Impacts of Integrating Family-Centered Care and Developmental Care Principles on Neonatal Neurodevelopmental Outcomes among High-Risk Neonates

Children, Год журнала: 2023, Номер 10(11), С. 1751 - 1751

Опубликована: Окт. 28, 2023

Integrating family-centered care (FCC) and developmental (DC) principles in neonatal settings may improve neurodevelopmental outcomes for high-risk neonates. However, the combined impact of FCC DC has been underexplored. This study aimed to investigate effects integrated on neurodevelopment length hospital stay neonates.A quasi-experimental pre-post was conducted among 200 neonates (<32 weeks gestation or <1500 g) admitted intensive units (NICU) Saudi Arabia. The intervention group (n = 100) received 6 months. control standard care. Neurodevelopment assessed using Bayley Scales Infant Development-III. Length readmissions were extracted from medical records.The showed significant improvements cognitive, motor, language scores compared controls (p < 0.05). had a 4.3-day reduction mean versus 1.4-day 0.02). Integrated independently predicted higher cognitive 0.001) shorter stays 0.006) regression models.Integrating enhances reduces hospitalization Implementing relationship-based, developmentally supportive models is critical optimizing this vulnerable population.

Язык: Английский

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Skin-to-Skin Contact at Birth for Very Preterm Infants and Mother-Infant Interaction Quality at 4 Months

JAMA Network Open, Год журнала: 2023, Номер 6(11), С. e2344469 - e2344469

Опубликована: Ноя. 30, 2023

Good-quality parent-infant interactions have protective effects on infant socio-emotional and behavioral development. These are especially critical for very preterm infants at risk of vulnerabilities related to immaturity. Skin-to-skin contact (SSC) has been found improve mother-preterm interaction behaviors, but few studies exist regarding its benefits when initiated immediately after birth.To determine the effect immediate SSC birth mother-infant quality 4 months corrected age.This secondary analysis used data from Immediate Parent-Infant Skin-to-Skin Study (IPISTOSS), a randomized clinical trial conducted between April 1, 2018, June 30, 2021, 3 neonatal units in Sweden Norway. Participants included (28-33 gestational weeks age) their parents. Four-month follow-up was concluded December 2021. Data analyses were performed March 16 September 18, 2023.Infants allocated standard incubator care or with either parent continued throughout first 6 hours birth.The primary outcome as measured Parent-Child Early Relational Assessment (PCERA), based video recordings 5-minute free-play situation dyads age. A multilevel regression performed.This 71 (31 twins [44%]) 56 mothers. Infants had mean (SD) age 31 (1.3) days, more than half male (42 [59%]); mothers 32 (4.9) years. There 37 34 birth. During birth, fathers provided mothers, median (IQR) 3.25 (2.25-4.5) 0.75 (0-2.5) hours, respectively. statistically significant difference 1 5 PCERA subscales (subscale 3: positive affect, communicative social skills) observed, higher-quality group (Cohen d = 0.67 [95% CI, 0.17 1.17]; P .01). This remained adjusting primiparity, child sex, observation setting.In this study beneficial relationship. findings suggest that should be supported setting.ClinicalTrials.gov Identifier: NCT03521310.

Язык: Английский

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Fathers in the neonatal unit: A narrative review

Journal of Neonatal Nursing, Год журнала: 2025, Номер 31(2), С. 101617 - 101617

Опубликована: Янв. 16, 2025

Язык: Английский

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Necessidades Parentais no Contexto da Internação Neonatal

Revista Psicologia e Saúde, Год журнала: 2025, Номер unknown, С. e16362470 - e16362470

Опубликована: Янв. 28, 2025

Introdução: sabe-se da importância relação pais-bebês para o desenvolvimento do bebê e exercício parentalidade, sendo fundamental considerar a família no processo de cuidado. Nesse sentido, presente estudo objetivou compreender as necessidades parentais contexto internação neonatal. Método: trata-se uma pesquisa qualitativa, caráter descritivo exploratório, em que participaram três pais sete mães bebês foram internados Unidade Terapia Intensiva Neonatal (UTIN) logo após seu nascimento prematuro. A coleta dados ocorreu por meio questionário sociodemográfico, entrevista semiestruturada Os resultados dos questionários, analisados forma descritiva, integrados à análise conteúdo das entrevistas. Resultados: os destacaram físicas estruturais; emocionais suporte; orientação informação; relacionadas participação dia na UTIN. Identificou-se certa discrepância entre apresentadas pelos apoio oferecido hospitais sua rede pessoal. Discussões conclusões: é preciso difundir práticas humanização ambiente hospitalar, modo contribuírem integração cuidado, favorecendo pais-bebês.

