大型新生儿重症监护病房护理微系统模型

A model of nursing care microsystems for a large neonatal intensive care unit.

作者信息

Goldschmidt Karen A, Gordin Peggy

机构信息

Newborn Infant Center, The Children's Hospital of Philadelphia, PA 19104, USA.

出版信息

Adv Neonatal Care. 2006 Apr;6(2):81-8. doi: 10.1016/j.adnc.2006.01.003.

DOI:10.1016/j.adnc.2006.01.003

PMID:16618477

Abstract

Nationally the number and size of neonatal intensive care units (NICUs) continues to grow. Today, NICUs with >40 beds, often referred to as "megaunits," are not uncommon. Staff in large units find it challenging to maintain teamwork, communication, and continuity of nursing care for patients. Families find large units overwhelming. In large NICUs, nurse leaders struggle to achieve a balance between parent satisfaction with care provided and nursing job satisfaction. This article describes the development of a new model of nursing practice, a nursing team microsystem. This innovative model has the unique effect of creating smaller units within the larger one, using highly skilled nursing teams, that are geographically grouped to provide care for infants and their families. The model supports teamwork, communication, continuity of care, and has shown a positive impact on both family and nurses' job satisfaction.

摘要

在全国范围内，新生儿重症监护病房（NICU）的数量和规模持续增长。如今，拥有超过40张床位的NICU，通常被称为“大型病房”，并不罕见。大型病房的工作人员发现，维持团队协作、沟通以及为患者提供持续护理颇具挑战。家属们觉得大型病房让人应接不暇。在大型NICU中，护士长们努力在家长对所提供护理的满意度与护士工作满意度之间取得平衡。本文介绍了一种新的护理实践模式——护理团队微观系统的发展情况。这种创新模式具有独特作用，即在大型病房内利用技术精湛的护理团队创建更小的单元，这些单元按地理位置分组，为婴儿及其家庭提供护理。该模式支持团队协作、沟通以及护理的连续性，并且已对家属和护士的工作满意度产生了积极影响。