Core measures for developmentally supportive care in neonatal intensive care units: theory, precedence and practice.
Aim. This paper is a discussion of evidence-based core measures for developmental care in neonatal intensive care units. Background. Inconsistent definition, application and evaluation of developmental care have resulted in criticism of its scientific merit. The key concept guiding data organization...
| Publicado en: | Journal of Advanced Nursing (Wiley-Blackwell) Vol. 65; no. 10; pp. 2239 - 2249 |
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| Autores principales: | , , |
| Formato: | pictorial tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Oct2009
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105434946&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105434946 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03092402 4BG jtl: Journal of Advanced Nursing (Wiley-Blackwell) issn: 03092402 maglogo: Y pubinfo: dt: Oct2009 vid: 65 iid: 10 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 105434946 44154809 44154809 10.1111/j.1365-2648.2009.05052.x NLM19686402 PMC2779463 105434946 ppf: 2239 ppct: 10 formats: tig: atl: Core measures for developmentally supportive care in neonatal intensive care units: theory, precedence and practice. aug: au: Coughlin M Gibbins S Hoath S affil: Global Clinical Services Manager, Children's Medical Ventures, Norwell, Massachusetts, USA sug: subj: Age Specific Care In Infancy and Childhood Neonatal Intensive Care Nursing Nursing Practice, Evidence-Based Patient Centered Care In Infancy and Childhood Activities of Daily Living CINAHL Database Embase Family Centered Care Health Facility Environment Infant, Newborn Intensive Care Units, Neonatal Medline Models, Theoretical Pain Prevention and Control Psycinfo Sleep Theory Infant, Newborn: birth-1 month ab: Aim. This paper is a discussion of evidence-based core measures for developmental care in neonatal intensive care units. Background. Inconsistent definition, application and evaluation of developmental care have resulted in criticism of its scientific merit. The key concept guiding data organization in this paper is the United States of America's Joint Commission's concept of 'core measures' for evaluating and accrediting healthcare organizations. This concept is applied to five disease- and procedure-independent measures based on the Universe of Developmental Care model. Data sources. Electronically accessible, peer reviewed studies on developmental care published in English were culled for data supporting the selected objective core measures between 1978 and 2008. The quality of evidence was based on a structured predetermined format that included three independent reviewers. Systematic reviews and randomized control trials were considered the strongest level of evidence. When unavailable, cohort, case control, consensus statements and qualitative methods were considered the strongest level of evidence for a particular clinical issue. Discussion. Five core measure sets for evidence-based developmental care were evaluated: (1) protected sleep, (2) pain and stress assessment and management, (3) developmental activities of daily living, (4) family-centred care, and (5) the healing environment. These five categories reflect recurring themes that emerged from the literature review regarding developmentally supportive care and quality caring practices in neonatal populations. This practice model provides clear metrics for nursing actions having an impact on the hospital experience of infant-family dyads. Conclusion. Standardized disease-independent core measures for developmental care establish minimum evidence-based practice expectations and offer an objective basis for cross-institutional comparison of developmental care programmes. pubtype: Academic Journal doctype: pictorial tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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