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Yenidoğan Yoğun Bakım Ünitelerinde Yeni Bir Çağın Başlangıcı: Aile Entegre Bakım

Yıl 2021, Cilt: 4 Sayı: 2, 123 - 135, 31.05.2021
https://doi.org/10.48124/husagbilder.796242

Öz

Gelişen teknoloji, antenatal ve neonatal bakım uygulamalarıyla birlikte prematüre bebeklerin yaşama şansı artmıştır. Bebeklerin yaşama şansındaki iyileşmeye karşın, uzun dönem izlemlerde nörogelişimsel sorunlar dikkat çekmektedir. Yenidoğan yoğun bakım üniteleri riskli bebeklerin bakım gereksinimlerinin karşılandığı özellikli birimlerdir. Günümüzde bu birimlerde amaç; özel bakım gereksinimi olan bebeklerin yalnızca yaşatılması değil, kaliteli ve güvenli bakım sunulması ile sağlıklı term bebeklerle benzer nörogelişimsel şansı yakalamalarını sağlamaktır. “Bilgi, güçtür.” ilkesini benimseyerek ebeveynlerin yeterliliğini artırıp, bebeklerinin primer bakım vericileri olmalarını hedefleyen aile entegre bakım modeli, aile merkezli bakım kültürünün oluşturulması ve gelişimsel bakımın ünitelerde uygulamaya aktarılmasında önemli bir adımdır.

Teşekkür

Makalenin eleştirel incelemesinde verdiği katkıdan dolayı Sayın Prof. Dr. Ayda ÇELEBİOĞLU’na teşekkür ederiz.

