Abstract：
BACKGROUND: Early relational health (ERH) interventions in the neonatal intensive care unit (NICU) buffer infants from toxic stress effects. Implementation science (IS) can guide successful uptake of evidence-based practice (EBP) ERH interventions. It is unknown if implementors of ERH interventions currently use the resources of IS to improve implementation.
OBJECTIVE: A narrative review of recent literature on implementation of ERH EBPs was completed to understand (a) which ERH interventions are currently being implemented in NICUs globally, (b) whether clinical implementors of ERH interventions have adopted the resources of IS, (c) existence of implementation gaps, and (d) implementation outcomes of ERH interventions in contemporary literature.
METHODS: Scopus, PubMed, and CINHAL were searched for original research regarding implementation of dyadic ERH interventions using key words related to IS and ERH.
METHODS: For inclusion, ERH EBPs had to have been implemented exclusively in NICU settings, contained data addressing an IS domain, printed in English within the last 5 years. Twenty-four studies met inclusion criteria.
METHODS: Studies were distilled for intervention, IS domains addressed, location, aims, design, sample, and outcomes.
RESULTS: Eleven ERH interventions were described in the literature. Few studies utilized the resources of IS, indicating variable degrees of success in implementation. Discussions of implementation cost were notably missing.
CONCLUSIONS: Implementors of ERH interventions appear to be largely unfamiliar with IS resources. More work is needed to reach clinicians with the tools and resources of IS to improve implementation outcomes.
OBJECTIVE: A narrative review of recent literature on implementation of ERH EBPs was completed to understand (a) which ERH interventions are currently being implemented in NICUs globally, (b) whether clinical implementors of ERH interventions have adopted the resources of IS, (c) existence of implementation gaps, and (d) implementation outcomes of ERH interventions in contemporary literature.
METHODS: Scopus, PubMed, and CINHAL were searched for original research regarding implementation of dyadic ERH interventions using key words related to IS and ERH.
METHODS: For inclusion, ERH EBPs had to have been implemented exclusively in NICU settings, contained data addressing an IS domain, printed in English within the last 5 years. Twenty-four studies met inclusion criteria.
METHODS: Studies were distilled for intervention, IS domains addressed, location, aims, design, sample, and outcomes.
RESULTS: Eleven ERH interventions were described in the literature. Few studies utilized the resources of IS, indicating variable degrees of success in implementation. Discussions of implementation cost were notably missing.
CONCLUSIONS: Implementors of ERH interventions appear to be largely unfamiliar with IS resources. More work is needed to reach clinicians with the tools and resources of IS to improve implementation outcomes.
摘要：
背景：新生儿重症监护病房（NICU）的早期关系健康（ERH）干预措施可以缓解婴儿的毒性应激反应。实施科学（IS）可以指导成功采用循证实践（EBP）ERH干预措施。目前尚不清楚ERH干预措施的实施者是否正在使用IS的资源来改善实施。
目标：完成了关于实施ERHEBP的最新文献的叙述性综述，以了解（a）目前在全球NICU中实施了哪些ERH干预措施，(B)ERH干预措施的临床实施者是否采用了IS的资源，(c)存在执行差距，和(D)当代文献中ERH干预的实施结果。
方法：Scopus,PubMed,使用与IS和ERH相关的关键词，搜索了有关实施二元ERH干预措施的原始研究。
方法：要包含在内，ERHEBP必须仅在NICU环境中实施，包含寻址IS域的数据，在过去5年内用英文印刷。24项研究符合纳入标准。
方法：提取了干预研究，已寻址域，location,目标,设计,样品,和结果。
结果：文献中描述了11种ERH干预措施。很少有研究利用IS的资源，表明实施的不同成功程度。关于执行费用的讨论明显缺失。
结论：ERH干预措施的实施人员似乎在很大程度上不熟悉IS资源。需要做更多的工作，以使临床医生获得IS的工具和资源，以改善实施结果。
目标：完成了关于实施ERHEBP的最新文献的叙述性综述，以了解（a）目前在全球NICU中实施了哪些ERH干预措施，(B)ERH干预措施的临床实施者是否采用了IS的资源，(c)存在执行差距，和(D)当代文献中ERH干预的实施结果。
方法：Scopus,PubMed,使用与IS和ERH相关的关键词，搜索了有关实施二元ERH干预措施的原始研究。
方法：要包含在内，ERHEBP必须仅在NICU环境中实施，包含寻址IS域的数据，在过去5年内用英文印刷。24项研究符合纳入标准。
方法：提取了干预研究，已寻址域，location,目标,设计,样品,和结果。
结果：文献中描述了11种ERH干预措施。很少有研究利用IS的资源，表明实施的不同成功程度。关于执行费用的讨论明显缺失。
结论：ERH干预措施的实施人员似乎在很大程度上不熟悉IS资源。需要做更多的工作，以使临床医生获得IS的工具和资源，以改善实施结果。
