实施早期袋鼠母婴护理:一个质量改善倡议
William L Hull1, Priscilla Gongora
1Author Affiliations: University of Texas at El Paso, College of Nursing, El Paso, Texas, and Pediatrix Medical Group, Sunrise, Florida (Dr Hull); and Las Palmas Medical Center, El Paso Texas (Mrs Gongora).
概括
实施 Kangaroo Mother Care (KMC) 的增强教育和支持,在 24 小时内显著增加了对符合条件的新生儿的启动. 这项质量改进项目实现了100%的KMC采用率,突出显示了员工培训和买入的影响.
科学领域:
- 新生儿护理实践新生儿护理实践
- 改善医疗保健的质量.
- 母婴与新生儿之间的亲密关系.
背景情况:
- 袋鼠母亲护理 (KMC) 提供了显著的孕产妇和新生儿益处,但作为新生儿稳定工具未得到充分利用.
- 阻碍KMC启动的障碍包括员工教育不足,信心低,以及婴儿临床状态的担忧.
- 父母对KMC的认识,以及他们要求获得KMC的角色,往往是有限的.
研究的目的:
- 缩短符合条件的新生儿在24小时内获得第一个袋鼠母亲护理 (KMC) 机会的时间.
- 改进KMC作为标准新生儿稳定实践的实施.
主要方法:
- 在一个35张床位的NICU中进行了一项质量改进项目.
- 实施了修订后的KMC政策,得到双语家长教育材料 (小册子和视频) 的支持.
- 用KMC冠军来提升KMC的早期成绩并提高员工的参与度.
主要成果:
- 该项目实现了100%的符合条件的婴儿染色剂率,在第12周之前,在前24小时内接受KMC.
- 教育举措促进了员工热情的参与,并增加了对KMC的支持.
- 加强教育和接触KMC对员工的态度和实践产生了积极的影响.
结论:
- 提高员工对KMC的重要性的了解,可以提高信心,能力,并减少对其应用的担忧.
- 需要进行进一步的研究,以确定和解决员工在提供KMC时犹的具体原因.
- 通过针对性的员工教育和政策支持,可以提高KMC启动率.
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