Mothers’ Perceptions of Quality of Family-Centered Care and Environmental Stressors in Neonatal Intensive Care Units: Predictors of and Relationships with Psycho-emotional Outcomes and Postpartum Attachment

2020 ◽  
Vol 24 (5) ◽  
pp. 601-611 ◽  
Author(s):  
Ah Rim Kim ◽  
Young Ran Tak ◽  
Yong Soon Shin ◽  
E. Hwa Yun ◽  
Hyun-Kyung Park ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Neonatal Intensive Care ◽  
Environmental Stressors ◽  
Neonatal Intensive Care Units ◽  
Family Centered Care ◽  
Emotional Outcomes ◽  
Centered Care ◽  
Family Centered

scholarly journals Close Collaboration with Parents intervention improves family-centered care in different neonatal unit contexts: a pre–post study

2020 ◽  
Vol 88 (3) ◽  
pp. 421-428 ◽  
Author(s):  
Mirka Toivonen ◽  
Liisa Lehtonen ◽  
Eliisa Löyttyniemi ◽  
Sari Ahlqvist-Björkroth ◽  
Anna Axelin
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Educational Intervention ◽  
Neonatal Intensive Care ◽  
Neonatal Intensive Care Units ◽  
Family Centered Care ◽  
Close Collaboration ◽  
Centered Care ◽  
Family Centered

Abstract Background The quality of family-centered care and parental participation in care in neonatal units differ widely across the world. Appropriate education might be an effective way to support medical staff in neonatal units to collaborate with parents and implement family-centered care. The aim of this study was to evaluate the effects of the educational intervention on the quality of family-centered care in eight Finnish neonatal intensive care units from both the staff and parent perspectives. Methods A mixed-method pre–post intervention study was conducted in eight neonatal intensive care units in Finland. Data were collected from staff and parents using the Bliss Baby Charter audit tool and semi-structured interviews. Results The quality of family-centered care, as assessed by staff and parents, increased significantly after the intervention in all eight units. The intervention was able to help staff define and apply elements of family-centered care, such as shared decision making and collaboration between parents and staff. In interviews, staff described that they learned to support and trust the parents’ ability to take care of their infant. Conclusions The educational intervention increased the quality of family-centered care and enabled mutual partnership between parents and staff. Impact This study shows that the educational intervention for the whole multi-professional staff of the neonatal unit improved the quality of family-centered care. The Close Collaboration with Parents intervention enabled mutual partnership between parents and staff. It also provides evidence that during The Close Collaboration with Parents intervention staff learned to trust the parents’ ability to take care of their infant.

scholarly journals Nurses' Perception of Family-Centered Care in Neonatal Intensive Care Units

2019 ◽  
Vol 09 (01) ◽  
pp. 016-020
Author(s):  
Haydeh Heidari ◽  
Marjan Mardani-Hamooleh
Keyword(s):  
Intensive Care ◽  
Data Analysis ◽  
Intensive Care Units ◽  
Neonatal Intensive Care ◽  
Neonatal Intensive Care Units ◽  
Family Centered Care ◽  
Face To Face ◽  
Centered Care ◽  
Conventional Content Analysis ◽  
Family Centered

AbstractFamily-centered care (FCC) is one of the important elements of care in neonatal intensive care units (NICUs). The aim of this study was to understand the nurses' perception of FCC in NICUs. This qualitative study was performed using conventional content analysis. Participants in this study included 18 nurses who were selected by a purposeful method. Semistructured, in-depth and face-to-face interviews were conducted with the participants. All interviews were written down, reviewed, and analyzed. Two categories were identified after the data analysis: (1) prerequisite for providing FCC and (2) parents' participation. Prerequisite for providing FCC consisted of two subcategories namely suitable facilities and adequate personnel. Parents' participation included subcategories of parents: neonate's attachment and parents' training. Nurses' perception of FCC in NICUs can facilitate an appropriate condition for the participation of family members in the care of neonates.

