ISSN:0893-2190    

出版商:OVID    

年代:1997

数据来源: OVID

ISSN:0893-2190    

出版商:OVID    

年代:1997

数据来源: OVID

ISSN:0893-2190    

出版商:OVID    

年代:1997

数据来源: OVID

ISSN:0893-2190    

出版商:OVID    

年代:1997

数据来源: OVID

ISSN:0893-2190    

出版商:OVID    

年代:1997

数据来源: OVID

ISSN:0893-2190    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

The health care industry is in the throes of remarkably penetrating and destabilizing change, the effects of which have been felt earliest by perinatal service directors. In anticipation of future trends marked by rampant change, a survey of perinatal service directors and vice presidents was conducted to elicit their opinions about the current and future states of perinatal health care. Findings supported the notions that change is a constant, that clinical and service excellence is a mandate, and that collaboration is key. Future success will require many old behaviors and systems to be replaced. Leadership to guide us to the future has never been more important.

ISSN:0893-2190    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

The North American literature on obstetric patient satisfaction of the past 25 years was reviewed using two major computerized databases. The articles identified by these searches were supplemented with other research articles identified in reference lists. The review highlights the difficulties inherent in the use of many different methodologies to study obstetric patient satisfaction. The main methodologies have been mailed questionnaires, telephone interviews, and semistructured interviews, with data collection periods ranging from 24 hours to 2 years postpartum. The various approaches to data collection make comparison of results among studies exceedingly difficult. The reluctance of patients to criticize their caregivers has been problematic and is evidenced by satisfaction ratings that are positively skewed. Factors that have been reported to be most influential in obstetric patient satisfaction include communication, control, participation in decision making, presence of a support person, information/prenatal classes, nursing care services, length of stay, and physical environment. The relative importance of these factors, however, has not been ascertained.

ISSN:0893-2190    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

Clearly, the great majority of premature infants currently survive their neonatal course in the hospital. The major challenge facing neonatal health care providers is to combine the necessary technologic intensive care for the newborn with a sensitive and individualized approach to facilitate neurobehavioral development while acknowledging and supporting the parents of these infants in their role as primary advocates and long-term caregivers. This challenge has been met in a variety of ways over time, and a new history of providing developmentally supportive care is being created. A multidisciplinary collaborative approach based on the synactive theory of newborn development incorporates both environmental and caregiving modifications to enhance infant and family outcomes. The article reviews the history of this approach to care, the current state of the art and practice, and the current challenges for future implementation.

ISSN:0893-2190    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

Preterm infants are not physiologically or developmentally prepared for life outside the supportive environment of the mother's womb. Their response to stimuli is often immature and disorganized rather than adaptive. The Roy Adaptation Model's theory of an adaptive person may provide a framework for nurses to assess, plan, and evaluate nursing care for fragile preterm infants. The article examines actual and potential stressors of the premature infant; describes commonly observed disorganized, ineffective responses; and proposes a clinical tool (the STRESS tool: signs of stress, touch interventions, reduction of pain, environmental considerations, state, and stability) that nurses can use when caring for medically fragile infants.

ISSN:0893-2190    

出版商:OVID    

年代:1997

数据来源: OVID