The Wee Care Neuroprotective NICU Program (Wee Care): The Effect of a Comprehensive Developmental Care Training Program on Seven Neuroprotective Core Measures for Family-Centered Developmental Care of Premature Neonates
The Wee Care Neuroprotective NICU Program (Wee Care): The Effect of a Comprehensive Developmental Care Training Program on Seven Neuroprotective Core Measures for Family-Centered Developmental Care of Premature Neonates
复制标题
DOI：
10.1053/j.nainr.2015.01.006
复制
发表时间：
2015-03-01
期刊：
影响因子：
--
通讯作者：
Damus, Karla
中科院分区：
文献类型：
--
作者：
Altimier, Leslie;Kenner, Carole;Damus, Karla
神经保护护理对早产儿的影响已得到详细研究，但与此类护理相关的专业发展和培训尚未得到广泛研究。Wee Care Neuroprotective NICU计划（Wee Care; Philips Healthcare，Andover，MA）是一项全面的发育护理培训计划（Philips Healthcare），是一项基于证据的全面变革管理计划，旨在优化新生儿重症监护室（NICU）环境和护理实践。Wee Care神经保护性NICU计划基于最近开发的新生儿综合发育护理模型（（c）Koninklijke Philips NV.，2014.保留所有权利），其利用整体方法描述了莲花早产儿神经保护性以家庭为中心的发育护理的七个核心措施。这七项核心措施被描绘在莲花的花瓣上，分别是愈合环境、与家庭合作、定位和处理、保障睡眠、最大限度地减少压力和疼痛、保护皮肤和优化营养。新生儿综合发育护理（IDC）模型IDC模型的重叠花瓣证明了神经保护护理的综合性质（图1）。莲花内部的物品代表核心措施1，愈合环境;它突出了发展中的感觉系统的重要性，以及新生儿现在生活的物理环境。该质量改进项目的目的是确定全面的Wee Care神经保护性NICU计划（Wee Care）对早产儿神经保护性以家庭为中心的神经保护性发育护理的七项神经保护性核心措施的影响。样本包括来自美国27个州以及比利时和荷兰的81个医院NICU站点，这些站点实施了Wee Care综合神经保护护理培训计划，并完成了站点前和站点后调查。对现存的Wee Care数据库的测试前和测试后调查进行了二次数据分析，以评估培训计划。结果表明，Wee Care神经保护NICU培训计划在改善以家庭为中心的早产儿发育护理的七项神经保护核心措施方面是有效的。每个核心指标以及整体综合核心指标得分（核心指标1-7）在培训后显示出统计学上的显著改善（p
The impact of neuroprotective care on preterm infants has been investigated at length, yet professional development and training related to this type of care has not been extensively examined. The Wee Care Neuroprotective NICU program (Wee Care; Philips Healthcare, Andover, MA), a comprehensive developmental care training program (Philips Healthcare) is an evidence-based total change management program designed to optimize the neonatal intensive care unit (NICU) environment and caregiving practices. The Wee Care Neuroprotective NICU programis based on a recently developed Neonatal Integrative Developmental Care Model ((c) Koninklijke Philips N.V., 2014. All rights reserved).), which utilizes a holistic approach in describing seven core measures for neuroprotective family-centered developmental care of premature neonates of the lotus flower. The seven core measures are depicted on petals of a lotus as the Healing Environment, Partnering with Families, Positioning and Handling, Safeguarding Sleep, Minimizing Stress and Pain, Protecting Skin, and Optimizing Nutrition. The overlapping petals of the Neonatal Integrative Developmental Care (IDC) model IDC model demonstrate the integrative nature of neuroprotective care (Fig. 1). Items on the inside of the lotus flower represent core measure 1, the Healing Environment; which highlight the significance of the developing sensory system, as well as the physical environment in which the neonate now lives. The aim of this quality improvement project was to determine the effect of the comprehensive Wee Care Neuroprotective NICU program(Wee Care) on seven neuroprotective core measures for neuroprotective family-centered neuroprotective developmental care of premature neonates. The sample consisted of 81 hospital NICU sites from 27 US states as well as Belgium and the Netherlands which had implemented the Wee Care comprehensive neuroprotective care training program and had completed pre- and post-site surveys. A secondary data analysis of the extant Wee Care database of pre and post-testing surveys was done to evaluate the training program. The results demonstrated that the Wee Care Neuroprotective NICU training program was effective in improving seven neuroprotective core measures for family-centered developmental care of premature neonates. Each core measure as well as the overall composite core measures score (core measures 1-7) showed statistically significant improvement post training (p