Introducing a model for improving the quality of developmental care in the neonatal intensive care unit in Iran
نویسندگان
1 M.Sc. in Midwifery, Ph.D. Candidate Pediatric, Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
2 MD, Research Associate Professor of Pediatric, Pediatric Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
3 3.MPH, Psychiatrist, social welfare management Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
4 Ph.D, Professor, Physical Therapist. Physical Therapy Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
5 MPH, Psychiatrist, Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.
doi
10.22037/anm.v25i89.10979چکیده
Background and AimDevelopmental care along with medical care controls premature infant's potential stress. Improving thequality of developmental care as well as other healthcare services is very important. In this paper, theexisting quality care improvement models have been reviewed and followed by analysis of their applicationsto the Iranian NICU. Consequently, an appropriate model is proposed.Materials and MethodsIn this review article, Iran Medex، Science direct، Google Scholar، SID, PubMed, Scopus, and EBSCOCINAHLdatabases have been searched by keywords including quality improvement, quality, developmentalcare, health care, NICU, premature infants. The content of articles were analyzed and compared.ResultsThe review of the literature indicates that there are many health care improvement models. Some of macroand micro related models are applicable in NICUs. However, there are some limitations in this regards. Withconsidering the characteristics of developmental care and the attributes of an ideal health care improvementmodel a number of models chose to promote developmental care in Iranian's NICU. The models are "QualityImprovement Collaborative", Clinical Pathways, Plan- DO- Study- Act Cycle, Six Sigma, EFQM and ISO.KeywordsDevelopmental care; Neonatal Intensive Care Units; Healthcare; Quality Improvement