Implementing Potentially Better Practices for Improving Family-Centered Care in Neonatal Intensive Care Units: Successes and Challenges

PEDIATRICS ◽  
2003 ◽  
Vol 111 (Supplement_E1) ◽  
pp. e450-e460
Author(s):  
Kimberly A. Cisneros Moore ◽  
Kara Coker ◽  
Allison B. DuBuisson ◽  
Betsy Swett ◽  
William H. Edwards
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Neonatal Intensive Care ◽  
Neonatal Intensive Care Units ◽  
Family Centered Care ◽  
Improvement Project ◽  
Centered Care ◽  
Successes And Challenges ◽  
Unit Culture ◽  
Family Centered

Objective. Multidisciplinary teams from 11 medical center neonatal intensive care units collaborated in a quality improvement project with a focus on family-centered care. Methods. Through a process of self-analysis, literature review, benchmarking site visits, and expert consultation, 10 potentially better practice (PBP) areas were defined. Improvement activities in 4 of the 10 areas are given as examples of successes and challenges that individual centers encountered. The 4 areas are vision and philosophy, unit culture, family participation in care, and families as advisors. Results. Centers were at different places for all of the PBPs at the beginning and throughout the collaboration. Seven centers developed or revised their vision or philosophy of care statements about family-centered care. Incorporating the vision and philosophy of care into performance appraisals, hiring of new personnel, and changing unit culture to a more family-centered practice were more challenging than developing the statements. Full parent participation in care requires unrestricted access to the neonatal intensive care unit. The shift from considering parents to be “visitors” to being partners in caring for their child was more difficult for centers with restricted visitation policies. All centers developed, expanded, or started plans for establishing family advisory councils. The experience of 2 centers is described. Conclusions. Family-centered care is more of a journey than a destination. Collaborating centers in this project found themselves at different places in that journey. Through perseverance in implementing the PBPs, all have moved further along the path.

scholarly journals Family-Centered Care in Neonatal Intensive Care Units: Combining Intensive Care and Family Support

2017 ◽  
Vol 39 (3) ◽  
pp. 235-240
Author(s):  
Shunsuke ARAKI ◽  
Tomoko SAITO ◽  
Saori ICHIKAWA ◽  
Kaori SAITO ◽  
Tsuzumi TAKADA ◽  
...  
Keyword(s):  
Intensive Care ◽  
Family Support ◽  
Intensive Care Units ◽  
Neonatal Intensive Care ◽  
Neonatal Intensive Care Units ◽  
Family Centered Care ◽  
Centered Care ◽  
Family Centered

Improving Family-Centered Care for Infants in Neonatal Intensive Care Units

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Linda S. Franck ◽  
Robin Bisgaard ◽  
Diana M. Cormier ◽  
Jennifer Hutchison ◽  
Dishon Moore ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Neonatal Intensive Care ◽  
Neonatal Intensive Care Units ◽  
Family Centered Care ◽  
Centered Care ◽  
Family Centered

scholarly journals The Collateral Impact of COVID-19 Emergency on Neonatal Intensive Care Units and Family-Centered Care: Challenges and Opportunities

2021 ◽  
Vol 12 ◽  
Author(s):  
Loredana Cena ◽  
Paolo Biban ◽  
Jessica Janos ◽  
Manuela Lavelli ◽  
Joshua Langfus ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Neonatal Intensive Care ◽  
Psychological Impact ◽  
Healthcare Services ◽  
Mitigation Strategies ◽  
Neonatal Intensive Care Units ◽  
Family Centered Care ◽  
Centered Care ◽  
Family Centered

The ongoing Coronavirus disease 2019 (COVID-19) pandemic is disrupting most specialized healthcare services worldwide, including those for high-risk newborns and their families. Due to the risk of contagion, critically ill infants, relatives and professionals attending neonatal intensive care units (NICUs) are undergoing a profound remodeling of the organization and quality of care. In particular, mitigation strategies adopted to combat the COVID-19 pandemic may hinder the implementation of family-centered care within the NICU. This may put newborns at risk for several adverse effects, e.g., less weight gain, more nosocomial infections, increased length of NICU stay as well as long-term worse cognitive, emotional, and social development. This article aims to contribute to deepening the knowledge on the psychological impact of COVID-19 on parents and NICU staff members based on empirical data from the literature. We also provided evidence-based indications on how to safely empower families and support NICU staff facing such a threatening emergency, while preserving the crucial role of family-centered developmental care practices.

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