【摘要】 目的:从护士视角下剖析新生儿重症监护室(NICU)低母乳喂养率的深层次原因,构建归因模型及干预路径。方法:运用扎根理论的质性研究方法对三级甲等医院NICU的21名护士进行观察和访谈,在此基础上构建归因模型及干预路径。结果:确定了知识-选择、心理-偏向、资源-工具、制度-冲突4个主范畴,通过4种诱因匹配机制,构建了护士视角下NICU低母乳喂养率的归因模型及干预路径。结论:知识-选择是NICU低母乳喂养率的根本诱因,心理-偏向是直接诱因,资源-工具是外在诱因,制度-冲突是宏观诱因。提高NICU母乳喂养率需要NICU护士和患儿父亲、母亲的共同参与。更多还原

【Abstract】 Objective:The deep reasons for low breastfeeding rate in NICU were analyzed from the perspective of nurses,and the attribution model and intervention path were constructed.Methods:The qualitative research method of grounded theory was used to observe and interview 21 nurses in a comprehensive tertiary grade A hospital.On this basis,the attribution model and intervention path were constructed.Results:Four main categories were determined,which were knowledge-choice,psychology-bias,resources-tools,and institutions-conflict.Through these four incentive matching mechanisms,the attribution model and intervention path of low NICU breastfeeding rate from the perspective of nurses were constructed.Conclusion:For the low NICU breastfeeding rate,knowledge-selection is the underlying cause,psychosocial bias is the direct cause,resources-tools is the external cause,and institutional-conflict is the macro trigger factor.Increasing breastfeeding rate in the NICU needs the joint participation of the NICU nurse and the parents of the children.更多还原