为公共新生儿服务制定一个以消费者和临床医生为首的,基于证据的研究议程
Deanne August1, Candace Meyles2, Lynette Chapple3
1Department of Neonatology, Women and Newborn Services, Royal Brisbane and Women's Hospital, Herston, Australia; School of Nursing, Midwifery and Social Work, University of Queensland, St Lucia, Australia; School of Nursing and Midwifery, Griffith University, Nathan, Australia.
概括
一个新的以消费者为导向的研究议程为昆士兰州东南部的新生儿服务制定,优先考虑以家庭为中心的护理和沟通. 这种协作方法加强了合作伙伴关系,以改善重症新生儿的治疗结果.
科学领域:
- 新生儿护理研究新生儿护理研究
- 以消费者为中心的医疗保健计划.
- 医疗服务研究 医疗服务研究
背景情况:
- 传统的新生儿研究往往忽视了特定地区和家庭的需求,阻碍了实践的改进.
- 以家庭为中心的研究,优先考虑患者和家庭的声音,是新生儿护理计划的新兴框架.
- 投资数百万美元的新生儿研究旨在改善重症新生儿的治疗结果.
研究的目的:
- 为昆士兰州东南部的公立新生儿医疗服务制定一个协作,区域特定的研究议程.
- 在当地医疗保健背景下,将议程集中在消费者的需求和优先事项上.
主要方法:
- 在六个阶段 (2023年6月至2024年8月) 采用了经过修改的詹姆斯·林德联盟优先设定过程.
- 消费者,医疗保健专业人员和临床医生研究人员之间的合作包括在线调查,证据检查和研讨会.
- 数据分析是描述性的,使用Excel来总结和排名已识别的研究重点.
主要成果:
- 成立了一个由消费者和专业人士组成的指导委员会.
- 最初的调查从94名受访者获得了215个优先事项,经证据检查后,这些优先事项被精细化为47个主题.
- 34个利益相关者参与的一次共识研讨会确定了七个优先主题,包括减少家庭压力,初始72小时护理优化,技术,养,神经发育护理,呼吸治疗和沟通模式.
结论:
- 一个创新的,富有同情心和以消费者为主导的研究议程成功地为特定的医疗服务地区开发.
- 这个过程加强了当地家庭和医疗保健专业人员之间的伙伴关系.
- 该议程旨在通过合作,以家庭为中心的优先事项来改善新生儿护理.
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