scholarly journals The Impact of Ethical and Legal Decision-Making in Neonatal Intensive Care on Psychosocial Wellbeing of the Health Care Professionals: The Overview of the HUNIC Project Study Design

2019 ◽  
Vol 14 (2) ◽  
pp. 311-323
Author(s):  
Helga Judit Feith ◽  
Zsuzsanna Soósné Kiss ◽  
János Pilling ◽  
Aranka Kovács ◽  
Miklós Szabó ◽  
...  
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Intensive Care ◽  
Health Care Professionals ◽  
Neonatal Intensive Care ◽  
Legal Decision ◽  
Project Study ◽  
Psychosocial Wellbeing ◽  
Legal Decision Making ◽  
The Impact

Neonatal Hospice Program

PEDIATRICS ◽  
1982 ◽  
Vol 70 (3) ◽  
pp. 502-503
Author(s):  
Jonathan M. Whitfield ◽  
Anita Glicken ◽  
Robert Harmon ◽  
Roberta Siegel ◽  
L. Joseph Butterfield
Keyword(s):  
Health Care ◽  
Intensive Care ◽  
Health Care Professionals ◽  
Neonatal Death ◽  
Neonatal Intensive Care ◽  
Staff Members ◽  
Children's Hospital ◽  
Children’S Hospital

We wish to comment on the editorial by Silverman (A hospice setting for humane neonatal death, Pediatrics 69:239, 1982), which we find both insightful and timely. We feel we must take issue with some of Silverman's statements. Over the last 3½ years we have actively incorporated hospice concepts into our neonatal program at Denver Children's Hospital, creating a so-called Neonatal Hospice Program. 1. We agree that health care professionals involved in neonatal intensive care tend to be oriented to "rescue" care; however, in our own experience we have found that with adequate training not only are the staff members open, but often they are very willing to switch from a rescue to palliative mode of treatment in the appropriate circumstances.

Loyalty and Hope: Keys to Parenting in the NICU

2003 ◽  
Vol 22 (4) ◽  
pp. 39-45 ◽  
Author(s):  
Margo Charchuk ◽  
Christy Simpson
Keyword(s):  
Health Care ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Neonatal Intensive Care ◽  
Care Providers ◽  
Medical Needs

When a newborn is admitted to a neonatal intensive care unit the parents may experience a variety of emotions, including a heightened sense of loyalty to their child. While health care providers are working to meet the medical needs of their patients, parents need to find ways to fulfill this sense of loyalty and to express it via hope. Through sharing the experience of having a child in the NICU, I examine hope and loyalty as critical features of parents’ NICU experience, explaining why these emotions need to be acknowledged and encouraged by health care professionals.

A Muslim Neonatologist in a Canadian NICU

2019 ◽  
pp. 110-123
Author(s):  
Juzer M. Tyebkhan
Keyword(s):  
Intensive Care Unit ◽  
Decision Making ◽  
Intensive Care ◽  
Critical Illness ◽  
Neonatal Intensive Care ◽  
High Stress ◽  
The United Kingdom ◽  
Spiritual Leader ◽  
Dawoodi Bohra ◽  
The Impact

What is the impact on a Muslim family of having a baby in the neonatal intensive care unit (NICU)? This chapter is written by a Muslim neonatologist, trained in the United Kingdom and Canada, who now works in a level III NICU in Edmonton, Canada. In addition to describing religious requirements and community traditions, the author suggests ways that these can be incorporated into the care of Muslim babies and families in our high-stress, technology-based NICUs. As a member of the Dawoodi Bohra sect (a subset of the Shi’a Muslim community), the author provides a brief background of the community’s spiritual heritage and their viewpoint on modern medical treatment. The living spiritual leader of the Dawoodi Bohras, the Da’i, is their source of authoritative decision making. The author explains how and why decision making in situations of critical illness is referred to the Da’i for His trusted advice.

scholarly journals Health Care Professionals' Perceptions about Sensory-Based Interventions in the NICU

