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新生儿重症监护中关系学习的跨学科、以家庭为中心的方法。

An interdisciplinary, family-focused approach to relational learning in neonatal intensive care.

机构信息

Division of Critical Care Medicine, Children's Hospital Boston, Boston, MA, USA.

出版信息

J Perinatol. 2011 Mar;31(3):212-9. doi: 10.1038/jp.2010.109. Epub 2010 Aug 12.

DOI:10.1038/jp.2010.109
PMID:20706191
Abstract

OBJECTIVE

The aim of this study is to show the efficacy of the Program to Enhance Relational and Communication Skills-Neonatal Intensive Care Unit (PERCS-NICU).

STUDY DESIGN

In this study, 74 practitioners attended workshops and completed baseline, post-training and follow-up questionnaires.

RESULT

On yes/no questions, 93 to 100% reported improved preparation, communication skills and confidence post-training and follow-up. A total of 94 and 83% improved their ability to establish relationships, and 76 and 83% reported reduced anxiety post-training and follow-up, respectively. On Likert items, 59 and 64% improved preparation, 45 and 60% improved communication skills and confidence, 25 and 53% decreased anxiety and 16 and 32% improved relationships post-training and follow-up, respectively. Qualitative themes included integrating new communication and relational abilities, honoring the family perspective, appreciating interdisciplinary collaboration, personal/human connection and valuing the learning. In total, 93% applied skills learned, three-quarters transformed practice and 100% recommended PERCS-NICU.

CONCLUSION

After PERCS-NICU, clinicians improved preparation, communication and relational abilities, confidence and reduced anxiety when holding difficult neonatal conversations.

摘要

目的

本研究旨在展示增强关系和沟通技能-新生儿重症监护病房(PERCS-NICU)计划的疗效。

研究设计

在这项研究中,74 名从业者参加了研讨会,并完成了基线、培训后和随访问卷。

结果

在是/否问题上,93%至 100%的人报告在培训后和随访时准备、沟通技巧和信心有所提高。共有 94%和 83%的人提高了建立关系的能力,分别有 76%和 83%的人报告在培训后和随访时焦虑减轻。在李克特项目中,59%和 64%的人在准备方面有所改善,45%和 60%的人在沟通技巧和信心方面有所改善,25%和 53%的人在焦虑方面有所减轻,16%和 32%的人在人际关系方面有所改善。培训后和随访时,主题包括整合新的沟通和关系能力、尊重家庭视角、欣赏跨学科合作、个人/人际联系和重视学习。总的来说,93%的人应用了所学的技能,四分之三的人改变了实践,100%的人推荐了 PERCS-NICU。

结论

经过 PERCS-NICU,临床医生在进行困难的新生儿谈话时,提高了准备、沟通和关系能力、信心,并减轻了焦虑。

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