护理学报 ›› 2023, Vol. 30 ›› Issue (17): 73-78.doi: 10.16460/j.issn1008-9969.2023.17.073
• 临床护理※儿科护理 • 上一篇
王帆1, 崔慧敏1, 李胜玲1, 丁晓华2, 王晓燕3, 段小凤4
摘要: 目的 基于循证构建NICU护士主导早产儿出院计划核心能力指标体系。方法 基于循证提取国内外护士制定早产儿出院计划相关内容,经Delphi专家咨询确定NICU护士主导早产儿出院计划核心能力指标体系。结果 共展开2轮专家咨询,专家积极系数均高于85%,权威系数为0.821与0.839,协调系数0.322与0.356,最终形成构成的评价指标包括整体评估、制定计划、实施计划、院外随访-效果评价4项一级指标、11项二级指标、52项三级指标。结论 基于循证构建NICU护士主导早产儿出院计划核心能力评价指标的构建较科学、可靠,可为今后进一步制定早产儿出院计划核心能力的培养提供参考依据。
中图分类号:
[1] 熊司琦,王晗,金昌德. 医疗复杂性儿童从医院到家庭过渡期护理需求的研究进展[J]. 解放军护理杂志,2020,37(3):68-71. DOI:10.12114/j.issn.1007-9572. 2021. 00.305. [2] Baldwin SM, Zook S, Sanford J.Implementing post-hospital inter-professional care team visits to improve care transitions and decrease hospital readmission rates[J]. Prof Case Manag, 2018, 23(5):264-271. DOI:10.1097/NCM.0000000000000284. [3] Hannan KE, Bourque SL.How does family integrated care in the NICU affect short-term infant and parent outcomes?[J]. Acta Paediatr, 2020, 109(12):2820-2821. DOI:10.1111/apa.15421. [4] The Newcastle upon tyne hospitals NHS foundation trust. nurse led discharge protocol [EB/OL].(2014-09-23)[2018-01-11].http://www.newcastlehospitals.org.uk/downloads/policies/Nursing/NurseLedDischargePolicy201409.pdf. [5] Weiss ME, Sawin KJ,Gralton K, et al.Discharge teaching, readiness for discharge, and post-discharge outcomes in parents of hospitalized children[J].J Pediatr Nurs, 2017, 34(1):58-64. DOI:10.1016/j.pedn.2016.12.021. [6] Ronan S, Brown M, Marsh L.Parents’ experiences of transition from hospital to home of a child with complex health needs:a systematic literature review[J].J Clin Nurs, 2020, 29(17/18):3222-3235. DOI:10.1111/jocn.15396. [7] 贺斯麟,曲梅.护理授权计划对早产儿母亲出院准备度的影响[J].中国实用护理杂志,2018,34(13):997-1000. DOI:10.3760/cma.j.issn.1672-7088.2018.13.009. [8] 马莹,叶君荣,黄昭君,等.基于循证构建精神科护理质量敏感性指标[J].护理学报,2020,27(9):27-32.DOI:10.16460/j.issn1008-9969.2020.09.027. [9] 曹晶,赵颖,何许,等.基于循证构建肠造口患者护理团队核心要素指标体系[J].护理学报,2020,27(1):64-69.DOI:10.16460/j.issn1008-9969.2020.01.064. [10] Breneol S, Hatty A, Bishop A, et al.Nurse-led discharge in pediatric care: a scoping review[J].J Pediatr Nurs, 2018, 41(1):60-68. DOI: 10.1016/j.pedn.2018.01.014. [11] Setiawan J, Mannix T, Sweet L.Understanding the effects of neonatal early discharge on parents: a literature review[J]. J Perinat Neonatal Nurs, 2019, 33(2):170-188.DOI:10.1097/JPN.0000000000000395. [12] 付静侠,周艳辉,陈明珠,等.早产儿出院家庭准备度的研究进展[J].中国护理管理,2019, 19(7):1074-1078.DOI:10.3969/j.issn.1672-1756.2019.07.024. [13] 林敏,陈京立.住院患儿出院准备度研究进展[J].护理学杂志,2019,34(23):95-98.DOI:10.3870/j.issn.1001-4152.2019.23.095. [14] Lee SY, Chau JPC, Choi KC, et al.Feasibility of a guided participation discharge program for very preterm infants in a neonatal intensive care unit: a randomized controlled trial[J].BMC Pediatr, 2019, 19(1):402.DOI:10.1186/s12887-019-1794-y. [15] 张竑,沈敏,张秋香,等.应用早产儿出院家庭准备度自评表对早产儿照护者实施健康教育效果观察[J]. 护理学报,2019,26(9):69-73.DOI:10.16460/j.issn1008-9969.2019.09.069. [16] Hsu BS, Hill V, Frankel LR, et al.Executive summary: criteria for critical care of infants and children: PICU admission, discharge, and triage practice statement and levels of care guidance[J].Pediatrics,2019,144(4):e20192433. DOI:10.1542/peds.2019-2433. [17] National Health Service. Achieving timely “simple” discharge from hospital[EB/OL]. (2004-08-16)[2021-02-22]. http://www.bipsolutions.com/docstore/pdf/8092.pdf. [18] 中国医师协会儿童健康专业委员会第一届儿童早期健康发展专业委员会,中国医师协会第一届儿童早期健康发展专业委员会,西安医学会新生儿学分会.早产儿出院后随访及管理建议[J].