以为政策和实践发展提供信息,以加强卫生专业人员的能力,以支持新生儿病房中的移民和少数民族家庭。
■使用系统评价和荟萃分析检查表的首选报告项目报告筛选过程。
OBJECTIVE: To examine immigrant and minority parents\' experiences of having a newborn infant in the neonatal intensive care unit and explore healthcare professionals\' experiences in delivering care to immigrant and minority families.
METHODS: A meta-ethnographic review informed by eMERGe guidelines.
METHODS: We conducted a systematic literature review. Studies were included if they explored immigrant or minority parent experiences in neonatal intensive care units and health professional experiences delivering care to immigrant and minority families in neonatal intensive care. Reporting followed ENTREQ guidelines.
METHODS: Database searches included CINAHL, MEDLINE, PubMed, PsycINFO, Scopus and Google Scholar. Boolean search strategies were used to identify qualitative studies. No limitations on commencement date; the end date was 23rd August 2022. PRISMA guidelines used for screening and article quality assessed using Joanna Briggs Institute criteria for qualitative studies.
RESULTS: Initial search yielded 2468 articles, and nine articles met criteria for inclusion. Three overarching themes were identified: (1) Overwhelming Emotions, (subthemes: Overwhelming Inadequacy; Cultural Expressions of Guilt; Not Belonging), (2) Circles of Support, (subthemes: Individual Level-Spirituality; External Level-Connecting with Family; Structured Peer-to-Peer Support), (3) Negotiating Relationships with Healthcare Professionals (subthemes: Connecting; Disconnected; Linguistic Barriers). Interactions between healthcare professionals and immigrant and minority parents were the strongest recurring theme.
CONCLUSIONS: There can be a mismatch between immigrant and minority families\' needs and the service support provided, indicating improvements in neonatal intensive care are needed. Despite challenges, parents bring cultural and family strengths that support them through this time, and many neonatal intensive care staff provide culturally respectful care.
UNASSIGNED: Professionals should be encouraged to identify and work with family strengths to ensure parents feel supported in the neonatal intensive care unit. Findings can inform policy and practice development to strengthen health professionals capabilities to support immigrant and minority families in neonatal units.
UNASSIGNED: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklists were used to report the screening process.