Marcellus Lenora, Poag Elizabeth
School of Nursing, University of Victoria, USA.
Neonatal Netw. 2016;35(5):327-32. doi: 10.1891/0730-0832.35.5.327.
Infants with neonatal abstinence syndrome (NAS) are a growing population in the NICU setting, and nurses report that caring for families can be challenging. Women who are pregnant and newly parenting who use drugs and alcohol typically face significant negative attitudes, judgment, and stigma within their communities and from providers when they access health care. When nurses witness biased behavior or communication from their peers, they may feel distressed and unprepared to address the situation. Using script guides or structured communication frameworks (e.g., SBAR) is one helpful strategy for rehearsing actions and responses. The ACTS script was developed specifically to address peer attitudes and stigma in relation to substance use during pregnancy.
在新生儿重症监护病房（NICU）中，患有新生儿戒断综合征（NAS）的婴儿数量不断增加，护士们表示，照顾这些家庭颇具挑战性。怀孕及初为人母且使用毒品和酒精的女性，在社区以及就医时通常会面临来自提供者的重大负面态度、评判和污名化。当护士目睹同行的偏见行为或交流时，他们可能会感到苦恼且无应对之策。使用脚本指南或结构化沟通框架（如SBAR）是预演行动和回应的一种有效策略。ACTS脚本就是专门为解决孕期物质使用方面的同伴态度和污名化问题而制定的。
