在NICU设置中实施健康查过程的社会决定因素
Kristina A Clark1, Megan E Colwell, Hannah M Lyons
1Care Coordinator Neonatal Intensive Care Unit, Ann & Robert H. Lurie Children's Hospital of Chicago (Clark, Colwell, Lyons), Chicago IL, Associate Physician Diplomate, UC San Diego School of Medicine and Rady Children's Hospital of San Diego (Dr Voller), San Diego, CA, Elizabeth C. Poster Professor, University of Texas at Arlington, College of Nursing and Health Innovation (Dr Manworren), Arlington, TX, PhD Program Director, University of Texas at Arlington, College of Nursing and Health Innovation (Dr Manworren), Arlington, TX, Associate Professor, Department of Pediatrics, Feinberg School of Medicine, Northwestern University (Dr Manworren), Chicago, IL, Reference & Clinical Services Librarian Department of Clinical and Organizational Development, Ann & Robert H. Lurie Children's Hospital of Chicago (Fawcett), Chicago IL, Attending Neonatologist, Ann & Robert H. Lurie Children's Hospital of Chicago (Dr Murthy), Chicago, IL, Professor, Department of Pediatrics, Feinberg School of Medicine, Northwestern University (Dr Murthy), Chicago, IL, and Children's Hospitals Neonatal Consortium (Dr Murthy), Dover, DE.
护理协调有效地解决了早产婴儿健康的社会决定因素 (SDoH). 护理协调员的持续重新评估将家庭与重要资源联系起来,改善参与和健康结果.
科学领域:
- 新生儿重症监护室 (NICU) 的护理协调.
- 健康的社会决定因素 (SDoH) 查和转诊.
背景情况:
- SDoH显著影响健康结果,特别是在弱势群体,如早产婴儿.
- 有效的查和转诊对于在高风险新生儿群体中解决SDoH至关重要.
研究的目的:
- 检查护理协调 (CC) 在增强健康社会决定因素 (SDoH) 查和IV级NICU资源转诊方面的有效性.
- 评估CC对将家庭与基本资源联系起来和改善健康结果的影响.
主要方法:
- 在2022年注册CC的婴儿的回顾性描述性研究.
- 评估了SDoH选,资源转介和后续结果的完成率.
- 专注于CC工作人员在SDoH评估和支持中的作用.
主要成果:
- 只有28%的SDoH查在入院后24小时内完成;然而,96%被CC重新评估.
- 提供的主要资源包括护理顾问,家庭服务和财政援助.
- 与参考资源的连接率在81%至91%之间.
结论:
- 纵向CC对于理解和支持家庭SDoH需求至关重要.
- 灵活和早期的SDoH选,加上CC重新评估,可以改善资源连接和参与.
- 持续的CC支持减少了障碍,建立了信任,并促进了NICU婴儿和家庭的更好的健康结果.
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