Kaynakça

  • 1. Myrhaug HT, Brurberg KG, Hov L, Markestad T. Survival and Impairment of Extremely Premature Infants: A Meta-analysis. Pediatrics 2019; 143(2), 1-14.
  • 2. Ding S, Mew EJ, Chee-A-Tow A, Offringa M, Butche NJ, Moore GP. Neurodevelopmental outcome descriptions in cohorts of extremely preterm children. Archives of disease in childhood 2020. Fetal and neonatal edition. 1-10.
  • 3. Pierrat V, Marchand-Martin L, Arnaud C, Kaminski M, Resche-Rigon M, Lebeaux C, et. al. Neurodevelopmental outcome at 2 years for preterm children born at 22 to 34 weeks’ gestation in France in 2011: EPIPAGE-2 cohort study. BMJ 2017, 358, 1-13.
  • 4. Yiğit R, Üğücü G. Yüksek Riskli Yenidoğan ve Bakımının Tarihsel Gelişimi: Dünya ve Türkiye. Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 2019, 3(3), 200-11.
  • 5. Phillips RM. Seven core measures of neuroprotective family-centered developmental care: Creating an infrastructure for implementation. Newborn and Infant Nursing Reviews 2015, 15(3), 87-90.
  • 6. Lee SK, O'Brien K. Family integrated care: Changing the NICU culture to improve whole-family health. Journal of Neonatal Nursing 2018, 24(1), 1-3.
  • 7. Europan Foundation fort he Care of Newborn Infants. European Standards of Care for Newborn Health: Infant-& family-centered development care. 2018. Available from: URL: https://newborn-health-standards.org/wp-content/uploads/2019/10/TEG_IFCDC_complete.pdf Accessed 26 June 2020.
  • 8. Yiğit R, Üğücü G. Beyin Gelişimi. Çocukluk Dönemlerinde Büyüme Gelişme, Güncellenmiş 2. Baskı. Çukurova Nobel Tıp Kitabevi: Antalya, 2020; 43-50.
  • 9. Altimier L, Boyle B. The role of families in providing neuroprotection for infants in the NICU. Journal of Neonatal Nursing 2019, 25, 155-9.
  • 10. Pineda R, Raney M, Smith J. Supporting and enhancing NICU sensory experiences (SENSE): Defining developmentally-appropriate sensory exposures for high-risk infants. Early Human Development 2019, 133, 29-35.
  • 11. Altimier L, Phillips RM. The neonatal integrative developmental care model: Seven neuroprotective core measures for family-centered developmental care. Newborn and Infant Nursing Reviews 2013, 13(1), 9-22.
  • 12. Palma EI, Von Wussow FK, Morales IB, Cifuentes J, Ambiado S. Stress in parents of newborns hospitalized in a neonatal intensive care unit. Rev. Chil. Pediatr 2017, 88(3), 332-9.
  • 13. Treherne SC, Feeley N, Charbonneau L, Axelin A. Parents' perspectives of closeness and separation with their preterm infants in the NICU. Journal of Obstetric, Gynecologic & Neonatal Nursing 2017, 46(5), 737-47.
  • 14. Lundqvist P, Weis J, Sivberg B. Parents’ journey caring for a preterm infant until discharge from hospital‐based neonatal home care—A challenging process to cope with. Journal of Clinical Nursing 2019, 28(15-16), 2966-2978.
  • 15. Banerjee J, Aloysius A, Platonos K, Deierl A. Family centred care and family delivered care – What are we talking about?. Journal of Neonatal Nursing 2018, 24, 8-12.
  • 16. Levin A. The mother‐infant unit at Tallinn children's hospital, Estonia: A truly baby‐friendly unit. Birth 1994, 21(1), 39-44.
  • 17. Levin A. Humane neonatal care initiative. Acta Paediatr 1999, 88: 353-5.
  • 18. Bracht M, O'Leary L, Lee SK, O'Brien K. Implementing family-integrated care in the NICU: a parent education and support program. Advances in Neonatal Care 2013, 13(2), 115-26.
  • 19. Macdonell K, Christie K, Robson K, Pytlik K, Lee SK, O'Brien K. Implementing family-integrated care in the NICU: engaging veteran parents in program design and delivery. Advances in Neonatal Care 2013, 13(4), 262-9.
  • 20. O’Brien K, Bracht M, Macdonell K, McBride T, Robson K, O’Leary L, Lee SK. A pilot cohort analytic study of Family Integrated Care in a Canadian neonatal intensive care unit. BMC Pregnancy and Childbirth 2013, 13(1), 12.
  • 21. Aloysius A, Platonos K, Owen A, Deierl A, Banerjee J. Integrated family delivered care: Development a staff education programme. Journal of Neonatal Nursing 2018, 24, 35-8.
  • 22. Banerjee J, Aloysius A, Platonos K, Deierl A. Innovations: supporting family integrated care. Journal of Neonatal Nursing 2018, 24(1), 48-54.
  • 23. Kelly, H. Putting families at the heart of their baby's care. Journal of Neonatal Nursing 2018, 24(1), 13-6.
  • 24. Aloysius A, Kharusi M, Winter R, Platonos K, Banerjee J, Deierl A. Support for families beyond discharge from the NICU. Journal of Neonatal Nursing 2018, 24(1), 55-60.
  • 25. Galarza-Winton ME, Dicky T, O'Leary L, Lee SK, O'Brien K. Implementing family-integrated care in the NICU: educating nurses. Advances in Neonatal Care 2013, 13(5), 335-40.
  • 26. Platonos K, Aloysius A, Banerjee J, Deierl A. Integrated family delivered care project: Parent education programme. Journal of Neonatal Nursing 2018, 24(1), 29-34.
  • 27. Franck LS, Waddington C, O’Brien K. Family Integrated Care for Preterm Infants. Critical Care Nursing Clinics 2020.32;149-65.
  • 28. Deierl A, Williams S, Aloysius A, Hurlston R, Banerjee J. Development of outcome measurement tools for the integrated family delivered care project. Journal of Neonatal Nursing 2018, 24(1), 61-5.
  • 29. NHS Institute for Innovation and Improvement. (2010). Sustainability: Model and guide. Available from: URL: https://www.england.nhs.uk/improvement-hub/wp-content/uploads/sites/44/2017/11/NHS-Sustainability-Model-2010.pdf Accessed 26 June 2020.
  • 30. Arian M, Mortazavi H, TabatabaiChehr M, Navipour H, Vanaki Z. Institutionalizing the educational role of nurses by Deming cycle (PDCA). Quarterly Journal of Nursing Management 2016, 4(4), 45-57.
  • 31. Warre R, O’Brien K, Lee SK. Parents as the primary caregivers for their infant in the NICU: benefits and challenges. NeoReviews 2014, 15(11), 472-7.
  • 32. O'Brien K, Robson K, Bracht M, Cruz M, Lui K, Alvaro R, Soraisham A. Effectiveness of Family Integrated Care in neonatal intensive care units on infant and parent outcomes: a multicentre, multinational, cluster-randomised controlled trial. The Lancet Child & Adolescent Health 2018, 2(4), 245-54.
  • 33. Liu TT, Lei MJ, Li YF, Liu YQ, Meng LN, Jin CD. Effects of parental involvement in infant care in neonatal intensive care units: a meta-analysis. Frontiers of Nursing 2018, 5(3), 207-15.

