Voos Kristin C, Ross Gail, Ward Mary J, Yohay Anne-Lise, Osorio Snezana Nena, Perlman Jeffrey M
Division of Newborn Medicine, Department of Pediatrics, New York-Presbyterian Hospital, Weill Cornell Medical College, New York, NY, USA.
J Matern Fetal Neonatal Med. 2011 Nov;24(11):1403-6. doi: 10.3109/14767058.2011.596960. Epub 2011 Aug 1.
(1) Evaluate impact of FCR on provider satisfaction and collaboration. (2) Evaluate impact of FCR on parent satisfaction with provider communication.
Collaboration and Satisfaction about Care Decisions (CSACD) questionnaire was given to staff on 4 patients 2 days a week for 5 weeks prior to and 6 months after implementation of FCR. Parents received a Parents Stress Scale and Neonatal Instrument of Parent Satisfaction before discharge, prior to and 6 months after starting FCR.
278/288 (97%) staff surveys were completed, 142 pre and 136 post. On the CSACD survey NNPs and fellows showed increased (p < 0.05) collaboration and satisfaction post FCR. No group had decreased satisfaction. Twenty-eight of 45 (62%) parent surveys were completed, 12 pre and 16 post. Parents' satisfaction scores increased (p < 0.01) pre vs. post on survey items regarding communication, meeting with physicians, and obtaining information about their infants.
FCR was associated with enhanced collaboration among team members for NNPs and fellows. Parents' satisfaction scores increased post FCR on survey items regarding communication. Since NNPs and fellows are the primary communicators with parents, the increased satisfaction may reflect improved communication due to FCR. This added opportunity for open dialogue may also contribute to the increased parent satisfaction.
（1）评估家庭协作式查房（FCR）对医护人员满意度及协作的影响。（2）评估FCR对家长对医护人员沟通满意度的影响。
在实施FCR之前的5周内，每周2天对4名患者的医护人员发放关于医疗决策的协作与满意度（CSACD）问卷，共发放5周；在实施FCR之后6个月，再次发放该问卷。家长在出院前、开始实施FCR之前及之后6个月，分别接受家长压力量表和新生儿家长满意度量表的测评。
完成了278/288份（97%）医护人员调查问卷，其中实施FCR前142份，实施后136份。在CSACD调查问卷中，新生儿专科护士（NNP）和住院医师在实施FCR后协作及满意度有所提高（p<0.05）。没有任何一组满意度下降。45份家长调查问卷中完成了28份（62%），其中实施FCR前12份，实施后16份。在关于沟通、与医生会面以及获取婴儿信息的调查项目上，家长的满意度得分在实施FCR前后相比有所提高（p<0.01）。
FCR与新生儿专科护士和住院医师团队成员之间协作的增强有关。在关于沟通的调查项目上，家长的满意度得分在实施FCR后有所提高。由于新生儿专科护士和住院医师是与家长的主要沟通者，满意度的提高可能反映了FCR带来的沟通改善。这种增加的开放对话机会也可能有助于提高家长的满意度。
