Swanson S C, Naber M M
Ronald McDonald Children's Hospital of Loyola University Medical Center, Maywood, IL 60153, USA.
Neonatal Netw. 1997 Oct;16(7):33-8.
A Neonatal Integrated Home Care Program was developed to cross-train NICU staff nurses to provide follow-up care for high-risk neonates in the home. Implementation required collaboration of the NICU and the Center for Home Care and Hospice. Initial target populations were premature infants in transition to oral feeds and oxygen-dependent neonates. Staff, parent, and insurer enthusiasm for this innovative program resulted in expansion to serve infants and families with many other care needs. Continuity of care provides an invaluable resource for families at home with their high-risk infants. Outcomes include reduction in NICU length of stay and readmission for this population. The NICU home care team shares experiences with staff, increasing awareness of and sensitivity to family strengths and discharge realities. The program has fostered revisions in practice regarding preparation for discharge and education of families, facilitating the transition to home following NICU hospitalization.
一个新生儿综合家庭护理项目得以开展，旨在对新生儿重症监护病房（NICU）的护士进行交叉培训，以便为高危新生儿提供家庭后续护理。该项目的实施需要NICU与家庭护理及临终关怀中心合作。最初的目标人群是正在过渡到经口喂养的早产儿和依赖氧气的新生儿。工作人员、家长和保险公司对这个创新项目的热情促使其扩大服务范围，以满足有许多其他护理需求的婴儿和家庭。连续性护理为家中照顾高危婴儿的家庭提供了宝贵资源。成果包括缩短该人群在NICU的住院时间以及减少再入院率。NICU家庭护理团队与工作人员分享经验，提高了对家庭优势和出院现实的认识及敏感度。该项目促使在出院准备和家庭教育方面的实践得到改进，促进了NICU住院后向家庭护理的过渡。
