Morton Christine H, Hall Michelle Flaum, Shaefer Sarah J M, Karsnitz Deborah, Pratt Stephen D, Klassen Miranda, Semenuk Kisha, Chazotte Cynthia
J Obstet Gynecol Neonatal Nurs. 2021 Jan;50(1):88-101. doi: 10.1016/j.jogn.2020.09.160. Epub 2020 Nov 19.
Supporting women, families, and clinicians with information, emotional support, and health care resources should be part of an institutional response after a severe maternal event. A multidisciplinary approach is needed for an effective response during and after the event. As a member of the maternity care team, the nurse's role includes coordination, documentation, and ensuring patient safety in emergency situations. The National Partnership for Maternal Safety, under the guidance of the Council on Patient Safety in Women's Health Care, has developed interprofessional work groups to develop safety bundles on diverse topics. This article provides the rationale and supporting evidence for the support after a severe maternal event bundle, which includes structure- and evidence-based resources for women, families, and maternity care providers. The bundle is organized into four domains: Readiness, Recognition, Response, and Reporting and Systems Learning, and it may be adapted by nurses and multidisciplinary leaders in birthing facilities for implementation as a standardized approach to providing support for everyone involved in a severe maternal event.
为女性、家庭和临床医生提供信息、情感支持和医疗保健资源,应成为严重孕产妇事件后机构应对措施的一部分。在事件发生期间及之后,需要采取多学科方法才能有效应对。作为孕产妇护理团队的一员,护士的职责包括协调、记录以及在紧急情况下确保患者安全。在妇女保健患者安全委员会的指导下,全国孕产妇安全伙伴关系组织成立了跨专业工作组,以制定关于各种主题的安全集束措施。本文提供了严重孕产妇事件后支持集束措施的基本原理和支持证据,其中包括为女性、家庭和孕产妇护理提供者提供的基于结构和证据的资源。该集束措施分为四个领域:准备、识别、应对以及报告与系统学习,分娩机构的护士和多学科负责人可对其进行调整,以作为一种标准化方法来实施,为参与严重孕产妇事件的各方提供支持。