2018 ◽  
Vol 36 (12) ◽  
pp. 1229-1236 ◽  
Author(s):  
Roberta Pineda ◽  
Jessica Roussin ◽  
Elizabeth Heiny ◽  
Joan Smith
Keyword(s):  
Health Care ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Physical Therapy ◽  
Health Care Professionals ◽  
Neonatal Intensive Care ◽  
Biased Sampling ◽  
Postmenstrual Age ◽  
Multidisciplinary Group ◽  
Occupational And Physical Therapy

Objective The main objective of this article is to define perceptions of health care professionals regarding current use of sensory-based interventions in the neonatal intensive care unit (NICU). Study Design A multidisciplinary group of NICU health care professionals (n = 108) defined the types of sensory-based interventions used in their NICU, the postmenstrual age (PMA) sensory-based interventions are administered, conditions under which sensory-based interventions are used, and personnel who administer sensory-based interventions. Results The most commonly reported tactile intervention was infant holding (88% of respondents), the most common auditory intervention was recorded music/singing (69% of respondents), the most common kinesthetic intervention was occupational and physical therapy (85% of respondents), and the most common vestibular intervention was infant swings (86% of respondents). Tactile interventions were initiated most often at 24 to 26 weeks PMA (74% of respondents), auditory interventions at 30 to 32 weeks (60% of respondents), kinesthetic interventions at 30 to 32 weeks (76% of respondents), vestibular interventions at 33 to 34 weeks (86% of respondents), and visual interventions at 32 to 36 weeks (72% of respondents). Conditions under which sensory-based interventions were administered, and personnel who provided them, varied across settings. Conclusion Varied use of sensory-based interventions in the NICU were reported. While this study was limited by biased sampling and the identification of health care professionals' perceptions but not real-world practice, this information can be used to build a comprehensive approach to positive sensory exposures in the NICU.

scholarly journals Evaluating the Impact of the Grading and Assessment of Predictive Tools Framework on Clinicians and Health Care Professionals’ Decisions in Selecting Clinical Predictive Tools: Randomized Controlled Trial

10.2196/15770 ◽  
2020 ◽  
Vol 22 (7) ◽  
pp. e15770
Author(s):  
Mohamed Khalifa ◽  
Farah Magrabi ◽  
Blanca Gallego Luxan
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Health Care Professionals ◽  
Completion Time ◽  
Decisional Conflict ◽  
Task Completion ◽  
Evidence Based ◽  
Task Completion Time ◽  
Predictive Tools ◽  
The Impact

Background While selecting predictive tools for implementation in clinical practice or for recommendation in clinical guidelines, clinicians and health care professionals are challenged with an overwhelming number of tools. Many of these tools have never been implemented or evaluated for comparative effectiveness. To overcome this challenge, the authors developed and validated an evidence-based framework for grading and assessment of predictive tools (the GRASP framework). This framework was based on the critical appraisal of the published evidence on such tools. Objective The aim of the study was to examine the impact of using the GRASP framework on clinicians’ and health care professionals’ decisions in selecting clinical predictive tools. Methods A controlled experiment was conducted through a web-based survey. Participants were randomized to either review the derivation publications, such as studies describing the development of the predictive tools, on common traumatic brain injury predictive tools (control group) or to review an evidence-based summary, where each tool had been graded and assessed using the GRASP framework (intervention group). Participants in both groups were asked to select the best tool based on the greatest validation or implementation. A wide group of international clinicians and health care professionals were invited to participate in the survey. Task completion time, rate of correct decisions, rate of objective versus subjective decisions, and level of decisional conflict were measured. Results We received a total of 194 valid responses. In comparison with not using GRASP, using the framework significantly increased correct decisions by 64%, from 53.7% to 88.1% (88.1/53.7=1.64; t193=8.53; P<.001); increased objective decision making by 32%, from 62% (3.11/5) to 82% (4.10/5; t189=9.24; P<.001); decreased subjective decision making based on guessing by 20%, from 49% (2.48/5) to 39% (1.98/5; t188=−5.47; P<.001); and decreased prior knowledge or experience by 8%, from 71% (3.55/5) to 65% (3.27/5; t187=−2.99; P=.003). Using GRASP significantly decreased decisional conflict and increased the confidence and satisfaction of participants with their decisions by 11%, from 71% (3.55/5) to 79% (3.96/5; t188=4.27; P<.001), and by 13%, from 70% (3.54/5) to 79% (3.99/5; t188=4.89; P<.001), respectively. Using GRASP decreased the task completion time, on the 90th percentile, by 52%, from 12.4 to 6.4 min (t193=−0.87; P=.38). The average System Usability Scale of the GRASP framework was very good: 72.5% and 88% (108/122) of the participants found the GRASP useful. Conclusions Using GRASP has positively supported and significantly improved evidence-based decision making. It has increased the accuracy and efficiency of selecting predictive tools. GRASP is not meant to be prescriptive; it represents a high-level approach and an effective, evidence-based, and comprehensive yet simple and feasible method to evaluate, compare, and select clinical predictive tools.

