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Neonatal Care Provider Tasks in the NICU and Delivery Room
Advances in Neonatal Care ( IF 1.7 ) Pub Date : 2022-06-01 , DOI: 10.1097/anc.0000000000000917
Misty Smith , Elena Bosque

Background: 

Decreased availability of pediatric residents in neonatal intensive care units (NICUs) has created demand for other neonatal medical care providers. No recent publications exist about how to approach the organization of tasks involved in that care.

Purpose: 

The purpose of this article is to present a structure and resources to guide the organization of tasks in the care of sick and premature infants in the NICU.

Methods: 

The methods included a literature review to develop evidenced-based practice resources. The literature was reviewed regarding the relevant history and resources to support task organization during patient rounds and care in the NICU, and for delivery attendance by skilled providers. The goal, to establish a reference to support education about these approaches, is based upon evidence, which appears to be rooted in tradition.

Findings: 

Evidence-based resources include documentation templates, problem list in order of systems, and provider tasks for NICU and delivery attendance.

Implication for Research: 

Future studies can measure mentor or learner perceptions of the value of these resources, critical thinking improvement, safety, and clinical outcomes.

Implication for Practice: 

These resources may provide structure for learners and providers who have studied the physiology, pathophysiology, and problem management concepts, but need to learn how to execute their responsibilities in these busy environments.



中文翻译:

新生儿重症监护室和产房的新生儿护理提供者任务

背景: 

新生儿重症监护病房 (NICU) 儿科住院医师的可用性降低,这增加了对其他新生儿医疗保健提供者的需求。最近没有关于如何处理该护理所涉及的任务组织的出版物。

目的: 

本文的目的是提供一个结构和资源,以指导NICU 中患病和早产儿护理任务的组织。

方法: 

这些方法包括文献综述,以开发循证实践资源。文献回顾了相关的历史和资源,以支持在 NICU 的患者查房和护理期间的任务组织,以及由熟练的提供者提供接生服务。建立参考以支持有关这些方法的教育的目标是基于证据,这似乎植根于传统。

发现: 

循证资源包括文档模板、按系统顺序排列的问题列表以及 NICU 和分娩出勤的提供者任务

研究意义: 

未来的研究可以衡量导师或学习者对这些资源的价值、批判性思维改进、安全性和临床结果的看法。

对实践的启示: 

这些资源可以为学习过生理学、病理生理学和问题管理概念但需要学习如何在这些繁忙环境中履行职责的学习者和提供者提供结构。

更新日期:2022-06-04
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