在新生儿重症监护病房的袋鼠护理 - - 一个实践变革倡议
Lane Beaumont1, Dorothy Mullaney, Wakako Eklund
1Author Affiliations: School of Nursing, Bouve College of Health Sciences, Northeastern University, Boston, Massachusetts (Drs Beaumont, Mullaney and DeGrazia); Medical Group of TN, Nashville, Tennessee (Dr Eklund); School of Nursing, Seirei Christopher University, Hamamatsu, Japan (Dr Eklund); School of Nursing, Aichi Medical University, Aichi, Japan (Dr Eklund); Boston Children's Hospital, Boston, Massachusetts (Dr DeGrazia); and Harvard Medical School, Boston, Massachusetts (Dr DeGrazia).
在政策更新后,新生儿重症监护室的袋鼠护理 (KC) 显著改善. 这种做法提高了婴儿健康和母亲的福祉,可能减少疾病和医疗保健成本.
科学领域:
- 新生儿护理实践新生儿护理实践
- 质量改善举措 质量改善举措
- 基于证据的医学是基于证据的医学.
背景情况:
- 袋鼠护理 (KC) 对婴儿健康和母亲福祉至关重要.
- 当前新生儿重症监护室 (NICU) 的政策可能与最佳的KC指南不一致.
- 改善KC实践可以提高弱势婴儿的结果.
研究的目的:
- 更新NICU的KC政策,使其符合世界卫生组织的指导方针.
- 为符合条件的婴儿增加20%的KC会议和50%的持续时间.
- 为家长开发关于KC好处和实践的教育材料.
主要方法:
- 一个由结构化框架指导的质量改进项目.
- 参与了由5名注册护士和一个项目负责人组成的工作组.
- 评估KC频率和持续时间干预前后.
主要成果:
- 提供KC会话的数量增加了58.1%.
- 在KC会话的平均持续时间增加了140%.
- 成功实施更新的KC政策和家长小册子.
结论:
- 更新的KC政策和家长教育可以显著增加KC的使用和持续时间.
- 在NICU中扩大KC可能会减少婴儿发病率和相关的医疗保健成本.
- 该项目为其他NICU提供了一个模型,以加强其KC实践.
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