在新生儿重症监护病房 (NeoIPC) 实施优化袋鼠护理以预防和控制感染:多中心平行集群随机混合型2实施效果研究的实施要素的协议
Marie-Therese Schultes1,2, Julia Baenziger1, Emanuela Nyantakyi1
1Institute for Implementation Science in Health Care, University of Zurich, Zurich, Switzerland.
Implementation science : IS
|February 26, 2026
概括
这项研究在新生儿重症监护室 (NICU) 实施了优化的袋鼠护理 (KC),以减少严重感染和耐药细菌. 该项目旨在改善KC实践,以获得更好的婴儿成果和持续实施.
科学领域:
- 新生儿重症监护室新生儿重症监护室
- 预防和控制感染.
- 实施科学 实施科学
背景情况:
- 在医院获得的感染和耐药细菌殖民构成了新生儿护理的全球性挑战.
- 新生儿重症监护室 (NICU) 面临着防止耐药细菌传播的特殊困难.
- 袋鼠护理 (KC),皮肤接触,在降低新生儿的发病率和死亡率方面显示出希望,但缺乏一致的NICU实施.
研究的目的:
- 作为NeoIPC项目的一部分,优化新生儿重症监护室 (NICU) 内的袋鼠护理 (KC) 实践.
- 评估优化KC对重症新生儿感染和高风险婴儿耐药细菌殖民的影响.
- 实施和评估在欧洲NICU中持续使用KC的战略.
主要方法:
- 这是一项多中心,集群随机化的2型混合疗效实施研究 (NeoDeco),涉及五个欧洲国家的24个NICU.
- NeoImplement专注于提供实施支持和评估干预NICU中优化KC采用.
- 使用核心和共同设计的定制实施策略,并使用混合方法对障碍,促进因素和经济结果进行纵向评估.
主要成果:
- 这项研究正在进行中,结果正在等待.
- 目前正在开发和测试实施策略,以优化NICU中的KC.
- 正在评估KC实施的障碍,促进者和经济方面.
结论:
- NeoImplement的目标是建立可持续的KC在NICU的实施策略,超过研究的持续时间.
- 实施评估将提供关于知识与技术战略的有效性,可行性,可接受性和成本效益的见解.
- 长期目标是赋予NICU工作人员能力,以制定情境敏感的KC实施策略.
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