An international study on implementation and facilitators and barriers for parent‐infant closeness in neonatal units

Pediatric Investigation, Год журнала: 2022, Номер 6(3), С. 179 - 188

Опубликована: Авг. 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, , .

Язык: Английский

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Improving Neonatal Intensive Care Unit Quality and Safety with Family-Centered Care

Clinics in Perinatology, Год журнала: 2023, Номер 50(2), С. 449 - 472

Опубликована: Март 21, 2023

Язык: Английский

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Implementing modified family integrated care in a U.S. neonatal intensive care unit: nursing perspectives and effects on parents

Journal of Perinatology, Год журнала: 2023, Номер 43(4), С. 503 - 509

Опубликована: Янв. 10, 2023

Язык: Английский

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Effect of family integrated care on stress in mothers of preterm infants: A multicenter cluster randomized controlled trial

Journal of Affective Disorders, Год журнала: 2024, Номер 350, С. 304 - 312

Опубликована: Янв. 18, 2024

Язык: Английский

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Mother-newborn couplet care: Nordic country experiences of organization, models and practice

Journal of Perinatology, Год журнала: 2023, Номер 43(S1), С. 17 - 25

Опубликована: Дек. 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.

Язык: Английский

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‘Not a goal, but a given’: Neonatal care participation through parents' perspective, a cross‐sectional study

Acta Paediatrica, Год журнала: 2024, Номер 113(6), С. 1246 - 1256

Опубликована: Март 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.

Язык: Английский

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Culture of Family-Centered Care in the NICU

Advances in Neonatal Care, Год журнала: 2025, Номер unknown

Опубликована: Фев. 12, 2025

Background: Family centered-care (FCC) has documented benefits for infants, parents, and staff, but is variably practiced. Purpose: To describe parental staff perspectives on the quality of FCC culture in a neonatal intensive care unit (NICU). Methods: Parents hospitalized infants at referral NICU completed validated survey instruments to measure topics including trust, communication, shared decision-making multiple time points. We compared parent responses using cumulative log-odds model with single predictor odds score lower than prespecified value. Results: A total 92 parents 80 96 providers participated. Most rated items highly, indicating positive experience FCC. The highest scores were receiving guidance being trusted their infant’s (both 97.1% positive); listening (95%). Receiving/providing emotional support received lowest from (19.1% negative or neutral) (24.5%). Parent answers differed significantly 6 8 questions, reported by relative parents. Implications practice research: have variable different aspects Understanding these nuances centers’ can help target interventions may strengthen delivery families career satisfaction staff. Future directions include assessing over among specific infant, family, cohorts, especially diverse populations determine if equitably delivered.

Язык: Английский

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Experiences of communication in the neonatal intensive care unit for mothers with a preferred language other than English

Journal of Perinatology, Год журнала: 2025, Номер unknown

Опубликована: Фев. 20, 2025

Язык: Английский

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La fototerapia ciclica

Medico e Bambino, Год журнала: 2025, Номер 44(02), С. 103 - 106

Опубликована: Фев. 24, 2025

A proactive approach to the management of hyperbilirubinemia during phototherapy can help reduce mother-infant separation, maintain comfort newborn, maternal anxiety and promote exclusive breastfeeding. Cyclic be part such an approach, as it has been documented equally effective continuous for treatment neonatal jaundice, while possibly reducing proven adverse effects phototherapy.

Язык: Английский

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The CO-PARTNER tool – Translation, cultural adaption and content validation of the Norwegian version

Journal of Neonatal Nursing, Год журнала: 2025, Номер 31(3), С. 101669 - 101669

Опубликована: Апрель 4, 2025

Язык: Английский

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