scholarly journals Data-Driven Personalization of a Physiotherapy Care Pathway: Case Study of Posture Scanning

10.2196/18508 ◽  
2020 ◽  
Vol 7 (2) ◽  
pp. e18508
Author(s):  
Olli Korhonen ◽  
Karin Väyrynen ◽  
Tino Krautwald ◽  
Glenn Bilby ◽  
Hedwig Anna Theresia Broers ◽  
...  
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Information System ◽  
Health Care Professionals ◽  
Digital Data ◽  
Digital Tools ◽  
Data Driven ◽  
Care Process ◽  
The Impact

Background Advanced sensor, measurement, and analytics technologies are enabling entirely new ways to deliver health care. The increased availability of digital data can be used for data-driven personalization of care. Data-driven personalization can complement expert-driven personalization by providing support for decision making or even by automating some parts of decision making in relation to the care process. Objective The aim of this study was to analyze how digital data acquired from posture scanning can enhance physiotherapy services and enable more personalized delivery of physiotherapy. Methods A case study was conducted with a company that designed a posture scan recording system (PSRS), which is an information system that can digitally record, measure, and report human movement for use in physiotherapy. Data were collected through interviews with different stakeholders, such as health care professionals, health care users, and the information system provider, and were analyzed thematically. Results Based on the results of our thematic analysis, we propose three different types of support that posture scanning data can provide to enhance and enable more personalized delivery of physiotherapy: 1) modeling the condition, in which the posture scanning data are used to detect and understand the health care user’s condition and the root cause of the possible pain; 2) visualization for shared understanding, in which the posture scanning data are used to provide information to the health care user and involve them in more collaborative decision-making regarding their care; and 3) evaluating the impact of the intervention, in which the posture scanning data are used to evaluate the care progress and impact of the intervention. Conclusions The adoption of digital tools in physiotherapy has remained low. Physiotherapy has also lacked digital tools and means to inform and involve the health care user in their care in a person-centered manner. In this study, we gathered insights from different stakeholders to provide understanding of how the availability of digital posture scanning data can enhance and enable personalized physiotherapy services.

scholarly journals Developing the preterm breastfeeding attitudes instrument: Aa tool for describing attitudes to breastfeeding among health care professionals in neonatal intensive care

Midwifery ◽  
2021 ◽  
Vol 94 ◽  
pp. 102919
Author(s):  
Emma Gerhardsson ◽  
Paola Oras ◽  
Elisabet Mattsson ◽  
Ylva Thernström Blomqvist ◽  
Eva-Lotta Funkquist ◽  
...  
Keyword(s):  
Health Care ◽  
Intensive Care ◽  
Health Care Professionals ◽  
Neonatal Intensive Care ◽  
Breastfeeding Attitudes
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