Introducing the i-Rainbow©: An Evidence-Based, Parent-Friendly Care Pathway Designed for Critically Ill Infants in the NICU Setting.

IF 1.3 4区医学 Q3 PEDIATRICS Pediatric Physical Therapy Pub Date : 2024-04-01 Epub Date: 2024-03-29 DOI:10.1097/PEP.0000000000001094

Eilish M Byrne, Katherine Hunt, Melissa Scala

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引用次数: 0

Abstract

Purpose: This study investigated the feasibility and effectiveness of a novel, evidence-based developmental care pathway to be used by health care providers and parents in the neonatal intensive care unit (NICU) setting. The i-Rainbow is based on current evidence and responds to individual infant health status. It is not based on infant age.

Methods: After development and implementation of the i-Rainbow, pre- and postimplementation nurse and parent survey data were collected and pre- and post-developmental care rates were compared.

Results: After i-Rainbow implementation, disagreement among providers on appropriate developmental care interventions significantly decreased, total minutes of daily developmental care and swaddled holding increased significantly, and parents reported that they would recommend the tool.

Conclusion: The i-Rainbow is a unique, parent-friendly, infant-based tool that guides sensory interventions in the NICU by staging infants based on cardiorespiratory status and physiologic maturity, not age. The i-Rainbow improved the delivery of developmental care activities in our unit and was well received by parents and nurses.

Video abstract: Supplemental Digital Content available at: http://links.lww.com/PPT/A516.

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介绍 i-Rainbow©：i-Rainbow©: 为新生儿重症监护室重症婴儿设计的循证、家长友好型护理路径。

目的：本研究调查了新生儿重症监护室（NICU）环境中医护人员和家长使用的新型循证发育护理路径的可行性和有效性。i-Rainbow 以当前的证据为基础，并对婴儿的个体健康状况做出反应。方法：方法：在开发和实施 i-Rainbow 后，收集实施前后的护士和家长调查数据，并比较实施前后的发育护理率：结果：实施 i-Rainbow 后，医疗服务提供者之间关于适当发育护理干预措施的分歧显著减少，每天发育护理和襁褓抱法的总时长显著增加，家长表示他们会推荐使用该工具：i-Rainbow是一种独特的、方便家长使用的、以婴儿为基础的工具，它根据婴儿的心肺功能状态和生理成熟度（而不是年龄）对婴儿进行分期，从而指导新生儿重症监护室的感官干预。i-Rainbow 改善了我们科室的发育护理活动，受到了家长和护士的一致好评。视频摘要：补充数字内容请访问：http://links.lww.com/PPT/A516。

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来源期刊

Pediatric Physical Therapy PEDIATRICS-REHABILITATION

CiteScore

1.50

自引率

18.80%

发文量

147

审稿时长

>12 weeks

期刊介绍： Pediatric Physical Therapy is an indexed international journal, that publishes peer reviewed research related to the practice of physical therapy for children with movement disorders. The editorial board is comprised of an international panel of researchers and clinical scholars that oversees a rigorous peer review process. The journal serves as the official journal for the pediatric physical therapy professional organizations in the Netherlands, Switzerland, New Zealand, Canada, and the United States. The journal includes articles that support evidenced based practice of physical therapy for children with neuromuscular, musculoskeletal, cardiorespiratory and developmental conditions that lead to disorders of movement, and research reports that contribute to the foundational sciences of pediatric physical therapy, ranging from biomechanics and pediatric exercise science to neurodevelopmental science. To these ends the journal publishes original research articles, systematic reviews directed to specific clinical questions that further the science of physical therapy, clinical guidelines and case reports that describe unusual conditions or cutting edge interventions with sound rationale. The journal adheres to the ethical standards of theInternational Committee of Medical Journal Editors.