The Dawn of A New Era in Neonatal Intensive Care Units: Family Integrated Care

Yıl 2021, Cilt: 4 Sayı: 2, 123 - 135, 31.05.2021
https://doi.org/10.48124/husagbilder.796242

Öz

The survival chance of premature infants have increased with advanced technology, antenatal and neonatal care implementations. Despite of the improvement in the chance of infants survival, follow-up neurodevelopmental problems have pointed out long-term outcomes. Neonatal intensive care units are specialized eras to meet the care needs of risky infants. Today, the purpose of these units is not only keeping the infants with special care needs alive, but also providing quality and safe care to have similar neurodevelopmental chances with healthy term ones. Family intagrated care is an essential step to create family-centered care culture, to transfer developmental care into practices in units by adopting the principle “knowledge is power” through increasing the competence of parents who will be the primary caregivers of their infants.

Kaynakça

  • 1. Myrhaug HT, Brurberg KG, Hov L, Markestad T. Survival and Impairment of Extremely Premature Infants: A Meta-analysis. Pediatrics 2019; 143(2), 1-14.
  • 2. Ding S, Mew EJ, Chee-A-Tow A, Offringa M, Butche NJ, Moore GP. Neurodevelopmental outcome descriptions in cohorts of extremely preterm children. Archives of disease in childhood 2020. Fetal and neonatal edition. 1-10.
  • 3. Pierrat V, Marchand-Martin L, Arnaud C, Kaminski M, Resche-Rigon M, Lebeaux C, et. al. Neurodevelopmental outcome at 2 years for preterm children born at 22 to 34 weeks’ gestation in France in 2011: EPIPAGE-2 cohort study. BMJ 2017, 358, 1-13.
  • 4. Yiğit R, Üğücü G. Yüksek Riskli Yenidoğan ve Bakımının Tarihsel Gelişimi: Dünya ve Türkiye. Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 2019, 3(3), 200-11.
  • 5. Phillips RM. Seven core measures of neuroprotective family-centered developmental care: Creating an infrastructure for implementation. Newborn and Infant Nursing Reviews 2015, 15(3), 87-90.
  • 6. Lee SK, O'Brien K. Family integrated care: Changing the NICU culture to improve whole-family health. Journal of Neonatal Nursing 2018, 24(1), 1-3.
  • 7. Europan Foundation fort he Care of Newborn Infants. European Standards of Care for Newborn Health: Infant-& family-centered development care. 2018. Available from: URL: https://newborn-health-standards.org/wp-content/uploads/2019/10/TEG_IFCDC_complete.pdf Accessed 26 June 2020.
  • 8. Yiğit R, Üğücü G. Beyin Gelişimi. Çocukluk Dönemlerinde Büyüme Gelişme, Güncellenmiş 2. Baskı. Çukurova Nobel Tıp Kitabevi: Antalya, 2020; 43-50.
  • 9. Altimier L, Boyle B. The role of families in providing neuroprotection for infants in the NICU. Journal of Neonatal Nursing 2019, 25, 155-9.
  • 10. Pineda R, Raney M, Smith J. Supporting and enhancing NICU sensory experiences (SENSE): Defining developmentally-appropriate sensory exposures for high-risk infants. Early Human Development 2019, 133, 29-35.
  • 11. Altimier L, Phillips RM. The neonatal integrative developmental care model: Seven neuroprotective core measures for family-centered developmental care. Newborn and Infant Nursing Reviews 2013, 13(1), 9-22.
  • 12. Palma EI, Von Wussow FK, Morales IB, Cifuentes J, Ambiado S. Stress in parents of newborns hospitalized in a neonatal intensive care unit. Rev. Chil. Pediatr 2017, 88(3), 332-9.
  • 13. Treherne SC, Feeley N, Charbonneau L, Axelin A. Parents' perspectives of closeness and separation with their preterm infants in the NICU. Journal of Obstetric, Gynecologic & Neonatal Nursing 2017, 46(5), 737-47.
  • 14. Lundqvist P, Weis J, Sivberg B. Parents’ journey caring for a preterm infant until discharge from hospital‐based neonatal home care—A challenging process to cope with. Journal of Clinical Nursing 2019, 28(15-16), 2966-2978.
