Premji Shahirose S, Spence Kaye, Kenner Carole
Shahirose S Premji is an Associate Professor, University of Calgary, Faculty of Nursing, an Adjunct Associate Professor, University of Calgary, Faculty of Medicine, Department of Community Health Sciences, and Member, The Alberta Children's Hospital Research Institute, Calgary, Alberta, Canada. She can be reached via e-mail at
MCN Am J Matern Child Nurs. 2013 Nov-Dec;38(6):336-42; quiz 343-4. doi: 10.1097/NMC.0b013e31829f2c94.
In an attempt to reach Millennium Development Goals, health facility births, which are births occurring in health centers, facilities, or institutions under the care of a skilled birth attendant, are increasing in developing countries. We examined the state of neonatal nursing care in the context of issues related to the capacity of these health facilities to provide quality care and the high facility mortality rates in those neonates admitted to hospital. Neonatal nursing as a specialty within a community-hospital-community network system is proposed as an effective scaling-up strategy to improve neonatal survival. Establishment of international competency standards for neonatal nursing together with regulatory processes with mechanisms to facilitate specialty education forms the basis for the specialty of neonatal nursing. We have identified a strategy to mobilize financial resources for the development of the specialty of neonatal nursing. Evaluation of trends in mortality and identification of process indicators will facilitate examination of the effectiveness of the introduction of the specialty of neonatal nursing as a scaling-up strategy.
为实现千年发展目标，在发展中国家，卫生机构分娩（即在卫生中心、机构或在熟练接生员照料下的机构中发生的分娩）正在增加。我们在这些卫生机构提供优质护理的能力以及入院新生儿的高机构死亡率相关问题的背景下，审视了新生儿护理的状况。作为社区 - 医院 - 社区网络系统内的一个专业领域，新生儿护理被提议作为提高新生儿存活率的有效扩大规模战略。制定新生儿护理的国际能力标准以及带有促进专业教育机制的监管流程构成了新生儿护理专业的基础。我们已经确定了一项为新生儿护理专业发展筹集财政资源的战略。对死亡率趋势的评估以及过程指标的确定将有助于检验引入新生儿护理专业作为扩大规模战略的有效性。
