通过安排会议,提高家长对医疗复杂新生儿的知识
Serena Mooney1, Sailaja Devagiri2, Angela Puuri2
1Department of Pediatrics, Brody School of Medicine at East Carolina University, Greenville, NC.
计划家庭会议改善了医疗复杂的新生儿的沟通. 这项质量改进项目实现了高的安排和完成率,提高了父母对新生儿重症监护病房护理的满意度.
科学领域:
- 新生儿医学 新生儿医学
- 提高质量 提高科学 提高质量
- 医疗保健通讯 医疗保健通讯
背景情况:
- 父母对新生儿重症监护室 (NICU) 信息质量的不满.
- 需要与医疗复杂的新生儿的家人进行结构化的沟通.
- 以前缺乏一致的后续信息传递.
研究的目的:
- 为医疗复杂的新生儿实施和评估计划中的家庭会议.
- 为了提高信息的一致性和家长的满意度.
- 在NICU内建立一个可持续的通信系统.
主要方法:
- 质量改进项目,包括计划10天和1个月的家庭会议.
- 社会工作者安排会议;新生儿科医生进行了会议.
- 用于追踪21个月的措施的统计过程控制图表.
主要成果:
- 为超过80%的符合条件的家庭安排会议,超过50%的目标.
- 在10天和1个月的会议中,完成率为86%.
- 报告的父母满意度很高;只有2%的人认为会议是负担的,而医生中只有14%.
结论:
- 一个结构化的家庭会议系统有效地改善了沟通和满意度.
- 可持续的计划和准备方法,包括模板,有助于成功实施.
- 这项质量改进计划对新生儿重症监护室的以家庭为中心的护理产生了积极的影响.
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