《住院新生儿母乳喂养循证指南》的可用性调研

发布时间：2018-01-11 21:08

本文关键词：《住院新生儿母乳喂养循证指南》的可用性调研　出处：《解放军护理杂志》2017年02期 　论文类型：期刊论文

【摘要】：目的评估医护人员对《住院新生儿母乳喂养循证指南》在实践环境中应用是否具有安全性、有效性、可操作性、社会伦理性,以便选择最适合使用的证据进行本土化循证实践。方法 2016年6月,便利抽样法选择上海市某三级甲等儿童专科医院的新生儿科和新生儿科重症监护室病房(neonatal intensive care unit,NICU)的医护人员为调查对象,采用自行设计的可用性调研问卷针对83条证据从安全性、有效性、可操作性、社会伦理性等4个维度对其进行问卷调查。邀请医院管理者、科室管理者、医生代表、护士代表参与证据的FAME讨论会,以确定循证实践的证据条目。结果调查问卷结果显示,在安全性方面,有78条证据医护人员的同意率80%。在有效性方面,有78条证据医护人员的同意率80%。在可操作性方面,有78条证据医护人员的同意率80%。伦理性方面分析,有79条证据医护人员的同意率80%。不同病房的医护人员对证据的评价略有不同。通过FAME讨论,有76条证据的可行性、适宜性较好,7条证据的可行性较差或不适宜。结论本证据总结在安全性、有效性、可操作性和社会伦理方面均有较高的评分,可应用性较好。本次循证实践项目将应用76条证据,另7条证据暂不使用。
[Abstract]:Objective to evaluate the safety, effectiveness, maneuverability and social ethics of the application of Evidence-Based guidelines for hospitalized Neonates in practice. In order to select the most suitable evidence to be used for the localization of evidence-based practices. Methods June 2016. The convenience sampling method was used to select the neonatal intensive care unit in the neonatal and neonatal intensive care unit wards of a Grade 3A Children's specialist Hospital in Shanghai. NICU medical staff as the survey object, using self-designed usability survey questionnaire for 83 pieces of evidence from security, effectiveness, maneuverability. Four dimensions of social ethics were investigated. Hospital administrators, department managers, doctors' representatives and nurses' representatives were invited to participate in the FAME seminar on evidence. Results the results of the questionnaire showed that in terms of safety, there were 78 pieces of evidence, the consent rate of medical staff was 80%. There are 78 items of evidence of the consent rate of medical and nursing personnel 80. In terms of operability, there are 78 pieces of evidence of medical and nursing personnel consent rate of 80. Ethical analysis. There were 79 evidences, the consent rate of medical and nursing staff was 80%. The evaluation of evidence was slightly different in different wards. Through FAME discussion, 76 pieces of evidence were feasible, and the suitability was good. Conclusion this evidence summary has a high score in safety, effectiveness, maneuverability and social ethics. This Evidence-based practice project will apply 76 pieces of evidence and 7 pieces of evidence will not be used for the time being.
【作者单位】：复旦大学护理学院;复旦大学附属儿科医院护理部;
【分类号】：R473.71
【正文快照】： 母乳喂养因其无法比拟的优点成为新生儿喂养的首选[1]。但目前,我国住院新生儿开展母乳喂养并不广泛,母乳喂养率为3.7%~13.6%[2-3]。国内封闭式的新生儿科管理模式,给住院新生儿母乳喂养的开展与管理带来不小的挑战。国外开展了较多与促进母乳喂养相关的研究[4-7],也生成了较

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