Neonatal Intensive Care Unit, McMaster Children's Hospital, 1200 Main Street West, Hamilton, ON, L8N 3Z5, Canada.
Physician Assistant Education Program, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4K1, Canada.
J Perinatol. 2024 Jul;44(7):1069-1072. doi: 10.1038/s41372-024-01936-0. Epub 2024 Mar 18.
Emotional disorders in parents of infants admitted to the neonatal intensive care unit (NICU) carry the potential for serious ramifications in neonatal and childhood outcomes. Despite this, current NICU mental health supports are less than optimum; postpartum mental health screening is limited, often missed in parents of inpatient infants, and may not be applicable to all family structures. Current evidence demonstrates improved outcomes in neonates and family members with early identification and multidisciplinary approaches to managing mental health problems. Physician Associates/Assistants (PAs) are a skilled group of advanced practice providers who are often a point of first contact for parents in the NICU, helping maintain continuity of care. In this perspective, we underscore leveraging the skills of PAs to promote the emotional wellbeing of parents in the NICU by way of practice and policy involvement. We also included a generic set of recommendations to equip PAs in this role.
父母在新生儿重症监护病房(NICU)中情绪失调可能会对新生儿和儿童的结局产生严重影响。尽管如此,目前 NICU 的心理健康支持还不够完善;产后心理健康筛查有限,经常会错过住院婴儿的父母,而且可能不适用于所有家庭结构。目前的证据表明,通过早期识别和多学科方法来管理心理健康问题,新生儿和家庭成员的预后会得到改善。医师助理(PAs)是一群熟练的高级实践提供者,他们通常是 NICU 中父母的第一联系点,有助于保持护理的连续性。从这个角度来看,我们强调利用 PAs 的技能,通过实践和政策参与来促进 NICU 中父母的情绪健康。我们还提出了一套通用的建议,以使 PAs 能够胜任这一角色。