新生儿重症监护病房的远程新生儿科的实施和有效性:混合型III实施试点试点方案的协议
Josephine Wagenaar1,2,3, Ron van Beek4, Henrike Pas1
1Paediatric and Neonatal Intensive Care, Erasmus Medical Center, Rotterdam, Zuid Holland, Netherlands.
BMJ paediatrics open
|March 5, 2025
概括
这项试点研究评估了荷兰的TeleNeonatology实施情况,评估了其可行性,成本效益以及对新生儿护理结果和家长经验的影响.
科学领域:
- 新生儿重症监护室 (NICU) 的护理.
- 远程医疗和电子健康
- 医疗实施科学 医疗实施科学
背景情况:
- 远程新生儿科为新生儿的结果,资源分配和父母的情感福祉提供了潜在的好处.
- 尽管有潜力,但TeleNeonatology的使用是有限的,特别是在欧洲,目前的应用主要集中在新生儿复苏上.
- 这项研究解决了评估远程新生儿诊断的实施策略和有效性的需要.
研究的目的:
- 评估荷兰的远程新生儿计划的实施策略和有效性.
- 评估TeleNeonatology的可行性,服务成果 (成本最小化) 和客户成果 (家长经验,临床指标).
- 确定障碍物和促进者,以便更广泛地采用TeleNeonatology.
主要方法:
- 在两年 (2023-2024) 进行的混合型III设计的前后实施研究.
- 在IV级和II级NICU之间整合一个TeleNeonatology设备,以2023年为基线时期.
- 混合方法评估包括验证的问卷,半结构面试,焦点小组,成本最小化分析和临床结果跟踪 (转移率,停留时间).
主要成果:
- 可行性将通过家长和人员问卷进行评估.
- 将评估成本最小化分析和临床结果,如NICU转移率和停留时间长度.
- 父母报告的经验和半结构化访谈将为实施提供定性见解.
结论:
- 这项研究将提供关键的数据,以欧洲背景下,关于TeleNeonatology的可行性和有效性.
- 结果将为TeleNeonatology实施的最佳实践的发展提供信息,可能改善新生儿护理的获取和质量.
- 结果预计将在同行评审期刊上发表,以促进对TeleNeonatology的科学理解.
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