为早产和低出生体重婴儿提供母乳养援助:最佳实践实施项目
Camila Medeiros Cruvinel Cunha1, Eliane de Fátima Almeida Lima1, Dulce Maria Pereira Garcia Galvão2
1Universidade Federal do Espírito Santo, Centro de Ciências da Saúde, Departamento de Enfermagem, Vitória, ES, Brazil.
Revista da Escola de Enfermagem da U S P
|July 1, 2024
概括
实施对早产和低出生体重婴儿进行母乳养援助的最佳实践,改善了基于证据的护理. 持续培训对于持续遵守新的母乳养方案至关重要.
科学领域:
- 新生儿护理 新生儿护理
- 基于证据的实践实践.
- 医疗服务研究 医疗服务研究
背景情况:
- 哺乳对于早产和低出生体重的婴儿至关重要.
- 在新生儿护理中实施最佳实践存在挑战.
- 需要标准化的协议来支持这一群体的母乳养.
研究的目的:
- 描述母乳养辅助最佳实践的实施过程.
- 在大学医院环境中建立第一个母乳养协议.
- 评估证据实施策略的有效性.
主要方法:
- 使用乔安娜·布里格斯研究所 (JBI) 证据实施方法的参与式研究.
- 涉及巴西东南部一家大学医院的多学科团队和医院管理人员.
- 包括情境诊断,基线审计,协议开发,培训,实施和监测.
主要成果:
- 制定了哺乳辅助的七个审计标准.
- 最初的合规程度很低 (3/7标准达到),有11个已识别的障碍.
- 在实施协议开发和多学科培训后,合规性显著增加 (第一个随访中达到7/7标准,第二次达到5/7标准).
结论:
- 该项目成功改善了基于证据的实践,并建立了母乳养协议.
- 证据实施策略在提高遵守最佳实践方面是有效的.
- 持续的培训对于保持坚持和将新做法整合到日常护理中至关重要.
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