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在新生儿重症监护病房实施家庭综合护理:护士培训

Implementing family-integrated care in the NICU: educating nurses.

作者信息

Galarza-Winton Mary E, Dicky Tenzin, OʼLeary Lori, Lee Shoo K, OʼBrien Karel

机构信息

Neonatal Intensive Care Unit, Mount Sinai Hospital, Toronto (Mss Galarza-Winton, Dicky, and O'Leary); Department of Pediatrics, University of Toronto (Drs Lee and O'Brien); and Departments of Obstetrics and Gynaecology, and Public Health, University of Toronto (Dr Lee), Ontario, Canada.

出版信息

Adv Neonatal Care. 2013 Oct;13(5):335-40. doi: 10.1097/ANC.0b013e3182a14cde.

Abstract

The purpose of this study was to develop, implement, and evaluate a nursing education program to support family-integrated care in a Canadian neonatal intensive care unit (NICU). A total of 44 nurses volunteered to take part in the family-integrated care program, 35 of whom received additional education in the form of a 4-hour workshop. Of the 35 nurses who attended, 21 were interviewed regarding the impact and content of the workshop. The study design included the development, implementation, and qualitative assessment of the nursing education component of a family-integrated care program. The multidisciplinary program team conducted a literature review and then designed and conducted a survey to assess the educational requirements of nurses regarding family-integrated care. A nursing workshop was then developed on the basis of the literature review, staff survey responses, and discussions with staff and parents who had experienced having an infant in the NICU. Six months into the program, the contribution of the nursing workshop content to nurses' participation in the family-integrated care program was evaluated using individual structured interviews. Nurses who were interviewed described the workshop as valuable and reported that the information provided on nursing versus parental responsibilities in infant care, the parent experience in the NICU, and developmental care strategies was the most useful. Interviewees also identified the need for ongoing staff mentoring to maximize their ability to facilitate family-integrated care. Specific education for nurses facilitates family-integrated care in the NICU.

摘要

本研究的目的是制定、实施并评估一项护理教育计划,以支持加拿大一家新生儿重症监护病房(NICU)的家庭综合护理。共有44名护士自愿参加家庭综合护理计划,其中35名护士接受了为期4小时工作坊形式的额外教育。在参加工作坊的35名护士中,有21名就工作坊的影响和内容接受了访谈。该研究设计包括家庭综合护理计划中护理教育部分的制定、实施和定性评估。多学科计划团队进行了文献综述,然后设计并开展了一项调查,以评估护士对家庭综合护理的教育需求。随后,根据文献综述、员工调查反馈以及与在NICU有婴儿的员工和家长的讨论,开发了一个护理工作坊。在该计划实施六个月后,通过个体结构化访谈评估了护理工作坊内容对护士参与家庭综合护理计划的贡献。接受访谈的护士称该工作坊很有价值,并报告说,在婴儿护理中护理职责与父母职责方面提供的信息、父母在NICU的经历以及发育护理策略是最有用的。受访者还指出需要持续的员工指导,以最大限度地提高他们促进家庭综合护理的能力。对护士进行特定教育有助于NICU的家庭综合护理。

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