Margaret Broom , Laura Briguglio , Patricia Lowe , Renee Muirhead , Jeewan Jyoti , Linda Ng , Nicole Blay , Sheeja Perumbil Pathrose , Suza Trajkovski , Kaye Spence , Natasha Chetty , Jann Foster
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引用次数: 0
Abstract
Purpose
Identifying interventions that significantly impact on neonatal outcomes and mapping them to practice standards distinguishes neonatal nurses' unique contribution to quality health care. This article describes the implementation science model utilised by a group of senior neonatal nurses to develop an evidence-based audit tool and neonatal care bundle.
Methods
We utilised a four-step implementation science mapping process: 1) Establishment of a stakeholder group; 2) Identification of 20 nursing interventions with high to moderate evidence (certainty); 3) Mapping the interventions across National and International Neonatal Care Standards, and; 4) Development of seven Intervention/Standard Models.
Results
The project team identified 20 nursing interventions with high to moderate evidence (certainty) that positively impact neonatal morbidity and mortality. The interventions were then categorised into seven models and mapped against national and international neonatal nursing care standards to provide a comprehensive reference framework for defining best-practice neonatal care. The models included infant and family development, neonatal pain, nutrition and feeding, infant thermoregulation, respiratory support and care, prevention of neonatal jaundice, and the prevention of neonatal sepsis.
Conclusion and practice implications
The seven models provide a foundation for high-quality neonatal care that can be used to measure and ensure adequate neonatal staffing and skill mix.
期刊介绍:
Aims & Scope: This is the practical, bimonthly, research-based journal for all professionals concerned with the care of neonates and their families, both in hospital and the community. It aims to support the development of the essential practice, management, education and health promotion skills required by these professionals. The JNN will provide a forum for the exchange of ideas and information between the range of professionals working in this field; promote cooperation between these professionals; facilitate partnership care with families; provide information and informed opinion; promote innovation and change in the care of neonates and their families; and provide an education resource for this important rapidly developing field.