NICU Staff's Perceptions and Attitudes Toward the Family Integrated Care (FICare) Model

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Xiaoli Tang ◽  
Sha Sha ◽  
Qian Jin ◽  
Hong Lu
Keyword(s):  
Integrated Care ◽  
Perceptions And Attitudes ◽  
The Family ◽  
Family Integrated Care ◽  
Family Integrated

The Perceptions and Experiences of Parents and Families of Preterm Infants Who Participate in Family Integrated Care Programs in Neonatal Intensive Care Units: A Qualitative Systematic Review Protocol

2021 ◽  
Author(s):  
Rebecca Anne Carman ◽  
Claire Adams ◽  
Mary Sharp ◽  
Daniel McAullay ◽  
Rhonda Marriott ◽  
...  
Keyword(s):  
Systematic Review ◽  
Intensive Care ◽  
Integrated Care ◽  
Preterm Infants ◽  
Neonatal Intensive Care ◽  
Care Program ◽  
The Family ◽  
Full Text Review ◽  
Family Integrated Care ◽  
Family Integrated

Abstract BackgroundThe premature birth of an infant coupled with admission to a Neonatal Intensive Care Unit (NICU) can pose complex psychosocial challenges to parents and the family unit. Measures designed to counteract the effects of restricted visitation and prolonged separation from the infant within the NICU setting have led to the development of the Family Integrated Care model; emphasis in this program is placed on the active participation of the parent alongside the healthcare team in providing direct care to the preterm infant. The aim of this systematic review is to explore the perceptions and experiences of parents and families of preterm infants who have used a Family Integrated Care program during hospitalisation in a NICU. MethodsA systematic literature search will be performed on six electronic databases (Medline, CINAHL, Embase, PsycINFO, Web of Science, and Scopus) to identify relevant articles which meet the a priori inclusion criteria. A hand-search of the reference lists of all articles taken to full text review will supplement the search. The search will be limited to peer-reviewed, primary research articles written in English only; nil publication date restrictions will be applied. Two independent reviewers will screen all retrieved articles, perform the full-text review, critically appraise the included articles, and extract the data. Where consensus cannot be reached, a third reviewer will be consulted. To assess the quality of included studies and the risk of bias, the Critical Appraisal Skills Programme checklist will be used. Data will be extracted using a data extraction tool developed by the review team and piloted for use by two independent reviewers. A thematic analysis and narrative synthesis of the review findings will follow. DiscussionThis review will importantly describe the experiences of parents and families of preterm infants using a Family Integrated Care program delivered within a NICU; review findings will be used to inform the associated program protocols in a Perth (Western Australia) based NICU and be disseminated via a peer-reviewed publication. Systematic review registration: PROSPERO, Submission ID: 243818.

Exploring Parental and Staff Perceptions of the Family-Integrated Care Model

2017 ◽  
Vol 17 (6) ◽  
pp. E12-E19 ◽  
Author(s):  
Margaret Broom ◽  
Georgia Parsons ◽  
Hazel Carlisle ◽  
Zsuzsoka Kecskes ◽  
Shelley Thibeau
Keyword(s):  
Integrated Care ◽  
Care Model ◽  
Staff Perceptions ◽  
The Family ◽  
Family Integrated Care ◽  
Family Integrated

Breastfeeding data in the Family Integrated Care trial

2018 ◽  
Vol 2 (4) ◽  
pp. e5
Author(s):  
Karel O'Brien ◽  
Kei Lui ◽  
William Tarnow-Mordi ◽  
Shoo K Lee
Keyword(s):  
Integrated Care ◽  
The Family ◽  
Family Integrated Care ◽  
Family Integrated

Family integrated care: very preterm neurodevelopmental outcomes at 18 months

2021 ◽  
pp. fetalneonatal-2020-321055
Author(s):  
Anne R Synnes ◽  
Julie Petrie ◽  
Ruth E Grunau ◽  
Paige Church ◽  
Edmond Kelly ◽  
...  
Keyword(s):  
Cohort Study ◽  
Integrated Care ◽  
Maternal Employment ◽  
Primary Outcome ◽  
Randomised Control Trial ◽  
Neurodevelopmental Outcomes ◽  
Very Preterm ◽  
Significant Difference ◽  
Family Integrated Care ◽  
Family Integrated

