School of Nursing & Midwifery, Trinity College Dublin, University of Dublin, Dublin, Ireland.
School of Nursing & Midwifery, Trinity College Dublin, University of Dublin, Dublin, Ireland.
Lancet Child Adolesc Health. 2018 Nov;2(11):832-838. doi: 10.1016/S2352-4642(18)30270-0.
This Viewpoint presents and discusses the development of the first core principles and standards for effective, personalised care of children living with complex care needs in Europe. These principles and standards emerged from an analysis of data gathered on several areas, including the integration of care for the child at the acute-community interface, the referral-discharge interface, the social care interface, nursing preparedness for practice, and experiences of the child and family. The three main principles, underpinned by a child-centric approach, are access to care, co-creation of care, and effective integrated governance. Collectively, the principles and standards offer a means to benchmark existing services for children living with complex care needs, to influence policy in relation to service delivery for these children, and to provide a suite of indicators with which to assess future service developments in this area.
本观点介绍并讨论了在欧洲为有复杂护理需求的儿童提供有效、个性化护理的首批核心原则和标准的制定过程。这些原则和标准源自对包括以下几个方面的数据的分析:在急症-社区接口、转介-出院接口、社会护理接口处为儿童提供整合护理;护理人员为实践做好准备;以及儿童及其家庭的体验。这三个主要原则以以儿童为中心的方法为支撑,分别是获得护理、共同创造护理以及有效的综合治理。这些原则和标准共同提供了一种基准方法,可用于衡量现有服务,以满足有复杂护理需求的儿童的需要;可用于影响与这些儿童的服务提供相关的政策;并提供了一系列指标,可用于评估该领域未来的服务发展。