新生儿重症监护室的"了解我"板:一种混合方法的研究
Christine L Byerly1, Stephanie Levy2, Paul Thurman3
1Christine L. Byerly is an assistant nurse manager, Women's and Children's Health, University of Maryland Medical Center, Baltimore.
概括
"了解我"小板改善了新生儿重症监护室 (NICU) 的家庭的同情感. 虽然它有助于理解,但以家庭为中心的支持性护理环境对于NICU患者和家庭的福祉至关重要.
科学领域:
- 新生儿护理实践
- 以患者和家庭为中心的护理干预措施
- 医疗保健沟通策略
背景情况:
- 目前关于"了解我"的研究主要局限于成年住院患者.
- 在新生儿重症监护室 (NICU) 中,这种以患者和家庭为中心的护理干预措施的有效性需要进一步研究.
研究的目的:
- 评估特定于NICU的"了解我"板对护士和家人的看法的影响.
- 评估家庭和护士对同情,信任和满意度的变化.
- 探索董事会对护士参与护理行为的影响.
主要方法:
- 采用混合方法的方法,涉及70个家庭和39名护士在5个NICU单人病房集群.
- 群组被随机分配到标准的沟通工具或加入"了解我"板.
- 使用经过验证的定量测量和定性访谈来收集有关感知和经验的数据.
主要成果:
- 家庭成员在2周后报告了同情感的显著改善 (P = .05).
- 护士对照护人的看法没有变化 (P = .40).
- 质量数据表明,董事会有助于相互理解,但是一个更广泛的以家庭为中心的护理方法的组成部分.
结论:
- 在NICU环境中, 了解我板显示了增强以家庭为中心护理的潜力.
- 一个强大的以家庭为中心的护理环境似乎是优化患者和家庭体验的关键因素.
- 建议进行进一步的研究,以充分确定NICU特定的"了解我"板的价值.
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