ObjectiveTo examine whether the family integrated care (FICare) programme, a multifaceted approach which enables parents to be engaged as primary caregivers in the neonatal intensive care unit, impacts infant neurodevelopment and growth at 18 months’ corrected age.Design/MethodsProspective cohort study of infants born <29 weeks’ gestational age (GA) who participated in the FICare cluster randomised control trial (cRCT) and were assessed in the Canadian Neonatal Follow-Up Network (CNFUN). The primary outcome measure, Cognitive or Language composite score <85 on the Bayley-III, was compared between FICare exposed and routine care children using logistic regression, adjusted for potential confounders and employing generalised estimation equations to account for clustering of infants within sites.ResultsOf 756 infants <29 weeks’ GA in the FICare cRCT, 505 were enrolled in CNFUN and 455 were assessed (238 FICare, 217 control). Compared with controls, FICare infants had significantly higher incidence of intraventricular haemorrhage (IVH) (19.5% vs 11.7%, p=0.024) and higher proportion of employed mothers (76.6% vs 73.6%, p=0.043). There was no significant difference in the odds of the primary outcome (adjusted OR: 0.92 (0.59 to 1.42) FiCare vs Control) on multivariable analyses adjusted for GA, IVH and maternal employment. However, Bayley-III Motor scores (adjusted difference in mean (95% CI) 3.87 (1.22 to 6.53) and body mass index 0.67 (0.36 to 0.99) were higher in the FICare group.ConclusionsVery preterm infants exposed to FICare had no significant difference in incidence of cognitive or language delay but had better motor development.Trial registration numberParticipants in this cohort study were previously enrolled in a registered trial: NCT01852695

scholarly journals Influence of Family Integrated Care on the Intestinal Microbiome of Preterm Infants With Necrotizing Enterocolitis and Enterostomy: A Preliminary Study

2021 ◽  
Vol 9 ◽  
Author(s):  
Mengyang Yang ◽  
Juan Du ◽  
Qin Yang ◽  
Wenyan Dou ◽  
Min Jiang ◽  
...  
Keyword(s):  
Integrated Care ◽  
Preterm Infants ◽  
Necrotizing Enterocolitis ◽  
Premature Infants ◽  
Intestinal Flora ◽  
Intestinal Microbiome ◽  
Rrna Gene ◽  
Α Diversity ◽  
Family Integrated Care ◽  
Family Integrated

The aim of this study was to investigate the influence of family integrated care (FICare) on the intestinal microbiome of preterm infants with necrotizing enterocolitis and enterostomy. This was a prospective pilot study at Beijing Children's Hospital. Premature infants with an enterostomy who met the enrollment criteria were divided into the 2-week FICare and non-FICare groups (non-randomly). We collected their fecal samples and subjected the intestinal microbiomes to 16S rRNA gene sequencing. Operational taxonomic units (OTU) were analyzed to assess the intestinal microbiome richness, and we then carried out α-diversity, β-diversity, and species clustering analyses and a linear discriminant analysis (LDA) effect size (LEfSe) analysis to identify the differences in the microbial communities between the two groups. There were 12 patients enrolled in the study (FICare, n = 7; non-FICare, n = 5). There were no significant between-group differences in demographic characteristics, or in the relative abundances of phyla and genera. The major bacterial phyla were Proteobacteria, Firmicutes, and Actinobacteria, and Serratia, Enterococcus, Cronobacter, and Bifidobacterium dominated at the genus level. The α-diversity analysis indicated that the intestinal flora was more diverse in the non-FICare group than the FICare group (p &lt; 0.05). However, most of the other indicators did not suggest a difference between the two groups. There was a high proportion of shared OTUs between the two groups, and the PCoA and clustering analyses indicated that the two groups were difficult to distinguish, indicating that the intestinal microbiomes were relatively similar between the groups. In summary, short-term FICare had no significant positive effect on the establishment of intestinal flora diversity in premature infants with necrotizing enterocolitis and enterostomy. The trial was registered in the Chinese Clinical Trial Registry (ChiCTR-OPN-17011801).

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