Cheng Lei, Zhang Yuxia, Gu Ying, Lu Chunmei, Liu Qing, Yuan Hao
1School of Nursing, Fudan University, Shanghai, People's Republic of China 2Fudan University Centre for Evidence-Based Nursing: a Joanna Briggs Institute Centre of Excellence, Fudan University, Shanghai, People's Republic of China 3Children's Hospital of Fudan University, Shanghai, People's Republic of China.
JBI Database System Rev Implement Rep. 2016 Sep;14(9):367-380. doi: 10.11124/JBISRIR-2016-003087.
Supporting and involving the families of pre-term infants' in the discharge process provides them with confidence in caring for their infants at home. In an effort to facilitate families' readiness for discharge, the neonatal unit (NU) of the Children's Hospital of Fudan University has implemented a best practice project.
The aim of this project was to integrate the best available evidence on facilitating families' readiness for discharge into the nursing practice of the Children's Hospital of Fudan University.
The current evidence implementation project utilized the Joanna Briggs Institute (JBI) Practical Application of Clinical Evidence System (PACES) and Getting Research into Practice audit (GRiP) and feedback tools. Nine audit criteria were established on the best available evidence. The project was divided into three phases and conducted over six months in the NU.
Follow-up audits showed significant improvements. The most significant improvements, 95% compliance, were found in family involvement on admission, formal assessment of the family's caregiving capabilities, psychosocial readiness, resource availability and preferred teaching style. A moderate increase was noted in identification of family members involved (65%), formal assessment of their learning needs (50%) and provision of tailored education (55%). A small increase of 25% in compliance was found for evaluation of the education.
The project led to various changes, such as early involvement of pre-term infants' families, a formal assessment of their readiness for caring for infants and a tailored education program. Further audits will need to be carried out to sustain behavior change and monitor any areas for improvements.
在早产儿出院过程中支持并让其家庭参与进来，能让他们对在家照顾婴儿充满信心。为了帮助家庭做好出院准备，复旦大学附属儿科医院新生儿病房实施了一个最佳实践项目。
该项目旨在将关于帮助家庭做好出院准备的最佳现有证据整合到复旦大学附属儿科医院的护理实践中。
当前的证据实施项目采用了乔安娜·布里格斯研究所（JBI）的临床证据系统实际应用（PACES）以及将研究转化为实践的审核（GRiP）和反馈工具。基于最佳现有证据制定了九条审核标准。该项目分为三个阶段，在新生儿病房进行了六个月。
后续审核显示有显著改善。在家庭入院时的参与度、对家庭护理能力的正式评估、心理社会准备情况、资源可用性和偏好的教学方式方面，改善最为显著，合规率达95%。在确定参与的家庭成员（65%）、对其学习需求的正式评估（50%）和提供量身定制的教育（55%）方面有适度增加。在教育评估方面，合规率小幅提高了25%。
该项目带来了各种变化，如早产儿家庭的早期参与、对其照顾婴儿准备情况的正式评估以及量身定制的教育项目。需要进一步进行审核以维持行为改变并监测任何需要改进的领域。