中国妇幼健康研究,2019,30(9):1048-1052. DOI:10.3969/j.issn.1673-5293.2019.09.002. [19] Lakshmi SB, Shefaly S, Salvee KT, et al.Effectiveness of the neonatal discharge program for very low-birth-weight infants on parental efficacy and psychological distress[J]. J Perinat Neonat Nurs, 2018,32(4):E11-E21.DOI: 10.1097/JPN.0000000000000337. [20] Roberts S, Moore LC, Jack B.Improving discharge planning using the re-engineered discharge programme[J]. J Nurs Manag,2019,27(3):609-615.DOI:10.1111/jonm.12719. [21] 冯小芳,黄小夏,钱笑蓉,等.基于循证实践构建NICU早产儿以家庭为中心的护理模式[J].温州医科大学学报,2019,49(2):132-136.DOI:10.3969/j.issn.2095-9400.2019.02.011. [22] 徐芮,钟丽晖,申玥,等.微信健康教育对早产儿出院家庭准备度的影响[J]. 护理学报, 2018, 25(6):68-72.DOI:10.16460/j.issn1008-9969.2018.06.068. [23] Bobay KL, Weiss ME, Oswald D, et al.Validation of the registered nurse assessment of readiness for hospital discharge scale[J]. Nurs Res, 2018, 67(4):305-313.DOI:10.1097/NNR.0000000000000293. [24] 吴娟,万兴丽,苏绍玉,等.80例极低出生体质量儿母亲出院准备度得分水平分析[J].护理学报,2018,25(16):50-53.DOI:10.16460/j.issn1008-9969.2018.16.050. [25] Sklansky DJ, Butteris S, Shadman KA, et al.Earlier hospital discharge with prospectively designated discharge time in the electronic health record[J]. Pediatrics, 2019, 144(5): e20190929.DOI: 10.1542/peds.2019-0929. [26] Enlow E, Gray MM, Wallace KS, et al.Health literacy of parents of very preterm infants at NICU admission and discharge:a prospective cohort study[J].J Perinatol, 2019, 39(6): 866-875. DOI:10.1038/s41372-019-0340-y. [27] van KF, de Mol A, Korstanje J, et al. Early discharge of premature infants <37 weeks gestational age with nasogastric tube feeding: the new standard of care?[J].Eur J Pediatr, 2019,178(4):497-503.DOI:10.1007/s00431-018-03313-4. [28] Pauline VM, Tunby J, Strømsvik N.Collaboration challenges faced by nurses when premature infants are discharged[J]. Nurs Child Young People, 2018,30(2):33-38.DOI: 10.7748/ncyp.2018.e960. [29] 杨森,傅智丽,潘颖,等.全科团队长岗位胜任力评价指标体系的构建及应用研究[J].中国全科医学,2022,25(7):874-881;887. DOI:10.12114/j.issn.1007-9572.2021.00.305. [30] 马莎莎,刘莉,许红梅,等.专科护士追踪考核评价指标体系构建[J].护理学报,2022,29(12):20-24. DOI:10.16460/j.issn1008-9969.2022.12.020. [31] 汪苗,杨燕,李远珍,等.互联网+护理服务护士岗位胜任力评价指标体系的构建[J].护理学报,2022,29(11):20-24.DOI:10.16460/j.issn1008-9969.2022.11.020. [32] 汤少梁,龚颖.“互联网+”医联体背景下分级诊疗的系统动力学分析[J].卫生经济研究,2020(9):3-8.DOI:10.14055/j.cnki.33-1056/f.2020.09.001. [33] 霍秋桂. 高危儿医院-社区-家庭过渡期护理方案的构建[D]. 苏州:苏州大学,2019.DOI:10.27351/d.cnki.gszhu.2019.001791. [34] Niu W, Xu X, Zhang H,et al.Breastfeeding improves dynamic reorganization of functional connectivity in preterm infants: a temporal brain network study[J]. Med Biol Eng Comput, 2020,58(11):2805-2819. DOI:10.1007/s11517-020-02244-3. [35] Busch DW, Silbert-Flagg J.Breastfeeding plan of care for the late preterm infant from birth through discharge[J]. J Perinat Neonatal Nurs, 2021,35(2):169-176. DOI:10.1097/JPN.0000000000000548. [36] Pineda R, Prince D, Reynolds J,et al.Preterm infant feeding performance at term equivalent age differs from that of full-term infants[J].J Perinatol, 2020, 40(4): 646-654.DOI:10.1038/s41372-020-0616-2. [37] Goldstein RF, Malcolm WF.Care of the neonatal intensive care unit graduate after discharge[J]. Pediatr Clin North Am, 2019, 66(2):489-508.DOI: 10.1016/j.pcl.2018.12.014. [38] Seyedfarajollah S, Nayeri F, Kalhori S, et al.The framework of NICU discharge planning system for preterm infants in iran: duties, components and capabilities[J]. Acta Inform Med. 2018,26(1):46-50.DOI:10.5455/aim.2018.26.46-50. [39] Awindaogo F, Smith VC, Litt JS.Predictors of caregiver satisfaction with visiting nurse home visits after NICU discharge[J]. J Perinatol,2016, 36(4):325-328. DOI:10.1038/jp.2015.195. |
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