Transporting the incubator: effects upon a region of the adoption of guidelines for high-risk maternal transport.
| Autor: | Gibson ME; School of Nursing, University of Virginia, Charlottesville, VA 22908, USA., Bailey CF, Ferguson JE 2nd |
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| Jazyk: | angličtina |
| Zdroj: | Journal of perinatology : official journal of the California Perinatal Association [J Perinatol] 2001 Jul-Aug; Vol. 21 (5), pp. 300-6. |
| DOI: | 10.1038/sj.jp.7210533 |
| Abstrakt: | Objective: To inventory maternal transport practices and develop regional transport guidelines. Study Design: A survey was administered to perinatal nursing directors of nine community hospitals in a rural region of Virginia. Items included personnel, training, equipment, vehicle, communication, and protocols. Following the survey, regional guidelines were developed using a collaborative process. Their use was promoted in the region. A post-intervention survey documented changes in transport practices. Results: The pre-intervention survey showed wide variability in training and number of personnel and in availability of emergency equipment. Communication was via radio to a dispatcher. No hospital had standing orders or protocols for transport. Guidelines were developed, which included recommendations for personnel, equipment, vehicle, communication methods, and care protocols. Eight of nine hospitals endorsed the guidelines. A follow-up survey revealed practice changes for standing orders/protocols, communication, and equipment. Conclusion: Regionwide practice changes can be successfully implemented. Guidelines may be helpful for other regions using primarily one-way maternal transports. |
| Databáze: | MEDLINE |
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