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医护人员对新生儿重症监护病房设立安静时间的看法。

Medical staff's sentiments on the establishment of quiet time in the NICU.

机构信息

Fudan University School of Nursing, Shanghai, China.

Children's Hospital of Fudan University, Shanghai, China.

出版信息

J Nurs Manag. 2022 Oct;30(7):3599-3607. doi: 10.1111/jonm.13794. Epub 2022 Sep 16.

Abstract

AIM

To explore the sentiments of medical staff in setting quiet time in a tertiary neonatal intensive care unit.

BACKGROUND

Quiet time, which can help create a healing neonatal intensive care unit environment, is increasingly being valued by hospital administrators.

METHODS

Semi-structured interviews were used to interview 12 neonatal intensive care unit staff members, with data analysed using the content analysis method.

RESULTS

This study extracted four themes: support, concern, education and teamwork.

CONCLUSIONS

If quiet time needs to be set up, implemented and maintained in the neonatal intensive care unit, it is necessary to establish a quiet time culture throughout the whole ward, to carry out detailed management of quiet time and to cooperate and communicate with multidisciplinary departments.

IMPLICATIONS FOR NURSING MANAGEMENT

To keep the ward quiet and minimize handling during quiet time, it is necessary to take adequate steps from a management level. Targeted staff training and education allow staff to appreciate the necessity and urgency of setting quiet time for themselves and babies. It is also necessary to refine the educational content of noise reduction and minimal handling and provide clear guidance on the best means to carry out clinical work during quiet time. Nursing managers need to establish a monitoring system for NICU noise and manage various noise sources made from equipment and people.

摘要

目的

探讨三级新生儿重症监护病房设置安静时间的医护人员感受。

背景

安静时间有助于营造一个有利于新生儿康复的重症监护病房环境,越来越受到医院管理者的重视。

方法

采用半结构式访谈法,对 12 名新生儿重症监护病房工作人员进行访谈,采用内容分析法进行数据分析。

结果

本研究提取出 4 个主题:支持、关注、教育和团队合作。

结论

如果要在新生儿重症监护病房设置、实施和维持安静时间,有必要在整个病房建立安静时间文化,对安静时间进行详细管理,并与多学科部门合作和沟通。

护理管理意义

为保持病房安静,减少安静时间的处理,有必要从管理层面采取充分措施。对工作人员进行有针对性的培训和教育,使他们认识到为自己和婴儿设置安静时间的必要性和紧迫性。还需要细化降噪和最小化处理的教育内容,并就安静时间进行临床工作的最佳方式提供明确指导。护理管理人员需要建立新生儿重症监护病房噪音监测系统,并管理来自设备和人员的各种噪音源。

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