Artículos relacionadosArtículos relacionadosArtículos relacionados
Artículos afines de siicsalud publicados en los últimos 4 meses

IMPLEMENTACION DE HABITACIONES INDIVIDUALES EN LA UNIDAD DE CUIDADOS INTENSIVOS NEONATALES EN UN PROGRAMA SANITARIO CENTRADO EN LA FAMILIA

(especial para SIIC © Derechos reservados)
Las unidades de cuidados intensivos neonatales han tendido a modificarse en el contexto de la atención centrada en la familia. El objetivo de este trabajo de investigación consistió en definir el efecto del uso de habitaciones individuales bajo un programa de atención centrada en la familia en el área de cuidados intensivos neonatales en relación con la lactancia, las tasas de reinternación y la interacción maternoinfantil.
Erdeve9_70612.jpg Autor:
Omer Erdeve
Columnista Experto de SIIC

Institución:
Zekai Tahir Burak Maternity Teaching Hospital


Artículos publicados por Omer Erdeve
Coautores
Gozde Kanmaz* Ugur Dilmen* 
Zekai Tahir Burak Maternity Teaching Hospital, Ankara, Turquía*
Recepción del artículo
17 de Septiembre, 2011
Aprobación
20 de Febrero, 2012
Primera edición
10 de Julio, 2012
Segunda edición, ampliada y corregida
7 de Junio, 2021

Resumen
La separación de las madres de sus bebés prematuros durante su internación en cuidados intensivos neonatales interrumpe la continuidad de la atención y disminuye su calidad, debido al aumento de la ansiedad y el estrés, y origina problemas en el neurodesarrollo y en la conducta a largo plazo. La atención centrada en la familia es un enfoque para la planificación, ejecución y evaluación de la asistencia sanitaria que se basa en la colaboración entre los profesionales de la salud y las familias de los pacientes. Luego de observar que el enfoque clásico no logra fomentar el desarrollo neurológico de los niños y la interacción madre-hijo, este método modifica el diseño de unidades, y propone nuevas disposiciones para satisfacer las necesidades de los neonatos, sus familias y los profesionales de la salud. En esta revisión se discuten la importancia de la atención centrada en la familia en la unidad de cuidados intensivos neonatales y los efectos de este enfoque sobre los diseños de dichas unidades.

Palabras clave
diseño, atención centrada en la familia, padres, prematuros, unidad de cuidados intensivos neonatales, neonatos


Artículo completo

(castellano)
Extensión:  +/-8.77 páginas impresas en papel A4
Exclusivo para suscriptores/assinantes

Abstract
Separation of mothers from their preterm babies during their neonatal intensive care hospitalization disrupts the continuity of care and decreases the quality of care due to increased anxiety and stress, and causes neurodevelopmental and behavioral problems in the long-term. Family-centered care is an approach to the planning, delivery, and evaluation of healthcare that is based upon a partnership between healthcare professionals and families of patients. After observing that the classical approach failed to support the neurodevelopment of infants and mother-infant interaction, this approach affected the design of units, and new arrangements have been planned to meet the needs of infant, family and professionals. In this review the importance of family-centered care in a neonatal intensive care unit and the effects of this approach on unit designs are discussed.

Key words
design, family centered care, parent, premature, neonatal intensive care unit, newborn


Full text
(english)
para suscriptores/ assinantes

Clasificación en siicsalud
Artículos originales > Expertos del Mundo >
página   www.siicsalud.com/des/expertocompleto.php/

Especialidades
Principal: Medicina Familiar, Pediatría
Relacionadas: Administración Hospitalaria, Atención Primaria, Salud Pública



