Baker K, Kuhlmann T, Magliaro B L
Health Education Services, Morristown Memorial Hospital, New Jersey.
Nurs Clin North Am. 1989 Sep;24(3):655-64.
This article presents the complex work that professionals and parents must accomplish together prior to the discharge of a very ill or premature infant. Nurses play a critical role in this work by coordinating and directing the discharge teaching process. This process begins with the establishment of trusting relationships with parents and includes an assessment of the family's feelings, readiness to learn, and resources. A written teaching plan flows from this assessment and includes specific teaching topics germane to the individual child. A case manager coordinates the implementation of the plan and the evaluation of the learner's ability to care for the child independently in the home. Although time consuming and challenging, adequate discharge teaching in the NICU is critical to the successful integration of these special children into the family unit.
本文介绍了专业人员和家长在病情严重或早产婴儿出院前必须共同完成的复杂工作。护士在这项工作中发挥着关键作用，协调和指导出院指导过程。这个过程始于与家长建立信任关系，包括评估家庭的感受、学习准备情况和资源。根据这一评估制定书面教学计划，其中包括与个别儿童相关的具体教学主题。个案管理员协调计划的实施以及对学习者在家中独立照顾孩子能力的评估。尽管耗时且具有挑战性，但新生儿重症监护病房（NICU）进行充分的出院指导对于这些特殊儿童成功融入家庭至关重要。
