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作 者:张岚[1] 乐琼[1] 罗黎 米元元 刘亚兰[1] 吴丽芬[1] 邵俊 郑兰 ZHANG Lan;LE Qiong;LUO Li;MI Yuan-yuan;LIU Ya-lan;WU Li-fen;SHAO Jun;ZHENG Lan(Dept.of Neonatology,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430032,China;Intensive Care Unit,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430032,China;Dept.of Neonatology,People’s Hospital of Jingshan,Jingshan 431800,China;Dept.of Neonatology,Dongxihu People’s Hospital,Wuhan 430040,China)
机构地区:[1]华中科技大学同济医学院附属协和医院新生儿科,湖北武汉430032 [2]华中科技大学同济医学院附属协和医院重症医学科,湖北武汉430032 [3]京山市人民医院新生儿科,湖北京山431800 [4]武汉市东西湖人民医院新生儿科,湖北武汉430040
出 处:《护理学报》2021年第11期21-26,共6页Journal of Nursing(China)
基 金:湖北省自然科学基金(2020CFB792);湖北省卫生健康委基金(WJ2021M245);华中科技大学同济医学院教学改革研究项目基金(2020XH41)。
摘 要:目的检索并获取新生儿院际转运管理的相关证据,为临床提供参考,以降低新生儿转运不良事件的发生率,保障新生儿转运安全。方法应用循证护理的方法,针对新生儿转运不良事件预防和管理提出问题,检索相关文献,采用澳大利亚JBI循证卫生保健中心的文献评价标准和证据分级,对各类研究进行文献质量评价及证据级别评定。结果结合专业人员的判断,总结出24条新生儿转运相关证据,包括转运部门建设、转运管理、转运团队、转运培训、转运决策、转运装备、转运实施、转运质量控制、监督和反馈等。结论本研究总结了目前关于新生儿转运管理的最佳证据,可为临床医护人员及护理管理者提供循证依据。通过应用最佳证据,以科学的方法管理和预防新生儿转运不良事件的发生,可提升医疗护理质量的同时,进一步保障新生儿转运安全。Objective To retrieve and obtain relevant evidence of neonatal transfer management,and provide clinical reference,so as to reduce the incidence of adverse neonatal transfer events and ensure the safety of neonatal transfer.Methods With evidence-based nursing method,questions of the prevention and management of adverse events in neonatal transport were raised.We retrieved relevant literature,and with the literature evaluation standards and evidence grading of the Australian JBI Evidence-based Health Care Center,we conducted literature quality evaluation and evidence grading.Results Combined with professional judgments,24 pieces of evidence related to newborn transfer were summarized,including transfer department construction,management,team,training,decision-making,equipment,measures,quality control,supervision and feedback,etc.Conclusion This study has summarized the best evidence for neonatal transfer management,providing evidence-based evidence for clinical medical staff and nursing managers.By applying the best evidence to manage and prevent the occurrence of adverse neonatal transfer events in a scientific way,the quality of medical care can be improved,thus to ensure the safety of neonatal transfer.
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