Comprar este artículo
Extensión: 8.77 páginas impresas en papel A4

file05.gif (1491 bytes) Artículos seleccionados para su compra



Enviar correspondencia a:
Omer Erdeve, Zekai Tahir Burak Maternity Teaching Hospital, 06810, 312 Ulusoy City 16B-46 2432. Cadde Agacseven Sokak Cayyolu, Ankara, Turquía
Bibliografía del artículo
1. Van Riper M. Family-provider relationships and well-being in families with preterm infants in the NICU. Heart Lung 30:74-84, 2001.
2. Affleck G, Tennen H. The effect of newborn intensive care on parents' psychological well-being. Child Health Care 20:6-14, 1991.
3. Affleck G, Tennen H, Rowe J. Infants in Crisis: How Parents Cope With Newborn Intensive Care and Its Aftermath. New York, NY: Springer-Verlag; 1991.
4. Pinch WJ, Spielman ML. Ethics in the neonatal intensive care unit: parental perceptions at four years' post discharge. Adv Nurs Sci 19:72-85, 1996.
5. Pinch WJ, Spielman ML. Parental perceptions of ethical issues post- NICU discharge. West J Nurs Res 15:422-437, 1993.
6. Pinch WJ, Spielman ML. The parents' perspective: ethical decision making in neonatal intensive care. J Adv Nurs 15:712-719, 1990.
7. Stainton MC, Harvey S, McNeil D. Understanding Uncertain Motherhood: A Phenomenological Study of Women in High-Risk Perinatal Situations. Calgary, Alberta, Canada: University of Calgary; 1995.
8. Wereszczak J, Miles MS, Holditch-Davis D. Maternal recall of the neonatal intensive care unit. Neonatal Netw 16:33-40, 1997.
9. Smith J, White R. Nurturing design: a look at recommended newborn ICU standards. Health Facil Manage 14:28-31, 2001.
10. Acton LP, Aoun A, Dennis E, et al. Children's health design: designing for family-centered care. J Healthc Des 9:129-135, 1997.
11. Committee to Establish Recommended Standards for Newborn ICU Design. Recommended standards for newborn ICU design. J Perinatol 19(pt 2):S2-S12, 1999.
12. Cooper LG, Gooding JS, Gallagher J, et al. Impact of a family-centered care initiative on NICU care, staff and families. J Perinatol 27 Suppl 2:S32-7, 2007.
13. Ahmann E, Johnson BH. New guidance materials promote family-centered change in health care institutions. Pediatr Nurs 27:173-175, 2001.
14. Kimberly A. Cisneros Moore, Kara Coker, et al. Implementing Potentially Better Practices for Improving Family-Centered Care in Neonatal Intensive Care Units: Successes and Challenges. Pediatrics 111;e450, 2003.
15. Forsythe P. New practices in the transitional care center improve outcomes for babies and their families. J Perinatol 18(6 pt 2 suppl): S13-S17, 1998.
16. Meyer EC, Coll CT, Lester BM, Boukydis CF, McDonough SM, Oh W. Family-based intervention improves maternal psychological well being and feeding interaction of preterm infants. Pediatrics 93:241-246, 1994.
17. O'Brien M, Dale D. Family-centered services in the neonatal intensive care unit: a review of research. J Early Interv 18:78-90, 1994.
18. McKlindon D, Barnsteiner JH. Therapeutic relationships: evolution of the Children's Hospital of Philadelphia model. MCN Am J Matern Child Nurs 24:237-243, 1999.
19. Heermann JA, Wilson ME, Wilhelm PA. Mothers in the NICU: outsider to partner. Pediatr Nurs 31:176-200, 2005.
20. Harrison H. The principles of family-centered neonatal care. Pediatrics 92:643-650, 1993.
21. Bakewell-Sachs S, Gennaro S. Parenting the post-NICU infant. Am J Matern-Child Nurs 29(6):398-403, 2004.
22. Holditch-Davis D, Miles MS. Mothers' stories about their experiences in the neonatal intensive care unit. Neonatal Netw J Neonatal Nurs 19(3):13-21, 2000.
