背景及重要性：在新生兒加護病房中，以家庭為中心的照護模式能夠賦予家庭力量，讓父母被視為護理團隊的核心成員參與嬰兒照護的過程，這樣的照護模式促使醫護人員不僅能在行為上實踐賦能，也能從照護者的角色轉變為與家庭合作的夥伴角色(Guion et al., 2010; Hobbs & Sodomka, 2000)。於臨床實務，醫護人員可以透過鼓勵家屬與嬰兒進行皮膚接觸、母乳哺餵或與嬰兒交談等方式實踐賦能，其結果不僅可以增進親子關係，亦能降低父母壓力與焦慮情緒等。目前研究大多是從以家庭為中心的整體觀點進行探討，較少有研究單獨聚焦於「賦能」的想法與實踐經驗。此外，因台灣的醫療制度，於加護病房單位有實施會客時間限制，因此不僅限制孩子與父母相處的時間，同時亦減少父母履行親職的機會，在如此條件的情況下，更應瞭解護理師的實踐經驗、過程中遇到的困難以及應對策略。
研究目的：瞭解新生兒護理師在實踐家庭賦能過程中的經驗、面臨的困難與挑戰，以及其因應策略或方法。
研究方法：本次研究為質性研究，取樣方式為立意取樣，透過個人深度訪談以及實境觀察蒐集資料，並透過主題分析法分析資料。
研究結果：本研究共訪談11名臨床護理師。護理師在NICU實踐家庭賦能時的情境會考量下列四種不同要素，一. 孩子的不同生理狀態與病情穩定度、二. 家屬被賦能時的準備度、三. 護理師的心理準備度與對實踐賦能時的價值認同，以及四. 家屬參與照護與學習之時刻；而在賦能對象的選擇層面，主要會以孩子出院返家後之照顧者為主。實踐賦能之內容可歸納為以下三個要素：一. 家屬日常照護之能力促進、二. 早產兒發展性照護之參與，以及三. 親子連結之促進。臨床實踐措施歸納為四大主題，包括：一. 持續性評估早產兒及家庭準備度與彈性調整家屬參與照護內容、二. 逐步教導照護知識與培養照護技能、三. 適時給予心理支持以及四. 建立支持性環境與醫療團隊合作。歸納出賦能阻礙與困境之主題，分別為一. 家屬參與照護過程中的多重挑戰、二. 孩子生理狀態的限制、三. 護理人員的專業能力與角色適應的挑戰以及四. 制度與環境限制家庭賦能之推動。最後，採取之因應策略可歸納為下列三大核心主題：一. 建立信任關係與情感支持、二. 彈性化的調整賦能方式與引導策略、三. 增進護理人員的專業韌性與支持系統。
結論與建議：研究結果顯示，家庭賦能是一個依據孩子病情、發展階段及家屬心理狀態持續調整的動態歷程。賦能內容涵蓋親職角色建立、親子互動、母乳哺育、發展性照護及返家準備等面向；實踐措施則包括持續評估家屬需求、循序漸進教學、提供情緒支持，以及建立支持性的照護環境與團隊合作。家庭賦能推動過程中面臨孩子病情不穩定、家屬心理壓力、護病信任關係建立、人力調配困境、會客限制及環境設備等挑戰。護理師需運用專業知識、臨床經驗與同理心，協助家屬逐步建立照護能力與親職角色認同。本研究提出以下整體建議：臨床實務面，應建立常態性家庭賦能課程、彈性優化會客制度、行政管理上須重視實踐賦能時所需的時間與人力成本、環境設備層面則是設置分貝儀以及可調式椅背功能之座椅。未來研究方面，建議納入家屬與跨專業團隊觀點，探究理解其真實經驗，同時發展具體介入方案，並針對不同層級醫院以及新生兒病房進行比較研究，以拓展實證照護之普適性。

This study explored NICU nurses' experiences, challenges, and strategies in implementing family empowerment through in-depth interviews with 11 clinical nurses and participant observation, using thematic analysis. Findings indicate that family empowerment is a dynamic process shaped by infant stability, family and nurse readiness, and timing, primarily targeting post-discharge primary caregivers. Core practice encompasses boosting daily caregiving skills, engaging in preterm developmental care, and fostering parent-infant bonding through continuous assessment, step-by-step guidance, psychological support, and teamwork. Despite barriers regarding family stress, infant physiological limits, nursing role adaptation, and visiting or staffing restrictions, nurses overcome challenges via trust-building, flexible strategies, and professional resilience. Clinical recommendations include introducing empowerment-related educational courses, optimizing visiting policies, accounting for staffing costs, and improving environmental and hardware facilities to enhance empowerment practice.

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