A Realistic Evaluation of Two Training Programs on Implementing Skin-to-Skin as a Standard of Care
A Realistic Evaluation of Two Training Programs on Implementing Skin-to-Skin as a Standard of Care
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DOI：
10.1891/1058-1243.21.3.149
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发表时间：
2012-06-01
影响因子：
0.6
通讯作者：
Turner-Maffei, Cynthia
中科院分区：
文献类型：
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作者：
Brimdyr, Kajsa;Widstrom, Ann-Marie;Turner-Maffei, Cynthia
作者使用现实评估来检查两种为期5天的培训技术在持续最佳皮肤接触实践中的真实有效性，这些实践支持修订后的爱婴医院倡议（BFHI）的第4步。作者发现，仅靠教育不足以实现可持续的实践变革。暴露于5天沉浸模式（实践，反思，教育和培训，结合民族志可持续成功，或PRECESS）单独或结合教育是改变和维持皮肤对皮肤实践护理标准的有效策略（p < 0.00001）。通过浸泡或综合方法实施皮肤对皮肤护理的持续实践变化的预期结果显示出希望，应在其他地区重复。
The authors used realistic evaluation to examine the real-world effectiveness of two 5-day training techniques on sustained optimal skin-to-skin practices that support Step 4 of the revised Baby-Friendly Hospital Initiative (BFHI). The authors found that education alone was insufficient to effect sustainable practice change. Exposure to the 5-day immersion model (Practice, Reflection, Education and training, Combined with Ethnography for Sustainable Success, or PRECESS) alone or combined with education was an effective strategy to change and sustain the standard of care for skin-to-skin practice (p < 0.00001). The intended outcome of sustained practice change toward implementation of skin-to-skin care through immersion or a combined approach shows promise and should be repeated in other localities.