23. Seideman RY,Watson MA, Corff KE, Odle P, Haase J, Bowerman JL. Parent stress and coping in the NICU and PICU. J Pediatr Nurs 12(3):169-177, 1997.
24. Shields-Poe D, Pinelli J. Variables associated with parental stress in the neonatal intensive care unit. Neonatal Netw J Neonatal Nurs 16(1):29-37, 1997.
25. McGrath JM. Building relationships with families in the NICU: exploring the guarded alliance. J Perinat Neonatal Nurs 15(3):74-83, 2001.
26. Affonso DD, Hurst I, Haller L, Mayberry LJ, Yost K, Lynch ME. Stressors reported by mothers of hospitalized premature infants. Neonatal Netw J Neonatal Nurs 11(2):71, 1992.
27. Griffin T, Kavanaugh K, Soto CF, White M. Parental evaluation of a tour of the neonatal intensive care unit during a high-risk pregnancy. J Obstet Gynecol Neonatal Nurs 26(1):59-65, 1997.
28. Greisen G, Mirante N, Haumont D, et al. Parents, siblings and grandparents in the neonatal intensive care unit a survey of policies in eight European countries. Acta Paediatr 98(11):1744-1750, 2009.
29. Erdeve O, Arsan S, Yigit S, et al. The impact of individual room on rehospitalization and health service utilization in preterms after discharge. Acta Paediatr 97(10):1351-1357, 2008.
30. Bhutta ZA, Kahn I, Salat S, et al. Reducing length of stay in hospital for very low birth weight infants by involving mothers in a step-down unit: an experience from Karachi (Pakistan). BMJ 329(7475):1151-1155, 2004.
31. Whitelaw A. Clinical implications of basic research in the neurobiology of infant-parent interaction in the newborn period. Acta Paediatr 83:874-6, 1994.
32. Als H, McAnulty GB. Behavioral differences between preterm and full-term newborns as measured with the APIB system scores: I. Infant Behav Dev 11:305-18, 1988.
33. Stjernqvist K, Svenningsen NW. Neurobhavioural development at term of extremely low-birthweight infants (less than 901 g). Dev Med Child Neurol 32:679-88, 1990.
34. Eckerman CO, Oehler JM, Medvin MB, Hannan TE. Premature newborns as social partners before term age. Infant Behav Dev 17:55-70, 1994.
35. Minde K, Whitelaw A, Brown J, Fitzhardinge P. Effect of neonatal complications in premature infants on early parent-infant interactions. Dev Med Child Neurol 25:763-77, 1983.
36. Dunn MS, Reilly MC, Johnston AM, et al. Family-Centered Care in Neonatology: The Family-Centered Care Map Development and Dissemination of Potentially Better Practices for the Provision. Pediatrics 118;S95, 2006.
37. Griffin T. Family-centered care in the NICU. J Perinatal Neonatal Nurs 20:98-102, 2006.
38. Smith J, Bajo K, Hager J. Planning a developmentally appropriate neonatal intensive care unit. Clin Perinatol 31:313-322, 2004.
39. Erdeve O, Arsan S, Canpolat FE, et al. Does individual room implemented family-centered care contribute to mother-infant interaction in preterm deliveries necessitating neonatal intensive care unit hospitalization? Am J Perinatol 26(2):159-64, 2009.
40. Erdeve O. Family centered care and the role of family in neonatal intensive care unit's design. Gulhane Med J 51:199-203, 2009.
41. Vandenberg KA. Individualized developmental care for high risk newborns in the NICU: A practice guideline. Early Human Dev 83:433-442, 2007.

 
 
 
 
 
 
 
 
 
 
 
 
Está expresamente prohibida la redistribución y la redifusión de todo o parte de los contenidos de la Sociedad Iberoamericana de Información Científica (SIIC) S.A. sin previo y expreso consentimiento de SIIC.
Artículos relacionadosMás relacionadosAtículos relacionados
ua31618
Inicio/Home

Copyright siicsalud © 1997-2024 ISSN siicsalud: 1667-9008