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执行摘要:重症监护病房中以婴儿和家庭为中心的发展性照顾的标准、能力和推荐最佳实践。

Executive summary: standards, competencies, and recommended best practices for infant- and family-centered developmental care in the intensive care unit.

机构信息

University of Colorado School of Medicine, Aurora, CO, USA.

Fielding Graduate University, Santa Barbara, CA, USA.

出版信息

J Perinatol. 2020 Sep;40(Suppl 1):5-10. doi: 10.1038/s41372-020-0767-1.

DOI:10.1038/s41372-020-0767-1
PMID:32859958
Abstract

OBJECTIVE

Developmental family-centered care is evolving as an essential intensive care practice component for newborns and families. Research supports developmental care and the resulting positive outcomes for infants and families.

STUDY DESIGN

An interprofessional and parent committee utilized a systematic review and consensus process to evaluate the evidence for intensive care practice. Infant- and family-centered developmental care was described, practice components identified, and evidence-based standards and competencies articulated.

RESULTS

Consensus process results included articulation of Standards, Competencies and Recommended Best Practices for Infant and Family Centered Developmental Care (IFCDC), including components of systems thinking, positioning and touch, sleep and arousal, skin-to-skin contact, reduction of pain and stress for infants and families, and feeding.

CONCLUSIONS

Successful IFCDC-recommended practices provide opportunities to integrate the family with the interprofessional team, standardize practice, and improve outcomes.

摘要

目的

发展型家庭为中心的护理是新生儿和家庭重症监护的重要组成部分。研究支持发展护理以及对婴儿和家庭的积极结果。

研究设计

一个多学科和家长委员会利用系统评价和共识过程来评估重症监护实践的证据。描述了以婴儿和家庭为中心的发展性护理,确定了护理内容,阐明了基于证据的标准和能力。

结果

共识过程的结果包括阐明了以婴儿和家庭为中心的发展性护理(IFCDC)的标准、能力和推荐最佳实践,包括系统思维、定位和触摸、睡眠和觉醒、皮肤接触、减少婴儿和家庭的疼痛和压力以及喂养的内容。

结论

成功的 IFCDC 推荐实践为整合家庭与多学科团队、标准化实践和改善结果提供了机会。

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