Infant and Early Childhood Development (IECD) PhD Program, Fielding Graduate University, 2020 De la Vina Street, Santa Barbara, CA, 93105, USA.
Department of Physical Therapy, University of Tennessee at Chattanooga, 615 McCallie Avenue, Chattanooga, TN, 37403, USA.
J Perinatol. 2020 Apr;40(4):549-559. doi: 10.1038/s41372-020-0597-1. Epub 2020 Jan 28.
Infants admitted to neonatal intensive care units (NICU) require carefully designed risk-adjusted management encompassing a broad spectrum of neonatal subgroups. Key components of an optimal neuroprotective healing NICU environment are presented to support consistent quality of care delivery across NICU settings and levels of care. This article presents a perspective on the role of neonatal therapists-occupational therapists, physical therapists, and speech-language pathologists-in the provision of elemental risk-adjusted neuroprotective care services. In alignment with professional organization competency recommendations from these disciplines, a broad overview of neonatal therapy services is described. Recognizing the staffing budget as one of the more difficult challenges hospital department leaders face, the authors present a formula-based approach to address staff allocations for neonatal therapists working in NICU settings. The article has been reviewed and endorsed by the National Association of Neonatal Therapists, National Association of Neonatal Nurses, and the National Perinatal Association.
婴儿入住新生儿重症监护病房（NICU）需要精心设计的风险调整管理，涵盖广泛的新生儿亚组。本文介绍了为支持在不同 NICU 环境和护理级别中提供一致的护理质量而提出的优化神经保护治疗 NICU 环境的关键组成部分。本文从新生儿治疗师（职业治疗师、物理治疗师和言语语言病理学家）的角度出发，探讨了他们在提供基本风险调整神经保护护理服务方面的作用。根据这些专业组织的能力建议，本文对新生儿治疗服务进行了全面概述。考虑到人员配备预算是医院部门领导面临的更具挑战性的难题之一，作者提出了一种基于公式的方法来解决在 NICU 环境中工作的新生儿治疗师的人员配置问题。本文已经过全国新生儿治疗师协会、全国新生儿护士协会和全国围产期协会的审查和认可。
