Clinical Practice Protocol of Creative Music Therapy for Preterm Infants and Their Parents in the Neonatal Intensive Care Unit

Journal of Visualized Experiments, Journal Year: 2020, Volume and Issue: 155

Published: Jan. 7, 2020

Creative music therapy for preterm infants and their parents (CMT) has emerged as a promising family-integrated early intervention involving communicative musicality to improve infant development, parental well-being, bonding. It aims at relaxing nurturing the well promoting safety social interaction parent-infant dyad. A therapist specially trained in CMT hums or sings an infant-directed, improvised, lullaby style continually adjusting individual needs, expressions, breathing pattern of infant. Based on principles care, family is incorporated individually therapeutic process, namely by delivering during kangaroo care (KC) motivating facilitating vocal with strengthen relaxing, stimulating, coregulating premature time when many other interventions are still risky can overwhelm vulnerable patient group. may be advantageous not educating teaching parents, but rather uncovering intuitive capacities parenting that often overshadowed traumatic experience birth. However, only provided clinically stable. integration feasible available receptive participate. This paper presents detailed protocol how use empower families.

Language: Английский

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What is stopping us? An implementation science study of kangaroo care in British Columbia’s neonatal intensive care units

BMC Pregnancy and Childbirth, Journal Year: 2021, Volume and Issue: 21(1)

Published: Jan. 12, 2021

Abstract Background The goal of the Neonatal Intensive Care Unit (NICU) is to provide optimal care for preterm and sick infants while supporting their growth development. NICU environment can be stressful often cannot adequately support neurodevelopmental needs. Kangaroo (KC) an evidence-based developmental strategy that has been shown associated with improved short long term outcomes infants. Despite evidence best practice, uptake practice KC in resource supported settings remains low. aim this study was identify describe healthcare providers’ perspectives on barriers enablers implementing KC. Methods This qualitative set 11 NICUs British Columbia, Canada, ranging size from 6 70 beds, mixed levels less acute up most complex neonatal care. A total 35 semi-structured provider interviews were conducted understand experiences providing NICU. Data coded emerging themes identified. Consolidated Framework Implementation Research (CFIR) guided our research methods. Results Four overarching identified as by providers particular setting: 1) physical environment; 2) beliefs about KC; 3) clinical variation; 4) parent presence. Depending specific features a given site these factors functioned enabler or barrier practicing Conclusions ‘one fits all’ approach guide implementation it intervention each presents unique its uptake. Support improving parental presence, shifting beliefs, identifying creative solutions design space constraints, development provincial guideline may together impetus change reduce providers, families, administrators at local system levels.

Language: Английский

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Trauma Informed Ethics Consultation

The American Journal of Bioethics, Journal Year: 2021, Volume and Issue: 22(5), P. 45 - 57

Published: March 8, 2021

We argue for the addition of trauma informed awareness, training, and skill in clinical ethics consultation by proposing a novel framework Trauma Informed Ethics Consultation (TIEC). This approach expands on American Society Bioethics Humanities (ASBH) for, key insights from feminist approaches to, consultation, literature care (TIC). TIEC keeps line with provision TIC other settings. Most crucially, (like TIC) is systematically sensitive to culture, history, difference, power, social exclusion, oppression, marginalization. By engaging neonatal intensive consult example, we define our illustrate its application. Through it role consultants not only hold open moral spaces, but furnish them morally habitable ways all stakeholders involved process, including patients, surrogates, practitioners.

Language: Английский

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Supporting families in their child's journey with neonatal encephalopathy and therapeutic hypothermia

Seminars in Fetal and Neonatal Medicine, Journal Year: 2021, Volume and Issue: 26(5), P. 101278 - 101278

Published: Sept. 16, 2021

Language: Английский

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Parental Adverse Childhood Experiences and Post-PICU Stress in Children and Parents

Pediatric Critical Care Medicine, Journal Year: 2023, Volume and Issue: 24(12), P. 1022 - 1032

Published: Aug. 21, 2023

Hospitalization in a PICU is stressful experience for children and their parents, with many experiencing posttraumatic stress disorder (PTSD) after discharge. Risk factors may include preillness traumatic events, such as adverse childhood experiences (ACEs). We sought to assess the feasibility of screening ACEs parents admitted PICU, prevalence, association post-PICU PTSD symptoms them children.Single-center prospective observational study.Urban academic children's hospital from January December 2021.One hundred forty-five (2-18 yr old, ≥ 2 d) parents.None.Data on parental demographics, ACEs, coping skills, environmental stressors, well patient clinical data, were collected. One month discharge, completed inventories assessing children. Bivariate logistic regression analyses used explore associations PTSD. Of 145 enrolled 95% ACE questionnaire, 58% whom reported greater than or equal 1 ACE, 14% had substantial (≥ 4) ACEs. Parent follow-up was 79% 70%, respectively. Sixteen percent provisional Regression analysis showed 4 10 times odds PTSD, compared less (adjusted ratio [aOR] = 10.2; CI, 1.03-100.9; p 0.047). Fifty-six patients screened at risk There no between patients' (aOR 3.5 [95% 0.56-21.31]; 0.18).ACEs common among critically ill Having associated child's admission, but not Family-centered care that seeks mitigate should be mindful potential relevance

Language: Английский

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