Acta Paediatrica, Journal Year: 2024, Volume and Issue: 113(9), P. 2039 - 2047
Published: June 11, 2024
To explore whether and how expressing breast milk is perceived as helpful in coping with negative emotions due to premature birth by mothers of very low weight (VLBW) infants.
Language: Английский
Clinics in Perinatology, Journal Year: 2023, Volume and Issue: 50(2), P. 449 - 472
Published: March 21, 2023
Language: Английский
Citations
24
Advances in Neonatal Care, Journal Year: 2025, Volume and Issue: unknown
Published: Feb. 12, 2025
Background: Couplet Care, which allows mothers and newborns to receive treatment together, has gained prominence in neonatal maternity care settings. This model supports early bonding, skin-to-skin contact, breastfeeding, benefiting both preterm sick newborns. Purpose: The study aims explore parents’ experiences with Care after a caesarean section an integrated unit, where mother newborn required treatment. Methods: A qualitative, semi-structured interview approach was employed. Eight 6 fathers participated, sharing their perspectives on through interviews conducted at Danish hospital setting providing family rooms level II intensive unit. Data were analyzed using content analysis inspired by Graneheim Lundman. Results: Parents initially relied heavily nurses, gradually gaining autonomy as stay progressed. Fathers played essential role caregiving, especially when immobile post-surgery. highlighted the importance of clear communication from fostered parental confidence. Implications for Practice Research: offers supportive environment that promotes emphasizes critical play caregiving. Future research should investigate long-term effects dynamics mental health following sections similar
Language: Английский
Citations
1
Pediatric Investigation, Journal Year: 2022, Volume and Issue: 6(3), P. 179 - 188
Published: Aug. 13, 2022
ABSTRACT Importance Parent‐infant closeness and active parent participation in neonatal care are important for infant health. Objective To give an overview of current settings gain in‐depth understanding facilitators barriers to parent‐infant closeness, zero‐separation, 19 countries. Methods Neonatal intensive unit (NICU) professionals, representing 45 NICUs from a range geographic regions Europe Canada, were purposefully selected interviewed June–December 2018. Thematic analysis was conducted identify, analyze report patterns (themes) across the entire series interviews. Results separation during and/or maternity is very common (42/45 units, 93%), despite implementation family integrated (FICare) practices, including medical rounds (17/45, 38%), structured education sessions parents (16/45, 36%) training healthcare professionals (22/45, 49%). NICU encountered four main themes with on between hospital, unit, staff, level: Culture (jointly held characteristics, values, thinking behaviors about parental presence unit), Collaboration (the act working together within different levels), Capacities (resources policies), Coaching (education acquire transfer knowledge skills). Interpretation Implementing still challenging professionals. Further optimization towards zero‐separation can be achieved by enforcing ‘four Cs Closeness’: Culture, Collaboration, , .
Language: Английский
Citations
30
International Journal of Environmental Research and Public Health, Journal Year: 2023, Volume and Issue: 20(11), P. 6050 - 6050
Published: June 4, 2023
Families (n = 12) with infants born at <29 weeks gestation shared their experiences while in the NICU and transitioning home. Parents were interviewed 6–8 after discharge, including some during acute phase of COVID-19 pandemic. Findings regarding parent experience focused around challenges navigating parent-infant separation, social isolation, communication difficulties, limited knowledge preterm infants, mental health challenges. also discussed supports that present they wished present, as well impact on experiences. In transition to home, primary included sudden nature transition, anxiety discharge preparation, loss support from nursing staff. During first few parents expressed joy anxiety, particularly feeding. The pandemic emotional, informational, physical resulted mutual other NICU. multiple stressors, rendering attending parental crucial. staff need address logistical barriers familial priorities impacting bonding. Providing opportunities for communication, participating caretaking activities, meeting families can be important sources very infants.
Language: Английский
Citations
21
Acta Paediatrica, Journal Year: 2024, Volume and Issue: 113(6), P. 1246 - 1256
Published: March 4, 2024
Abstract Aim To explore parents' perspectives regarding participation in neonatal care, with focus on the family integrated care (FICare) model utilised as a tool to enhance parent–infant closeness. Additionally, we describe experiences different architectural settings. Methods An online survey, categorised by four FICare pillars, was distributed through social media parents of newborns hospitalised Dutch wards between 2015 and 2020. Quantitative findings were summarised using descriptive statistics, while open‐ended responses thematically analysed. Results Among 344 respondents (98% mothers), most reported feeling involved (315/340). However, 79% also felt separated from their infant (265/337). Irrespective settings, incomplete implementation pillars: 14% invited educational sessions (parent education), 51% discussed family‐specific plans (staff 21% facilitated connecting veteran (psychosocial support) 22% received couplet‐care (environment). Although 65% attend clinical rounds, 32% actively participated decision making. Thematic analysis revealed fundamentals for welcome ward , peer‐to‐peer support psychosocial rounds . Conclusion Overall, expressed satisfaction care. structural lacks. Regardless architecture, expanding parent beyond presence requires attention.
