42 Parental Stress in the NICU: Parental Self-Report (SRS) Versus Staff Perception of Parental Stress (PS)
Notice bibliographique
Résumé
Parents of premature or ill infants must make many complicated medical decisions during a time of emotional distress and in an environment unfamiliar to them. Health care workers in the Neonatal Intensive Care Unit (NICU) must attempt to provide a calm environment and provide parents with relevant medical information at appropriate times. The principles of family centered care requires that professionals acknowledge and respect parental decisions and preferences in the care of their hospitalized child. In order to give information to parents to allow fully informed decision-making, professionals in the NICU must be able to interpret what the parents feel is stressful. Nurses, who spend the most time with the parents during the visits to the NICU, will accurately be able to predict the stress parents are experiencing during the first week of their child's admission to the NICU. We compared the parental self-reported stress levels (SRS) with infants in the NICU to the perceived parental stress levels (PS) as reported by bedside nurses. Informed consent was obtained from the parents and the bedside nurse. Stress levels were determined quantitatively through the administration of a previously validated questionnaire, Parental Stressor Scale: NICU (PSS:NICU), administered simultaneously to parent(s) and to the bedside nurse of infants admitted to a single Level III NICU. The PSS:NICU consists of 36 questions in three domains: Sights and Sounds, Infant Appearance, and Parental Role Alteration. 26 Parent-Nurse pairs were recruited between June 2, 2003 and August 13, 2003. The infants were 35±2.7 weeks gestation and 2794±882 grams birth weight. Parental SRS was significantly lower than PS for both Sights and Sounds 10.8 vs 15.7 (p<0.01) and for Infant Appearance 32.3 vs 39.3 (p=0.06); with a non-significant difference for Parental Role Alteration. Overall, parents reported that the stress they were experiencing in the NICU was significantly less than the nurses perceived they were experiencing (p=0.02). However, as the parental SRS ranking on individual questions increased, the PS agreement was greater. Professionals in the NICU over estimate the stress parents are experiencing with regard to the nursery environment, but not with respect to the alteration in parental role. The information given to parents may therefore focus on the wrong aspects of care and may impede parent's ability to make fully informed decisions regarding their infant's care. Interventions reducing parental stress in the NICU should have a larger focus on the alteration in parental role.
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Comment cette classification a été obtenuedéplier
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Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,002 | 0,009 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,001 | 0,000 |
| Science ouverte | 0,000 | 0,001 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,001 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».