以家庭为中心的护理潜在更佳实践的实施与案例研究结果：以家庭为中心的护理地图
Implementation and case-study results of potentially better practices for family-centered care: the family-centered care map.
作者信息
Johnston Anne M, Bullock Candice E, Graham Jean E, Reilly Maureen C, Rocha Colleen, Hoopes Robert D, Van der Meid Vanessa, Gutierrez Susan, Abraham Marie R
机构信息
Vermont Children's Hospital at Fletcher Allen Health Care and Department of Pediatrics, University of Vermont, Burlington, Vermont 05477, USA.
出版信息
Pediatrics. 2006 Nov;118 Suppl 2:S108-14. doi: 10.1542/peds.2006-0913G.
OBJECTIVE
The objective of this study was to enhance the ability to coordinate and deliver care in a holistic manner, through a family-centered care map, so that the developmental, physical, and psychosocial needs of the infant and family are met.
METHODS
A Web-based map was based on 7 distinct clinical phases with 3 variations of an infant's course through a NICU. Sixty-three potentially better practices were identified and 7 potentially better practices were implemented through case studies.
RESULTS
Measures of family satisfaction revealed improvements in delivery of family-centered care. Increases in discharge growth parameters for extremely low birth weight infants were demonstrated. Length of stay for very low birth weight infants decreased from 73 to 60 days in Vermont.
CONCLUSIONS
The collaborative process enhances identification of potentially better practices and results in both qualitative and quantitative improvements in family-centered care.
目的
本研究的目的是通过以家庭为中心的护理地图，提高以整体方式协调和提供护理的能力，从而满足婴儿及其家庭的发育、身体和心理社会需求。
方法
基于网络的地图基于7个不同的临床阶段以及婴儿在新生儿重症监护病房（NICU）的3种不同病程。确定了63项潜在的更佳实践，并通过案例研究实施了7项潜在的更佳实践。
结果
家庭满意度调查显示，以家庭为中心的护理提供情况有所改善。极低出生体重婴儿出院时生长参数有所增加。佛蒙特州极低出生体重婴儿的住院时间从73天降至60天。
结论
协作过程增强了对潜在更佳实践的识别，并在以家庭为中心的护理方面带来了定性和定量的改善。
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