重新构想新生儿随访:一个公平的护理模式,强调家庭和儿童功能
Paige Terrien Church1, Rudaina Banihani2, Jonathan Samuel Litt1
1Department of Neonatology, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Rose 334, Boston, MA 02215, USA.
本综述强调了新生儿随访护理方面的挑战和不平等,提出了所有环境中为早产婴儿提供公平,以功能为中心的护理模式.
科学领域:
- 新生儿医学 新生儿医学
- 公共卫生 公共卫生
- 医疗保健提供系统
背景情况:
- 新生儿随访计划对于评估早产婴儿的结果至关重要.
- 历史审查揭示了在获得和接受公平护理方面存在持续的挑战.
- 在传统的随访中,父母对重要结果的看法往往被忽视.
研究的目的:
- 审查新生儿随访的历史和挑战.
- 为了确定在获得和提供护理方面的不平等.
- 提出一个公平的,以功能为中心的新生儿随访模式.
主要方法:
- 历史新生儿随访文献的系统审查.
- 对早产的常见结果和父母确定的结果的分析.
- 来自各种护理模式的证据的同化.
- 拟议的护理模式的开发,整合当地资源和学术中心.
主要成果:
- 在新生儿随访和分娩方面存在重大挑战和不平等.
- 确定了早产的常见和父母优先考虑的结果.
- 不同的护理模式显示出改善医疗服务的潜力.
- 一种协作,利用资源的模式可以提高公平性.
结论:
- 解决新生儿随访中的历史不平等问题至关重要.
- 所有婴儿都需要一个以功能为中心,公平的护理模式.
- 当地资源和学术中心之间的合作可以改善护理服务.
- 未来的模型应该优先考虑父母识别的结果和功能状态.
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