Carter B S, Bhatia J
Section of Neonatology, Department of Pediatrics, Medical College of Georgia, Augusta, GA, USA.
J Perinatol. 2001 Jul-Aug;21(5):279-83. doi: 10.1038/sj.jp.7210582.
To report the multidisciplinary developmental process of a comfort care guideline for the neonatal intensive care unit (NICU) addressing palliative care measures in a tertiary academic medical center. The guideline was developed to be (1) practical, (2) family-centered, (3) respectful of the infant patient, and (4) educational.
A consensus-building process involving medical, nursing, administrative, and ancillary professional staff integral to the NICU and Obstetrics units using naturalistic inquiry.
An approved hospital guideline was formulated and implemented over a 16-month period. It described candidates for comfort care, the locale for such care to be rendered, and the construct of essential services to the infant and family. Early reports attest to staff acceptance and it is currently incorporated into trainee education.
Clinically practical guidelines, comprehensive in their scope of providing comfort care to newborns with life-limiting conditions, can be institutionally derived and locally implemented for both consistency in patient care and educational value for staff and trainees.
报告一家三级学术医疗中心针对新生儿重症监护病房（NICU）制定的包含姑息治疗措施的舒适护理指南的多学科制定过程。该指南的制定旨在实现以下几点：（1）实用；（2）以家庭为中心；（3）尊重婴儿患者；（4）具有教育意义。
采用自然主义探究方法，在NICU和产科病房召集医疗、护理、行政及辅助专业人员参与共识构建过程。
制定并在16个月内实施了一项获批的医院指南。该指南描述了舒适护理的适用对象、提供此类护理的地点以及为婴儿及其家庭提供的基本服务内容。早期报告证明工作人员接受了该指南，目前它已纳入实习生教育内容。
临床实用指南在为患有危及生命疾病的新生儿提供舒适护理方面具有全面性，可在机构内部制定并在当地实施，以确保患者护理的一致性，并对工作人员和实习生具有教育价值。
