Hall S L, Hynan M T, Phillips R, Lassen S, Craig J W, Goyer E, Hatfield R F, Cohen H
St. John's Regional Medical Center, Oxnard, CA, USA.
Department of Psychology, University of Wisconsin-Milwaukee, Milwaukee, WI, USA.
J Perinatol. 2017 Dec;37(12):1259-1264. doi: 10.1038/jp.2017.108. Epub 2017 Aug 10.
This paper describes a paradigm shift occurring in neonatal intensive care. Care teams are moving from a focus limited to healing the baby's medical problems towards a focus that also requires effective partnerships with families. These partnerships encourage extensive participation of mothers and fathers in their baby's care and ongoing bi-directional communication with the care team. The term Newborn Intensive Parenting Unit (NIPU) was derived to capture this concept. One component of the NIPU is family-integrated care, where parents are intimately involved in a baby's care for as many hours a day as possible. We describe six areas of potentially better practices (PBPs) for the NIPU along with descriptions of NIPU physical characteristics, operations, and a relationship-based culture. Research indicates the PBPs should lead to improved outcomes for NIPU babies, better mental health outcomes for their parents, and enhanced well-being of staff.
本文描述了新生儿重症监护领域正在发生的范式转变。护理团队正从仅专注于治疗婴儿的医疗问题，转向同时需要与家庭建立有效伙伴关系的关注点。这些伙伴关系鼓励父母广泛参与婴儿护理，并与护理团队进行持续的双向沟通。“新生儿强化育儿单元”（NIPU）这一术语由此而来，用以体现这一概念。NIPU的一个组成部分是家庭整合式护理，即父母尽可能多地参与婴儿一天中的护理。我们描述了NIPU潜在更佳实践（PBP）的六个领域，以及NIPU的物理特征、运作情况和基于关系的文化。研究表明，这些PBP应能改善NIPU婴儿的治疗效果，提升其父母的心理健康水平，并增进工作人员的幸福感。
