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Abstract：
The use of age-appropriate care as an organized framework for care delivery in the NICU is founded on the work of Heidelise Als, PhD, and her synactive theory of development. This theoretical construct has recently been advanced by the work of Gibbins and colleagues with the \"universe of developmental care\" conceptual model and developmental care core measures which were endorsed by the National Association of Neonatal Nurses in their age-appropriate care of premature infant guidelines as best-practice standards for the provision of high-quality care in the NICU. These guidelines were recently revised and expanded. In alignment with the Joint Commission\'s requirement for healthcare professionals to provide age-specific care across the lifespan, the core measures for developmental care suggest the necessary competencies for those caring for the premature and critically ill hospitalized infant. Further supported by the Primer Standards of Accreditation and Health Canada, the institutional implementation of these core measures require a strong framework for institutional operationalization presented in these guidelines. Part B will present the recommendations and justification of each steps behind the present guidelines to facilitate their implementation.
摘要：
在NICU中使用适合年龄的护理作为有组织的护理框架是建立在HeideliseAls的工作基础上的，PhD,和她的共生发展理论。Gibbins及其同事最近通过“发展护理世界”概念模型和发展护理核心措施的工作提出了这一理论构想，这些模型和核心措施得到了美国国家新生儿护士协会的认可。作为在NICU中提供高质量护理的最佳实践标准的早产儿指南。这些准则最近进行了修订和扩展。根据联合委员会对医疗保健专业人员在整个生命周期中提供特定年龄护理的要求，发展性护理的核心措施表明，对于那些照顾早产和危重住院婴儿的人来说，他们有必要的能力。进一步得到加拿大认证和健康初级标准的支持，这些核心措施的体制实施需要这些准则中提出的强有力的体制运作框架。B部分将介绍本准则背后的每个步骤的建议和理由，以促进其实施。
