McCarley Renay Marie, Dowling Donna A, Dolansky Mary A, Bieda Amy
Neonatal Netw. 2018 Mar 1;37(2):96-104. doi: 10.1891/0730-0832.37.2.96.
The global aim of this quality improvement project was to develop and implement a systematic process to assign and maintain consistent bedside nurses for infants and families.
A systematic process based on a primary care nursing model was implemented to assign consistent care for a 48-bed, single-family room NICU.
Four PDSA cycles were necessary to obtain agreement from the nursing staff as to the best process for assigning primary nurses. Post-intervention data revealed a 9.5 percent decrease of consistent caregivers for infants in the NICU ≤ 28 days and a 2.3 percent increase of consistent caregivers for infants in the NICU ≥ 29 days.
Although these findings did not meet the goal of the specific aim, a systematic process was created to assign bedside nurses to infants. Further PDSAs will be needed to refine the process to reach the aim.
本质量改进项目的总体目标是制定并实施一个系统流程，为婴儿及其家庭分配并维持固定的床边护士。
实施了一个基于初级护理模式的系统流程，为一间拥有48张床位、均为单人病房的新生儿重症监护室分配持续护理。
经过四个计划-实施-检查-处理（PDSA）循环，才获得护理人员对分配责任护士最佳流程的认可。干预后的数据显示，在新生儿重症监护室中，28天及以下婴儿的固定护理人员减少了9.5%，29天及以上婴儿的固定护理人员增加了2.3%。
尽管这些结果未达到特定目标，但已创建了一个为婴儿分配床边护士的系统流程。需要进一步进行计划-实施-检查-处理循环以完善该流程，从而实现目标。
