MacPhee M, Mori C, Goldson E
Children's Hospital of Denver, CO 80218.
J Pediatr Nurs. 1994 Aug;9(4):218-25.
The change process is described for the adoption of a multidisciplinary team approach to nonorganic failure-to-thrive (NOFTT) management at a pediatric care facility. A member of the nursing staff acted as a change agent. The need for change was documented with medical record audits. A team was developed and a management protocol derived from an external evaluation of successful programs described in the literature. Preliminary outcomes of the project are reported. Box 1 at the end of this article contains criteria for NOFTT diagnosis and an outline of the team's protocol.
本文描述了一家儿科护理机构采用多学科团队方法管理非器质性发育不良（NOFTT）的变革过程。一名护理人员担任变革推动者。通过病历审核记录了变革的必要性。组建了一个团队，并根据文献中对成功项目的外部评估得出了管理方案。报告了该项目的初步成果。本文末尾的方框1包含NOFTT诊断标准和团队方案概述。
