Enhancing Lactation Support in the NICU During the COVID-19 Pandemic by Implementing a Primary Care Model

2020 ◽  
Vol 11 (4) ◽  
pp. 192-196
Author(s):  
Jennie Wagner ◽  
Carolyn Delaney ◽  
Sharron Baines
Keyword(s):  
Primary Care ◽  
Healthcare Team ◽  
Lactation Consultant ◽  
Supportive Environment ◽  
Lactation Consultants ◽  
The Family ◽  
Centered Care ◽  
Family Centered ◽  
Care Nursing ◽  
Primary Care Nursing

ObjectiveMeet the needs for additional lactation support in the NICU during the Covid-19 pandemic due to restriction in visitors, hours, and other stressors impacting the Mother and infant dyad.MethodDuring the Covid-19 pandemic, a large southeast U.S. research hospital implemented a new model of providing Lactation Consultation in a Level IV NICU. The Primary Care nursing model utilized in the NICU focuses on the infant and mother's individual needs and assists in the development of a caring and supportive environment.ResultsThe response to the Primary Care Lactation Consultant has well received and has resulted in the early identification of any Lactation concerns. Parents are reassured, knowing whom to contact with questions. The Lactation Consultant can set mutually agreed upon goals with the mother and include input from the other family members and the healthcare team.ConclusionsIn the future, the model and outcomes of Primary Care by Lactation Consultants in the NICU will focus on additional study and evaluation. In the interim, the parents at this facility have benefited from the family-centered care that focuses on the infant and parents.

scholarly journals Parent and Staff Perception about the Family-Centered Care in Private Service

2021 ◽  
Vol 23 (4) ◽  
pp. 339-344
Author(s):  
Bruna Zemella Collaço ◽  
Myriam Aparecida Mandetta ◽  
Maria Magda Ferreira Gomes Balieiro
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Healthcare Team ◽  
Family Centered Care ◽  
The Family ◽  
Centered Care ◽  
Terapia Intensiva ◽  
Family Centered

Abstract Having a newborn hospitalized in the Neonatal Intensive Care Unit can be an extremely stressful and desperate situation for families who end up needing assistance and support to stay by their child's side. To evaluate the perception of family-centered care from the perspective of the healthcare team and parents of newborns hospitalized in the neonatal intensive care unit of a private health service. Descriptive survey, carried out in private a neonatal intensive care unit of a large hospital. Two instruments were applied to measure the professional of healthcare team and parent’s perceptions of family-centered care. The study involved 102 parents and 102 professionals of the healthcare team. The barriers identified for the implementation of patient and family-centered care were related to the items family inclusion and participation in the care of newborns; presence of parents during procedures; recognition by professionals of the support sources for the family, identification of resources in the unit by parents and perception of the multiprofessional care team turnover regarding the care to the newborn by the newborn’s parents. It is necessary to invest in continuing education programs to make the healthcare team aware for the Patient and Family-centered Care and written protocols to implement this model of care on practice. Keywords: Infant, Newborn. Family. Intensive Care Units, Neonatal. Nursing. Resumo Ter um recém-nascido internado na Unidade de Terapia Intensiva Neonatal pode ser uma situação extremamente estressante e desesperadora para as famílias que acabem necessitando de apoio e suporte para permanecer ao lado do filho. Avaliar a percepção do Cuidado Centrado na Família na perspectiva da equipe de saúde e dos pais de recém-nascidos hospitalizados na unidade de terapia intensiva neonatal de um serviço de saúde privado. Pesquisa do tipo survey descritivo, realizada em uma unidade de terapia intensiva neonatal de um hospital de grande porte, de direito privado. Utilizaram-se dois instrumentos de medida da percepção de profissionais da equipe de saúde e de pais sobre o cuidado centrado na família. Participaram do estudo 102 pais e 102 profissionais da equipe de saúde. As barreiras identificadas para a implementação do cuidado centrado no paciente e família foram relacionadas aos itens inclusão e participação da família nos cuidados; permanência dos pais durante os procedimentos; reconhecimento pelos profissionais das fontes de suporte da família, identificação das fontes de ajuda na unidade pelos pais e percepção da rotatividade da equipe multiprofissional no cuidado ao recém-nascido pelos pais. Há necessidade de programas de educação permanente para sensibilizar os profissionais para o Cuidado Centrado no Paciente e Família e a elaboração de protocolos para sua implementação na prática. Palavras-chave: Recém-Nascido. Família. Unidades de Terapia Intensiva Neonatal. Enfermagem.

