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新生儿重症监护病房对家庭和工作人员的丧亲照护及后续支持

NICU Bereavement Care and Follow-up Support for Families and Staff.

作者信息

Levick Judy, Fannon Jane, Bodemann Janet, Munch Shari

机构信息

Spectrum Health Helen DeVos Children's Hospital, Grand Rapids, Michigan (Mss Levick, Fannon, and Bodemann); and School of Social Work, Rutgers, The State University of New Jersey, New Brunswick (Dr Munch).

出版信息

Adv Neonatal Care. 2017 Dec;17(6):451-460. doi: 10.1097/ANC.0000000000000435.

DOI:10.1097/ANC.0000000000000435
PMID:29059069
Abstract

BACKGROUND

Experiencing the death of an infant in the neonatal intensive care unit (NICU) affects both families and staff, creating challenges and opportunities for best practices.

PURPOSE

This practice-based article describes a comprehensive approach to delivering bereavement services to NICU families, as well as education and support to NICU staff.

METHODS

Bereaved NICU parent and staff survey feedback, including quotes describing individual experiences and suggestions for improved service delivery.

RESULTS

Bereaved NICU families and caregivers find meaning and purpose in the act of creating keepsake memories at the time of the infant's death. Mutual healing takes place with subsequent, individualized follow-up contacts by staff familiar to the bereaved parents over the course of a year.

IMPLICATIONS FOR PRACTICE

Those staff involved in the care of a NICU infant and family, during and after the infant's death, attest to the value in providing tangible keepsakes as well as continuing their relationship with the bereaved parents. An effective administrative infrastructure is key to efficient program operations and follow-through.

IMPLICATIONS FOR RESEARCH

Studying different methods of in-hospital and follow-up emotional support for NICU bereaved families. Identifying strategies for staff support during and after NICU infant loss, and the impact a formal program may have on staff satisfaction and retention.

摘要

背景

在新生儿重症监护病房(NICU)经历婴儿死亡会对家庭和工作人员都产生影响,为最佳实践带来挑战和机遇。

目的

这篇基于实践的文章描述了为NICU家庭提供哀伤服务以及为NICU工作人员提供教育和支持的综合方法。

方法

对NICU丧亲家长和工作人员进行调查反馈,包括描述个人经历的引述以及对改进服务提供的建议。

结果

NICU丧亲家庭和护理人员在婴儿死亡时创造纪念回忆的行为中找到了意义和目的。在一年的时间里,由丧亲父母熟悉的工作人员进行后续的个性化跟进接触,实现了相互治愈。

对实践的启示

那些在婴儿死亡期间及之后参与照顾NICU婴儿和家庭的工作人员,证明了提供有形纪念物以及与丧亲父母保持关系的价值。有效的行政基础设施是高效项目运作和跟进的关键。

对研究的启示

研究为NICU丧亲家庭提供院内和后续情感支持的不同方法。确定在NICU婴儿死亡期间及之后为工作人员提供支持的策略,以及正式项目可能对工作人员满意度和留任意愿产生的影响。

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