在安大略省第二级新生儿重症监护病房实施家庭综合护理的促进者和障碍
Ayah Al Bizri1, Mariana Bueno2, Vibhuti Shah1
1Department of Paediatrics, Mount Sinai Hospital, 600 University Avenue, Toronto, ON M5G 1X5, Canada.
家庭综合护理 (FICare) 对安大略省新生儿重症监护室 (NICU) 的发展有前景. 对于FICare实施的准备程度各不相同,领导层的兴趣是关键的促进者,而资源限制是障碍.
科学领域:
- 新生儿护理 新生儿护理
- 实施科学 实施科学
- 医疗保健管理的管理
背景情况:
- 在安大略省,每年约有8%的婴儿早产,需要在第二级新生儿重症监护室 (NICU) 接受护理.
- 家庭综合护理 (FICare) 是一个创新的模式,旨在增加家长参与NICU护理.
- 在实施FICare之前,了解II级NICU的需求至关重要.
研究的目的:
- 评估安大略省II级NICU在FICare实施方面的一般和特定需求.
- 在这种环境中识别FICare采用的促进者和障碍.
主要方法:
- 采用了横截面研究设计.
- 根据实施科学研究的综合框架,开发了两项调查 (领导力和现场资源).
- 在整个安大略省的II级NICU中,向医疗和护理领导人分发了调查.
主要成果:
- 在安大略省的44家II级NICU中,有24家 (55%) 回答了调查.
- 关键的促进者包括领导层的兴趣,员工/志愿者可用性和支持性政策.
- 障碍包括财务限制,对节省成本的怀疑,需要量身定制的方法,以及对父母存在的环境支持不足.
结论:
- 许多安大略省II级NICU表示有兴趣实施FICare.
- 对于FICare实施的准备是可变的,受特定的促进者和障碍的影响.
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