Royal College of Nursing Research Institute, School of Health and Social Studies, University of Warwick, Coventry, UK.
Worldviews Evid Based Nurs. 2012 Dec;9(4):243-55. doi: 10.1111/j.1741-6787.2012.00253.x. Epub 2012 Jun 14.
The concept of family-centred care in neonatal practice has become increasingly recognised internationally. The underlying philosophy puts parents and the family at the centre of health care and promotes "individualised, flexible care."
To develop the first international model of family-centred care based on strong parental collaboration in the synthesis of robust research evidence to generate the philosophy, principles, model, and indicators for implementation. METHODS AND SYNTHESIS: Seven key steps were followed to develop the POPPY model of care collaboratively with parents. Step 1 drew on the POPPY systematic review to identify effective interventions. Step 2 drew on the POPPY qualitative study to identify good parent experiences. Step 3 identified the philosophy and principles of the POPPY model of care. Step 4 identified the key stages of the POPPY model of care. Step 5 populated the POPPY model of care with data from steps 1 and 2. Step 6 developed the indicators of family-centred care; and Step 7 undertook some initial testing with parents and practitioners.
Seven key stages of the parents' journey through their neonatal unit experience were identified and formed the architecture of the POPPY model of care. These include: before admission to the unit, admission, early days, growing and developing, transfers between units and between levels of care, preparing for discharge, and transition to home and at home. A philosophy, a set of principles to underpin the model, and a set of indicators to guide implementation in neonatal units were developed.
The POPPY model of family-centred care provides the first robust, collaboratively developed, parent-centred model, which can be implemented to deliver high quality care to parents of preterm infants.
Implementing the POPPY model could help neonatal units to develop parent-focused services which better meet parents' needs for information, communication and support, key elements of family-centred care.
以家庭为中心的护理理念在新生儿护理中得到了越来越多的国际认可。其核心理念是将父母和家庭置于医疗保健的中心，并提倡“个性化、灵活的护理”。
基于强有力的父母合作，综合可靠的研究证据，制定首个以家庭为中心的护理国际模式，为实施提供理念、原则、模式和指标。
通过与父母合作，分七个关键步骤开发了 POPPY 护理模式。第一步借鉴了 POPPY 系统评价，以确定有效的干预措施。第二步借鉴了 POPPY 定性研究，以确定良好的父母体验。第三步确定了 POPPY 护理模式的理念和原则。第四步确定了 POPPY 护理模式的关键阶段。第五步将步骤 1 和 2 的数据填入 POPPY 护理模式。第六步制定了以家庭为中心的护理指标；第七步与父母和从业者进行了一些初步测试。
确定了父母在新生儿病房体验中的七个关键阶段，并构成了 POPPY 护理模式的架构。这些阶段包括：入院前、入院时、早期、成长和发育、在单位之间和在不同护理水平之间转移、准备出院以及过渡到家庭和在家。制定了理念、支撑模型的一套原则和一套指标，以指导新生儿病房的实施。
POPPY 以家庭为中心的护理模式提供了首个稳健的、协作制定的、以父母为中心的模式，可以实施该模式为早产儿的父母提供高质量的护理。
实施 POPPY 模式可以帮助新生儿病房开发以父母为中心的服务，更好地满足父母对信息、沟通和支持的需求，这些是以家庭为中心的护理的关键要素。
