提高新生儿重症监护病房家长教育的效率和效果。
Improving the Efficiency and Effectiveness of Parent Education in the Neonatal Intensive Care Unit.
作者信息
Gehl Melissa B, Alter Caroline C, Rider Nikki, Gunther Lori G, Russell Rebecca B
机构信息
March of Dimes, Mission Department, Arlington, Virginia (Mss Gehl, Alter, Russell, and Gunther). Dr Rider is an independent consultant, Daphne, AL.
出版信息
Adv Neonatal Care. 2020 Feb;20(1):59-67. doi: 10.1097/ANC.0000000000000644.
BACKGROUND
March of Dimes partners with hospitals across the country to implement NICU Family Support (NFS) Core Curriculum, a program providing education to parents in neonatal intensive care units (NICUs) across the country.
PURPOSE
This NFS project's goal was to increase the efficiency and effectiveness of NICU parent education by establishing consistency, improving quality, and identifying best practices.
METHODS/SEARCH STRATEGY: A 5 topic curriculum was developed and implemented across NFS program sites. The project studied 4 main outcomes of interest related to efficiency and effectiveness: increase in parenting confidence, parent learning, knowledge change, and satisfaction. Data were collected from speakers and attendees immediately following educational sessions. Analytical approaches included descriptive statistics such as frequency, percentage, and response rate, and inferential approaches such as t test, χ, and analysis of variance.
FINDINGS/RESULTS: Findings suggest that the NFS Core Curriculum improved both program efficiency and effectiveness. Sessions fully implemented according to recommended strategies had better outcomes than sessions not fully implemented according to recommended strategies (P < .0001). Across the 3648 attendees at 41 sites, 77% of parents reported learning "a lot" at the session they attended and 85% of attendees reported increased confidence. Attendees also reported positive knowledge change and high satisfaction.
IMPLICATIONS FOR PRACTICE
Parent education best practices identified through this initiative can be utilized for future NFS Core Curriculum topics and potentially generalized to all NICU parent education and family education in other hospital intensive care units.
IMPLICATIONS FOR RESEARCH
Content and best practices identified through this project will require regular review to ensure medical accuracy and appropriateness of best practices as the physical design of NICUs evolves.
背景
美国疾病控制与预防中心早产基金会与全国各医院合作实施新生儿重症监护室家庭支持（NFS）核心课程，该项目为全国新生儿重症监护室（NICU）的家长提供教育。
目的
本NFS项目的目标是通过建立一致性、提高质量和确定最佳实践来提高NICU家长教育的效率和效果。
方法/搜索策略：开发了一个包含5个主题的课程并在NFS项目站点实施。该项目研究了与效率和效果相关的4个主要关注结果：育儿信心增强、家长学习、知识改变和满意度。在教育课程结束后立即从演讲者和参与者那里收集数据。分析方法包括描述性统计，如频率、百分比和回复率，以及推断性方法，如t检验、χ检验和方差分析。
研究结果
结果表明，NFS核心课程提高了项目的效率和效果。按照推荐策略全面实施的课程比未按照推荐策略全面实施的课程有更好的结果（P <.0001）。在41个站点的3648名参与者中，77%的家长表示在他们参加的课程中学到了“很多”，85%的参与者表示信心增强。参与者还报告了积极的知识改变和高度满意度。
对实践的启示
通过该倡议确定的家长教育最佳实践可用于未来的NFS核心课程主题，并有可能推广到所有NICU家长教育以及其他医院重症监护室的家庭教育。
对研究的启示
随着NICU物理设计的演变，通过该项目确定的内容和最佳实践将需要定期审查，以确保最佳实践的医学准确性和适用性。
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