ارزیابی کیفیت مراقبت‌های نوزاد سالم در بیمارستان: مروری نظام‌مند بر مطالعات

نوع مقاله : مقاله مروری

نویسندگان

1 دانشجوی دکترای تخصصی بهداشت باروری، کمیته‌ی تحقیقات دانشجویی، دانشکده‌ی پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران

2 دانشیار، مرکز تحقیقات مامایی و بهداشت باروری و گروه مامایی و بهداشت باروری، دانشکده‌ی پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران

3 استاد، مرکز تحقیقات مامایی و بهداشت باروری، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران

4 استادیار، گروه اطفال، دانشکده‌ی پزشکی، دانشگاه علوم پزشکی تبریز، تبریز، ایران

5 استاد، گروه آمار زیستی، دانشکده‌ی پیراپزشکی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران

چکیده

مقدمه: ارزیابی کیفیت مراقبت نوزاد، برای دست‌یابی به پیامدهای مطلوب و مؤثر بر سلامت آینده‌ی نوزاد ضروری است. هدف از انجام مطالعه‌ی حاضر، مرور نظام‌مند معیارهای مورد استفاده در ارزیابی کیفیت مراقبت‌های نوزاد سالم در مطالعات مختلف، بر طبق الگوی Donabedeian بود.روش‌ها: بانک‌های اطلاعاتی PubMed، Google scholar، Scopus، Science Direct، Iran medex، Magiran و Scientific Information Database (SID) برای مطالعات مرتبط با کلید واژه‌های «Healthy newborn»، «Quality of care» و «Quality assessment» و معادل آن‌ها در Mesh و مترادف‌های فارسی جستجو شدند. کلیه‌ی مقالات کمی، کیفی، انگلیسی و فارسی زبان در محدوده‌ی زمانی ابتدای 1998 تا انتهای سپتامبر 2019، که به بررسی کیفیت در مراقبت‌های نوزاد سالم پرداخته بودند، وارد مطالعه شدند. از تعداد 2219 مقاله‌ی دست‌یابی شده، در نهایت 25 مقاله وارد مطالعه شدند.یافته‌ها: پس از بررسی مطالعات، معیارهای ارزیابی کیفیت مراقبت نوزاد سالم طبق الگوی Donabedeian در سه گروه جای گرفتند: ساختار (زیرساخت‌های فیزیکی، تجهیزات و داروها، منابع انسانی با صلاحیت، سیاست‌ها و دستورالعمل‌های بالینی)، فرایندها (مراقبت فوری نوزاد و اقدامات دو ساعت اول تولد، مراقبت‌های غیر فوری و احیای نوزادی)، پیامدها (رضایتمندی مادران، شاخص‌های مرگ و میر و عوارض نوزادی) بودند.نتیجه‌گیری: نتایج این مرورنظام‌مند نشان داد که در حال حاضر، روش ارزیابی کیفیت جامعی برای مراقبت‌های نوزاد سالم تعریف نشده است و تدوین ابزار جامع و معتبر برای ارزیابی کیفیت این مراقبت‌ها، به گونه‌ای که همه‌ی معیارهای استخراج شده از این مطالعه را در بر بگیرد، به عنوان یک نیاز نظام سلامت برای ارتقای کیفیت مراقبت‌های نوزادان سالم ضروری است.

کلیدواژه‌ها

عنوان مقاله [English]

Quality Assessment of Healthy Newborn Care in Hospital: A Systematic Review

نویسندگان [English]

  • Fereshteh Rasti-Borujeni 1
  • Fatemeh Nahidi 2
  • Masoumeh Simbar 3
  • Mohammad Heidarzadeh 4
  • Hamid Alavi-Majd 5
1 PhD Candidate, Department of Reproductive Health, Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 Associate Professor, Midwifery and Reproductive Health Research Center AND Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3 Professor, Midwifery and Reproductive Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4 Assistant Professor, Department of Pediatrics, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
5 Professor, Department of Biostatistics, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
چکیده [English]

Background: Quality assessment of newborn care is essential to achie desirable and affecting future health outcomes. This study aimed to review the criteria used to evaluate the quality of healthy newborn care in different studies systematically based on the Donabedeian model.Methods: PubMed, Google Scholar, Scopus, Science Direct, Iranmedex, Magiran, and Scientific Information Database (SID) databases were searched oncerning relevant studies with the keyword of "healthy newborn" and "quality of care" and "quality assessment" and their equivalent in Mesh and Persian synonyms. All quantitative, qualitative, English, and Persian-language articles ranging from the beginning of 1998 to the end of September 2019, which examined quality in healthy neonatal care, were included in the study. Of the 2219 articles obtained, 25 were finally included.Findings: After reviewing the studies, the criteria for quality assessment of healthy newborn care were divided into three groups according to the Donabedian model: structure (physical infrastructure, essential drugs and equipment, competent human resources, policies, and clinical guidelines), processes (immediate newborn care and first two hours of birth, delayed newborn care, and neonatal resuscitation), and outcomes (maternal satisfaction, reduction of newborn mortality and complications).Conclusion: The results of these systematic review showed that currently, there is not a defined comprehensive quality assessment method to take care of a healthy newborn. The development of a comprehensive and reliable tool to assess the quality of these care, which encompasses all the criteria extracted from this study, is essential as a health system requirement to improve the quality of care for healthy newborns.

کلیدواژه‌ها [English]

  • Quality of care
  • Newborn
  • Infant Care
  • Donabedian model

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مجله دانشکده پزشکی اصفهان
دوره 37، شماره 551 - شماره پیاپی 551
آذر و دی 1398
صفحه 1252-1262

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سابقه مقاله

  • تاریخ دریافت: 07 دی 1398
  • تاریخ بازنگری: 11 آبان 1403
  • تاریخ پذیرش: 17 فروردین 1401

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