Measurement and Validation of Primary Care Nursing Indicators Based on a Wound Care Tracer Condition

2020 ◽  
Vol 35 (1) ◽  
pp. 63-69
Author(s):  
Émilie Dufour ◽  
Arnaud Duhoux ◽  
Damien Contandriopoulos
Keyword(s):  
Primary Care ◽  
Wound Care ◽  
Care Nursing ◽  
Primary Care Nursing

scholarly journals Measurement of Family-centered care perception and parental stress in a neonatal unit

2016 ◽  
Vol 24 (0) ◽  
Author(s):  
Flávia Simphronio Balbino ◽  
Maria Magda Ferreira Gomes Balieiro ◽  
Myriam Aparecida Mandetta
Keyword(s):  
Parental Stress ◽  
Neonatal Intensive Care ◽  
Neonatal Unit ◽  
University Hospital ◽  
Care Staff ◽  
Healthcare Team ◽  
Family Centered Care ◽  
Brazilian Version ◽  
Centered Care ◽  
Family Centered

ABSTRACT Objective: to evaluate the effects of the implementation of the Patient and Family-Centered Care Model on parents and healthcare perceptions and parental stress. Method: a quasi-experimental study developed in a neonatal unit of a university hospital in the municipality of São Paulo, Brazil, with the implementation of this model of care. Data collection were performed by two sample groups, one using non-equivalent groups of parents, and another using equivalent groups of healthcare professionals. The instruments Perceptions of Family-Centered Care-Parent Brazilian Version, Perceptions of Family-Centered Care-Staff Brazilian Version and Parental Stress Scale: Neonatal Intensive Care Unit, were applied to 132 parents of newborns hospitalized and to 57 professionals. Results: there was a statistically significant improvement in the perceptions of the parents in most items assessed (p ≤0,05) and for the staff in relation to the family welcome in the neonatal unit (p = 0.041) and to the comprehension of the family's experience with the infant´s hospitalization (p = 0,050). There was a reduction in the average scores of parental stress, with a greater decrease in the Alteration in Parental Role from 4,2 to 3,8 (p = 0,048). Conclusion: the interventions improved the perceptions of parents and healthcare team related to patient and family-centered care and contributed to reducing parental stress.

New ways of working in primary care nursing

2004 ◽  
Vol 9 (9) ◽  
pp. 372-372
Author(s):  
Christine Smith ◽  
Ann Williams
Keyword(s):  
Primary Care ◽  
New Ways Of Working ◽  
Care Nursing ◽  
Primary Care Nursing

Visitation in the Pediatric Intensive Care Unit: Controversy and Compromise

1994 ◽  
Vol 5 (3) ◽  
pp. 289-295 ◽  
Author(s):  
Nancy E. Page ◽  
Nancy M. Boeing
Keyword(s):  
Health Care ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Health Care Providers ◽  
Pediatric Intensive Care ◽  
Care Providers ◽  
The Family ◽  
Centered Care ◽  
Family Centered

Much controversy has arisen in the last few decades regarding parental and family visitation in the intensive care setting. The greatest needs of parents while their child is in an intensive care unit include: to be near their child, to receive honest information, and to believe their child is receiving the best care possible. The barriers that exist to the implementation of open visitation mostly are staff attitudes and misconceptions of parental needs. Open visitation has been found in some studies to make the health-care providers’ job easier, decrease parental anxiety, and increase a child’s cooperativeness with procedures. To provide family-centered care in the pediatric intensive care unit, the family must be involved in their child’s care from the day of admission. As health-care providers, the goal is to empower the family to be able to advocate and care for their child throughout and beyond the life crisis of a pediatric intensive care unit admission

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