新生儿护理的质量和安全指标:对其演变的综合性审查
Ana Malveira1, Ana Dias2,3, Margarida Goes2,3
1Unidade Local de Saúde Alentejo Central, UCIN, Évora, Portugal.
Portuguese journal of public health
|March 16, 2026
概括
新生儿患者安全指标已经从程序重点演变为综合方法,与以发育为中心的护理保持一致. 这项研究为创建新生儿患者安全检查清单的基础,以提高NICU质量.
科学领域:
- 新生儿重症监护室新生儿重症监护室
- 患者的安全性 患者安全性
- 质量改进科学 质量改进科学
背景情况:
- 新生儿重症监护室 (NICU) 的环境需要专门的护理和先进的技术.
- 优先考虑新生儿患者安全,推动了质量监测工具和指标的开发.
- 发育为中心的护理 (DCC) 原则越来越多地被纳入新生儿患者安全战略.
研究的目的:
- 批判性地分析新生儿护理质量和安全指标的演变.
- 讨论这些指标对于创建新生儿患者安全检查清单 (NPSC) 的适用性.
- 将NPSC建立在以发展为中心的护理 (DCC) 原则的基础上.
主要方法:
- 根据惠特莫尔和Knafl的方法进行综合性审查.
- 在PubMed,Scopus,Web of Science,CINAHL和SciELO数据库 (2011-2023) 中进行的搜索.
- 使用PRISMA 2020指南和批判性评估工具分析了14项经验研究.
主要成果:
- 从技术程序安全 (感染,药物) 转向综合方法,包括安全文化,领导力和体验指标.
- 现在指标包括安全文化,领导力,沟通和家长满意度,与DCC保持一致.
- 中等到高的方法质量,但在验证经验指标和跨NICU的操作标准化方面存在差距.
结论:
- 在NICU质量和安全测量的概念进步显示DCC的逐步整合.
- 定义的标准化,结构化记录和心理测量验证对于系统的指标整合至关重要.
- 调查结果支持开发和实施NPSC,以实现NICU的持续改进和决策支持.
相关概念视频
Guidelines For Measuring Vital Signs
3.1K
Following these guidelines can help nurses accurately measure vital signs, assess changes in patient conditions, and provide timely treatment when necessary. Adhering closely to the guidelines ensures the accuracy and reliability of the results.
Before taking a patient's vital signs, a nurse would consider and assess the patient's comfort level and ensure appropriate equipment is available.
Before taking a patient's vital signs, a nurse would consider and assess the patient's comfort level and ensure appropriate equipment is available.
3.1K
Healthcare Associated Infections II: Preventive Measures
4.7K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
4.7K
Respiratory Assessment: Purpose and Indications
2.0K
Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
2.0K
Introduction to Vital Signs
9.7K
Vital signs are physiological measurements that help key into the status of the body's essential functions. These include body temperature, pulse rate, respiratory rate, and blood pressure, commonly abbreviated as T, P, R, and BP. Some healthcare settings also consider oxygen saturation (SpO2) and, in specific contexts, pain and level of consciousness as additional vital signs.
Vital signs help healthcare professionals assess an individual's well-being and detect any functional changes...
Vital signs help healthcare professionals assess an individual's well-being and detect any functional changes...
9.7K
Guidelines for Nursing Documentation I
2.4K
Quality documentation and reporting share essential characteristics that ensure they are practical and valuable resources for those who use them. These characteristics are:
Factual:
The following points emphasize the significance of upholding accurate and unbiased documentation in healthcare.
Factual:
The following points emphasize the significance of upholding accurate and unbiased documentation in healthcare.
2.4K
Nursing Clinical Information System
1.4K
Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
1.4K


