Implementing developmentally supportive family-centered care in the newborn intensive care unit as a quality improvement initiative.
Intensive care nursery personnel increasingly seek to practice developmental and family-centered care, but become frustrated when attempting implementation. Reports of effective change strategies for integration to practice are limited. This article presents a summary of one unit's experience using the performance improvement process to move toward a developmentally supportive, family-centered care delivery model. Results to date indicate that a comprehensive quality improvement process guided by a unit-based newborn developmental specialist can provide the framework to achieve the change from traditional, provider-centered, task-directed care to holistic, individualized, relationship-based care.
Ballweg
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DD
Memorial Hermann Southwest Hospital, Houston, Texas, USA.
D019985:Benchmarking; D002657:Child Development; D005190:Family; D022143:Family Nursing / Q000592:standards*; D006746:Hospital Bed Capacity, 500 and over; D006801:Humans; D007231:Infant, Newborn; D007363:Intensive Care Units, Neonatal / Q000592:standards*; D015931:Intensive Care, Neonatal / Q000592:standards*; D016294:Models, Nursing; D017146:Models, Organizational; D020380:Needs Assessment; D017283:Neonatal Nursing / Q000592:standards*; D009720:Nurse Clinicians / Q000592:standards; D015403:Nursing Evaluation Research; D010043:Outcome and Process Assessment, Health Care / Q000458:organization & administration; D018802:Patient-Centered Care / Q000592:standards*; D016730:Program Development / Q000379:methods*; D015397:Program Evaluation; D019984:Quality Indicators, Health Care; D012944:Social Support; D013781:Texas; D017749:Total Quality Management / Q000458:organization & administration*