药物戒断婴儿：护士工作量、婴儿 acuity 和父母需求的全国性描述。 注：这里的“acuity”可能有更准确的医学术语含义，比如“敏锐度”“ acuity of illness可理解为疾病的严重程度或复杂程度等，但仅按字面翻译为“acuity” 。 可根据上下文进一步准确理解其在医学语境中的意思 。
Infants in Drug Withdrawal: A National Description of Nurse Workload, Infant Acuity, and Parental Needs.
作者信息
Smith Jessica G, Rogowski Jeannette A, Schoenauer Kathryn M, Lake Eileen T
机构信息
Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia (Drs Smith and Lake and Ms Schoenauer) Department of Health Systems and Policy, Rutgers School of Public Health, New Brunswick, New Jersey (Dr Rogowski).
出版信息
J Perinat Neonatal Nurs. 2018 Jan/Mar;32(1):72-79. doi: 10.1097/JPN.0000000000000309.
Infants in drug withdrawal have complex physiological and behavioral states, requiring intensive nursing care. The study objectives were to describe acuity, parental needs, and nurse workload of infants in drug withdrawal compared with other infants. The design was cross-sectional and involved secondary nurse survey data from 6045 staff nurses from a national sample of 104 neonatal intensive care units. Nurses reported the care of 15 233 infants, 361 (2.4%) of whom were in drug withdrawal. Three-fourths of hospitals had at least 1 infant in drug withdrawal. In these hospitals, the mean number of infants in drug withdrawal was 4.7. Infant acuity was significantly higher among infants in drug withdrawal. Parents of infants in drug withdrawal required significantly more care to address complex social situations (51% vs 12%). The number of infants assigned to nurses with at least 1 infant in withdrawal (mean = 2.69) was significantly higher than typical (mean = 2.51). Given infant acuity and parental needs, policies legislating patient-to-nurse ratios should permit professional discretion on the number of patients to assign nurses caring for infants in drug withdrawal. Managers and charge nurses should consider the demands of caring for infants in drug withdrawal in assignment decisions and provide support and education.
药物戒断期婴儿具有复杂的生理和行为状态，需要重症护理。本研究的目的是描述与其他婴儿相比，药物戒断期婴儿的病情严重程度、家长需求及护士工作量。研究设计为横断面研究，涉及来自全国104家新生儿重症监护病房的6045名注册护士的二次调查数据。护士们报告了15233名婴儿的护理情况，其中361名（2.4%）处于药物戒断期。四分之三的医院至少有1名药物戒断期婴儿。在这些医院中，药物戒断期婴儿的平均数量为4.7名。药物戒断期婴儿的病情严重程度显著更高。药物戒断期婴儿的家长需要更多护理来应对复杂的社会情况（51%对12%）。分配给至少护理1名戒断期婴儿的护士的婴儿数量（平均 = 2.69）显著高于通常情况（平均 = 2.51）。鉴于婴儿的病情严重程度和家长需求，规定患者与护士配比的政策应允许专业人员自行决定分配给护理药物戒断期婴儿的护士的患者数量。护士长和值班护士在分配任务时应考虑护理药物戒断期婴儿的需求，并提供支持和培训。
Zotero 插件