Language: Английский
Citations
5
Journal of Perinatology, Journal Year: 2023, Volume and Issue: 43(S1), P. 17 - 25
Published: Dec. 1, 2023
Abstract Mother-Newborn Couplet Care is a concept and defined as the provision of care for sick or preterm newborn in close proximity to coupled with mother from birth infant long needs hospital care. This requires system change both obstetrics pediatrics terms planning organization care, equipment design units. Accordingly, strong leadership setting clear goals emphasizing culture cohesive supported by targeted education training crucial ensure high-quality all mother-newborn dyads without separation. We describe various organizational models used Sweden Finland implementation processes. envision future where newborns mothers are always together, irrespective medical needs, form an inseparable center around which healthcare services providers organized.
Language: Английский
Citations
12
Archives of Disease in Childhood Fetal & Neonatal, Journal Year: 2025, Volume and Issue: unknown, P. fetalneonatal - 327770
Published: March 12, 2025
Objective To conduct a systematic review of barriers and facilitators to the practice neonatal Family Integrated Care (FICare) from perspective healthcare professionals (HCPs). Design A search strategy was developed identify qualitative studies exploring HCPs’ views any principles FICare. Six literature databases (CINAHL, (Cumulated Index in Nursing Allied Health Literature) Embase, Medline, PsycINFO, Scopus, Web Science) were searched using terms Healthcare Professionals, Neonatal, Environment, FICare, Education, Well-being, Culture, Partnership Empowerment. Studies meeting inclusion criteria thematically analysed. Results 11032 titles abstracts 85 full-text papers screened. Thirty-seven met reported interviews with 1243 HCPs, predominantly nurses. Three themes synthesised relation facilitators: (1) ‘advocacy acknowledgement’, whereby HCPs are expected advocate for emotional mental health whole family, not solely baby’s needs; (2) ‘belief behaviour’, degree which FICare is practised dependent on belief its benefits other activities; (3) ‘conditions consistency’, lack space, resources, policy consistent created apathy contradictory approaches care. Conclusion Although see value successful implementation multifactorial requires expectation deliver be aligned resourcing at hospital, team individual levels. Shifting paradigm remains challenging some HCPs. Greater understanding barriers, how impacts individuals required.
Language: Английский
Citations
0
Elsevier eBooks, Journal Year: 2025, Volume and Issue: unknown, P. 143 - 158.e5
Published: April 18, 2025
Language: Английский
Citations
0
Acta Paediatrica, Journal Year: 2023, Volume and Issue: 113(1), P. 48 - 55
Published: Aug. 4, 2023
Abstract Aim We aimed to describe clinical practices and criteria for discharge of very preterm infants in Nordic neonatal units. Methods Medical directors all 89 level‐2 level‐3 units Denmark, Finland, Iceland, Norway Sweden were invited by e‐mail complete a web‐based multiple‐choice survey with the option make additional free‐text comments. Results received responses from 83/89 (93%). In responding units, readiness was based mainly on assessment varying criteria. addition, 36% used formal tests cardiorespiratory stability 59% related infant weight or growth. For feeding tube, parental ability speak national language English mandatory 45% large variation among countries. Post‐discharge home visits video‐consultations provided 51%, respectively. 54% preparation not initiated until last two weeks hospital stay. Conclusion Discharge assessment, despite similar population characteristics care structures. This indicates lack evidence base may unnecessarily delay discharge; further studies this matter are needed. Earlier use interpreters might facilitate earlier discharge.
Language: Английский
Citations
9
BMJ Paediatrics Open, Journal Year: 2024, Volume and Issue: 8(Suppl 2), P. e002537 - e002537
Published: Aug. 1, 2024
Background Benefits of different types family-centred care (FCC) interventions in neonatal intensive units (NICUs) have been reported. However, a comprehensive review existing FCC intervention studies was lacking. Objective This aimed at synthesising the characteristics interventions, related outcomes and measurement methods randomised controlled trials (RCTs) NICU, providing menus options to favour implementation further research. Methods We searched PubMed, EMBASE, Web Science Cochrane Library up 31 January 2022. Interventions were mapped according five categories as defined by previous review. described outcome types, populations, timelines. Subgroup analyses also performed. Results Out 6583 identified, 146 met eligibility criteria. Overall, 52 (35.6%) RCTs tested more than one category intervention, with large variety combinations, most frequent being educational (138 RCTs, 94.5%). identified total 77 packages, comparing same The reported on 425 outcomes, classified 13 major parental mental health (61 41.8% RCTs) parents, neurobehavioural/developmental newborns (62 42.5%). For several almost every RCT used method. Educational targeting specifically staff, fathers, siblings other family members lacking or poorly described. Only measured workers, two none considered members. Conclusions A NICU. derived should be helpful for researchers policy makers identify suitable each setting standardise research methods.
Language: Английский
Citations
3