在新生儿重症监护病房进行随访的潜在更好的实践
Erika M Edwards1,2,3, Danielle E Y Ehret1,2, Jeffrey D Horbar1,2
1Vermont Oxford Network, Burlington, Vermont.
婴儿重症监护室团队正在采用新的做法来支持婴儿和家庭的社会需求,但存在显著的差异. 需要进一步改进,特别是在营利性和较低级别的NICU,以确保公平的护理.
科学领域:
- 新生儿护理实践新生儿护理实践
- 医疗服务研究 医疗服务研究
- 健康的社会决定因素
背景情况:
- 解决与健康相关的社会需求对于新生儿重症监护室 (NICU) 的婴儿和家庭福祉至关重要.
- 有效的后续战略涉及团队,家庭和社区作为合作伙伴的整合.
研究的目的:
- 评估美国新生儿重症监护室 (NICU) 随访的潜在更好的实践 (PBP) 的采用情况.
- 确定NICU团队如何让家庭和社区参与解决与婴儿和家庭健康相关的社会需求.
主要方法:
- 分析了2023年完成佛蒙特牛津网络数据收集的758个美国NICU的数据.
- 2020年出版的对19种潜在的最佳实践 (PBP) 进行后续评估.
- 结果按安全网医院状态,医院所有权和NICU类型分层.
主要成果:
- 57.5%的NICU对社会风险进行了查;大多数提供社会工作,哺乳和翻译服务.
- 90.2%的家庭获得了经济成本的帮助;94.0%的家庭在解雇时获得了社区资源.
- 根据医院所有权和NICU级别,PBP的采用程度各不相同,平均每家医院实施了10个PBP.
结论:
- 尽管存在资源问题,但美国NICU正在实施一系列后续实践.
- 在PBP采用方面存在显著差异,营利性和较低级别的NICU的比例较低,这表明有改进的余地.
- 需要加强战略,以确保在NICU环境中为所有婴儿和家庭提供全面支持.
更多相关视频
11:50Clinical Practice Protocol of Creative Music Therapy for Preterm Infants and Their Parents in the Neonatal Intensive Care Unit
Published on: January 7, 2020
11:27A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn
Published on: April 7, 2023
相关概念视频
Endotracheal Intubation II: Nursing Management
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
Healthcare Associated Infections II: Preventive Measures
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Suctioning the Nasopharyngeal Airway
Equipment Required
Endotracheal Intubation I: Procedure
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
Fundamentals of Nursing Process II
Guidelines for Writing Outcome
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
