与复杂医疗需求的新生儿护理模式相关的结果:支持计划评估的范围审查
Nicole Loewen1, Manon Ranger, Emily Kieran
1Author Affiliations: Division of Neonatology, Department of Pediatrics, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia (Loewen, Ranger, and Kieran); Women + and Children's Health Sciences, Department of Obstetrics & Gynecology, Department of Pediatrics, Faculty of Medicine, University of British Columbia , Vancouver, British Columbia (Loewen); BC Children's Hospital Research Institute, Vancouver, British Columbia (Ranger and Kieran) BC Women's Hospital, Women's Health Research Institute, Vancouver, British Columbia (Ranger and Kieran); and School of Nursing, Faculty of Applied Science, University of British Columbia, Vancouver, British Columbia (Ranger).
照顾具有复杂医疗需求的新生儿 (NCMNs) 需要多学科的团队和明确的结果措施,如逗留时间. 需要进一步的研究来评估这些高使用婴儿的新型护理模式.
科学领域:
- 新生儿重症监护室 (NICU) 的护理.
- 复杂的医疗需求管理管理.
- 提供医疗保健的模式.
背景情况:
- 具有复杂医疗需求的新生儿 (NCMNs) 占新生儿重症监护室医疗保健利用率的很大一部分.
- 一个特定的新生儿综合护理团队模型已经实施,但尚未评估.
- 了解现有的护理实践对于评估NCMN管理至关重要.
研究的目的:
- 确定和定义评估NCMN护理模型的结果措施.
- 审查有关NCMNs护理实践的现有文献.
- 为评估医院特定的NCMN护理模式提供信息.
主要方法:
- 使用PRISMA指南进行了范围审查.
- 在MEDLINE和CINAHL数据库 (1993-2023) 中进行了搜索.
- 在选148个标题/摘要和17个全文后,包括了5篇文章.
主要成果:
- 护理实践多样化,包括结构化出院会议和住院患者模型.
- 多学科团队对于住院护理和成功出院至关重要.
- 关于新型临床模型和长期健康结果的数据有限.
- 停留时间和再接收率被确定为关键评估指标.
结论:
- 关于NCMN护理模式的文献很少,但提供了有用的主题和结果.
- 多学科的护理和定义的指标对于NCMN管理至关重要.
- 需要对创新的NCMN护理模式进行长期评估.
相关概念视频
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...
Methods of Documentation VI: Case Management Model
For example, a patient with a chronic...
Planning Nursing Care II
Role of Communication in the Nursing Process II: Planning and Implementation
Fundamentals of Nursing Process II
Documentation in Long-Term and Home Healthcare Setting
Long-Term Care Facilities


