Ahlqvist-Björkroth Sari, Axelin Anna, Lehtonen Liisa
Department of Psychology and Language Pathology, University of Turku, Turku, Finland.
Department of Nursing Science, University of Turku, Turku, Finland.
Acta Paediatr. 2025 Apr;114(4):699-709. doi: 10.1111/apa.17210. Epub 2024 Mar 21.
There has been a need to develop programs to facilitate family-centered care. This paper describes the content of a program called Close Collaboration with Parents, its implementation, and research on its effectiveness.
The program is a systematic training with a focus on staff communication and observation skills and skills to support parenting. The primary implementation strategy is mentoring. Staff engage in bedside practices and reflections with mentors covering all four phases of the program. The effects of this unit-wide program have been evaluated using a pre-post study design, a qualitative study design, and a register-based study design.
The program has been successfully implemented in 26 units so far. Our research has shown that the training benefits infants, parents, staff, and healthcare organisations. Specifically, family-centered care practices improved after the program, the parents' presence and parent-infant skin-to-skin contact increased, infant growth improved and the length of hospital stays shortened. The mothers' depressive symptoms decreased in the long term.
We have described an educational program for the multidisciplinary staff of a neonatal intensive care unit, Close Collaboration with Parents. The program has changed hospital care cultures for the benefit of infants, parents, staff, and even the healthcare organisation.
一直以来都需要开发相关项目以促进以家庭为中心的护理。本文描述了一个名为“与家长密切合作”项目的内容、实施情况及其效果研究。
该项目是一项系统培训，重点在于员工的沟通和观察技能以及支持育儿的技能。主要实施策略是指导。员工与指导人员一起参与床边实践和反思，涵盖项目的所有四个阶段。已使用前后研究设计、定性研究设计和基于登记的研究设计对这个全院范围项目的效果进行了评估。
到目前为止，该项目已在26个科室成功实施。我们的研究表明，培训对婴儿、家长、员工和医疗保健机构都有益处。具体而言，项目实施后以家庭为中心的护理实践得到改善，家长陪伴和母婴皮肤接触增加，婴儿生长情况改善，住院时间缩短。母亲的抑郁症状长期来看有所减轻。
我们描述了一个针对新生儿重症监护病房多学科员工的教育项目——“与家长密切合作”。该项目改变了医院护理文化，造福了婴儿、家长、员工乃至医疗保健机构。
