Maree Carin, Kekana Poppy, van der Walt Christa, Yazbek Mariatha, Leech Ronell
Department of Nursing Science, University of Pretoria, Pretoria, South Africa (Drs Maree, Yazbek, and Leech); and Sigma Theta Tau Africa: Mother and Child Health Nurse Leadership Academy Second Cohort (Drs Maree and van der Walt and Ms Kekana); Neonatal Intensive Care Unit, Steve Biko Academic Hospital, Pretoria, South Africa (Ms Kekana); and INSINQ Research Focus Area, Northwest University, Potchefstroom, South Africa (Dr van der Walt).
J Perinat Neonatal Nurs. 2017 Jul/Sep;31(3):274-280. doi: 10.1097/JPN.0000000000000274.
The introduction of family-centered care in the neonatal intensive care unit was identified as a high priority to facilitate bonding and attachment with potential positive outcomes for the parents and infants. The aim of the study was, therefore, to develop and implement a quality improvement initiative to foster family-centered care in a tertiary neonatal intensive care unit from birth onward. A pretest posttest intervention design was used using mixed methods over 3 phases to determine the perceived level of family-centered care according to healthcare professionals and parents using self-administered questionnaires; to develop and implement a quality improvement initiative to enhance family-centered care in a neonatal intensive care unit using a nominal group technique, followed by the quality improvement process; and to evaluate the outcomes of the initiative by repeating the self-administered questionnaires to parents and staff. Various activities were introduced as part of the initiative such as early breastfeeding, early introduction of parents to their infant, open visitation policy, and involvement in caring activities. The perceived level of care according to staff and parents increased. It is expected to enhance bonding and attachment between the infants and their parents, with consequential long-term positive outcomes.
在新生儿重症监护病房引入以家庭为中心的护理被视为一项高度优先事项，以促进亲子关系的建立和情感联结，为父母和婴儿带来潜在的积极成果。因此，本研究的目的是制定并实施一项质量改进计划，从婴儿出生起就在三级新生儿重症监护病房促进以家庭为中心的护理。采用前测后测干预设计，分三个阶段运用混合方法，通过自填式问卷确定医护人员和父母对以家庭为中心护理的感知水平；运用名义群体技术制定并实施一项质量改进计划，以加强新生儿重症监护病房的以家庭为中心护理，随后进行质量改进过程；通过向父母和工作人员再次发放自填式问卷来评估该计划的结果。作为该计划的一部分，开展了各种活动，如早期母乳喂养、让父母尽早接触婴儿、开放探视政策以及参与护理活动。医护人员和父母对护理的感知水平有所提高。预计这将增强婴儿与其父母之间的情感联结和依恋，从而产生长期的积极成果。
