在与家长密切合作后的结果:新生儿重症监护病房的干预:非随机临床试验
Ryo Itoshima1,2,3, Heili Varendi4, Liis Toome5
1Department of Clinical Medicine, University of Turku, Turku, Finland.
JAMA network open
|January 9, 2025
概括
与家长密切合作的干预改善了新生儿重症监护室 (NICU) 的工作人员和家长对以家庭为中心的护理 (FCC) 的评价. 联邦通信委员会干预的高执行准确度对于提高工作人员报告的结果至关重要.
科学领域:
- 新生儿重症监护室 (NICU) 的护理.
- 儿童医疗保健的质量
- 父母参与婴儿护理工作
背景情况:
- 在新生儿重症监护室,以家庭为中心的护理 (FCC) 对婴儿的福祉和父母的参与至关重要.
- 关于FCC干预影响和实施忠实性的作用的研究有限.
研究的目的:
- 评估"与家长密切合作"干预措施对FCC实践的影响.
- 确定实施忠实性如何影响NICU中的FCC结果.
主要方法:
- 在6个爱沙尼亚NICU中进行了一项非随机临床试验,该试验具有前后设计.
- "与家长密切合作"的干预涉及电子学习,床边实践和多专业人员的反思会.
- 通过使用家长和工作人员问卷 (Digi Family-Centered Care工具) 来衡量FCC质量.
主要成果:
- 干预后,家长和工作人员都报告了显著更高的FCC评级.
- 美国联邦通信委员会 (FCC) 总体评级的中位数没有显著变化.
- 实施忠实度差异很大 (13.3%至82.2%);更高的忠实度与工作人员报告的更大的FCC改进相关.
结论:
- "与家长密切合作"的干预措施对家长和工作人员所感知的FCC实践产生了积极的影响.
- 实施忠实性成为影响干预成功改善FCC的重要因素.
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