  • 15. Banerjee J, Aloysius A, Platonos K, Deierl A. Family centred care and family delivered care – What are we talking about?. Journal of Neonatal Nursing 2018, 24, 8-12.
  • 16. Levin A. The mother‐infant unit at Tallinn children's hospital, Estonia: A truly baby‐friendly unit. Birth 1994, 21(1), 39-44.
  • 17. Levin A. Humane neonatal care initiative. Acta Paediatr 1999, 88: 353-5.
  • 18. Bracht M, O'Leary L, Lee SK, O'Brien K. Implementing family-integrated care in the NICU: a parent education and support program. Advances in Neonatal Care 2013, 13(2), 115-26.
  • 19. Macdonell K, Christie K, Robson K, Pytlik K, Lee SK, O'Brien K. Implementing family-integrated care in the NICU: engaging veteran parents in program design and delivery. Advances in Neonatal Care 2013, 13(4), 262-9.
  • 20. O’Brien K, Bracht M, Macdonell K, McBride T, Robson K, O’Leary L, Lee SK. A pilot cohort analytic study of Family Integrated Care in a Canadian neonatal intensive care unit. BMC Pregnancy and Childbirth 2013, 13(1), 12.
  • 21. Aloysius A, Platonos K, Owen A, Deierl A, Banerjee J. Integrated family delivered care: Development a staff education programme. Journal of Neonatal Nursing 2018, 24, 35-8.
  • 22. Banerjee J, Aloysius A, Platonos K, Deierl A. Innovations: supporting family integrated care. Journal of Neonatal Nursing 2018, 24(1), 48-54.
  • 23. Kelly, H. Putting families at the heart of their baby's care. Journal of Neonatal Nursing 2018, 24(1), 13-6.
  • 24. Aloysius A, Kharusi M, Winter R, Platonos K, Banerjee J, Deierl A. Support for families beyond discharge from the NICU. Journal of Neonatal Nursing 2018, 24(1), 55-60.
  • 25. Galarza-Winton ME, Dicky T, O'Leary L, Lee SK, O'Brien K. Implementing family-integrated care in the NICU: educating nurses. Advances in Neonatal Care 2013, 13(5), 335-40.
  • 26. Platonos K, Aloysius A, Banerjee J, Deierl A. Integrated family delivered care project: Parent education programme. Journal of Neonatal Nursing 2018, 24(1), 29-34.
  • 27. Franck LS, Waddington C, O’Brien K. Family Integrated Care for Preterm Infants. Critical Care Nursing Clinics 2020.32;149-65.
  • 28. Deierl A, Williams S, Aloysius A, Hurlston R, Banerjee J. Development of outcome measurement tools for the integrated family delivered care project. Journal of Neonatal Nursing 2018, 24(1), 61-5.
  • 29. NHS Institute for Innovation and Improvement. (2010). Sustainability: Model and guide. Available from: URL: https://www.england.nhs.uk/improvement-hub/wp-content/uploads/sites/44/2017/11/NHS-Sustainability-Model-2010.pdf Accessed 26 June 2020.
  • 30. Arian M, Mortazavi H, TabatabaiChehr M, Navipour H, Vanaki Z. Institutionalizing the educational role of nurses by Deming cycle (PDCA). Quarterly Journal of Nursing Management 2016, 4(4), 45-57.
  • 31. Warre R, O’Brien K, Lee SK. Parents as the primary caregivers for their infant in the NICU: benefits and challenges. NeoReviews 2014, 15(11), 472-7.
  • 32. O'Brien K, Robson K, Bracht M, Cruz M, Lui K, Alvaro R, Soraisham A. Effectiveness of Family Integrated Care in neonatal intensive care units on infant and parent outcomes: a multicentre, multinational, cluster-randomised controlled trial. The Lancet Child & Adolescent Health 2018, 2(4), 245-54.
  • 33. Liu TT, Lei MJ, Li YF, Liu YQ, Meng LN, Jin CD. Effects of parental involvement in infant care in neonatal intensive care units: a meta-analysis. Frontiers of Nursing 2018, 5(3), 207-15.
Toplam 33 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Makaleler
Yazarlar

Güzide Üğücü 0000-0002-1095-8656

Rana Yiğit 0000-0002-6832-3565

Yayımlanma Tarihi 31 Mayıs 2021
Gönderilme Tarihi 17 Eylül 2020
Kabul Tarihi 2 Şubat 2021
Yayımlandığı Sayı Yıl 2021 Cilt: 4 Sayı: 2

Kaynak Göster

Vancouver Üğücü G, Yiğit R. Yenidoğan Yoğun Bakım Ünitelerinde Yeni Bir Çağın Başlangıcı: Aile Entegre Bakım. Haliç Üniversitesi Sağlık Bilimleri Dergisi. 2021;4(2):123-35.