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Fathers' Involvement in a Surgical Neonatal Intensive Care Unit: A Prospective Cohort Study

Journal of Paediatrics and Child Health, Год журнала: 2025, Номер unknown

Опубликована: Фев. 26, 2025

ABSTRACT Aim To date, studies exploring patterns of fathers' involvement in their neonate's care the neonatal intensive unit (NICU) and barriers to have utilised qualitative approaches, which can be time‐ resource‐consuming. This study aimed explore a surgical NICU using novel tool along with identifying potential facilitators care. Methods single‐centre prospective cohort was conducted at (SNICU). A questionnaire, Fathers' Involvement Questionnaire: Neonatal Intensive Care Unit (FIQ:NICU) comprising four sections, developed based on current evidence expert consensus. Study data were collected managed REDCap electronic capture tools. scores are reported for individual items, subscales (Physical contact, Verbal Interaction, During Procedures, Cares/Feeding, Participation rounds), total score (possible range 0–92). Associations between FIQ confidence levels explored bivariate correlation (Pearson's r ). Results Thirty‐two fathers participated. Total FIQ:NICU ranged from 20 74, mean 55.1 (95% interval 49.9–60.2), SD 14.24. Fathers highest level ‘During Procedures’ subscale ( M = 2.88, 1.00) lowest ‘Cares/Feeding’ 1.67, 0.83). All support partner (100%) as facilitator, followed by nurses (71.9%). The most frequently barrier lines tubes neonate (46.9%), work/job commitments (34.4%). Conclusions Support healthcare professionals, psychologists peers increase father's SNICU.

Язык: Английский

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Skin-to-skin contact at birth for very preterm infants and symptoms of depression and anxiety in parents during the first year – A secondary outcome of a randomized clinical trial

Journal of Affective Disorders, Год журнала: 2025, Номер 383, С. 323 - 332

Опубликована: Апрель 29, 2025

Mental health issues are common in parents to preterm infants. In the neonatal intensive care unit (NICU), skin-to-skin contact (SSC) as an avenue for parent-infant closeness may improve parental mental health. Few studies exist regarding its benefits when initiated immediately postbirth. The aim was determine effect of SSC very infants at birth on parents' health, by assessing symptoms depression and anxiety within first year. Immediate Parent-Infant Skin-to-Skin Study a randomized clinical trial conducted 2018-2021 three NICUs Sweden Norway. Very (28-33 weeks gestation) were allocated standard incubator or with either parent, continued throughout 6 h. Symptoms assessed Edinburgh Postnatal Depression Scale Spielberger State-Trait Anxiety Inventory. study included 91 (36 twins [40 %]) 73 mothers fathers. Infants had mean gestational age 31 + 1 birthweight 1534 g. found significantly reduce fathers one week after term-equivalent infant. Limitations include small sample size limited background data prenatal anxiety. following provide protective should be supported setting, alongside necessary nursing, medical care.

Язык: Английский

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Experiências de enfermeiros na facilitação do vínculo precoce entre mães e bebês prematuros: um estudo qualitativo multicêntrico

Revista Latino-Americana de Enfermagem, Год журнала: 2024, Номер 32

Опубликована: Янв. 1, 2024

Objetivo: este estudo tem como objetivo explorar as experiências dos enfermeiros neonatais na facilitação do vínculo precoce entre mães e bebês prematuros Método: foi adotada uma abordagem qualitativa descritiva, usando discussões de grupos focais com 13 participantes quatro hospitais referência em grande cidade um país desenvolvimento. Em seguida, foram realizadas entrevistas profundidade três Resultados: surgiram temas principais, destacando barreiras os facilitadores para a criação vínculos precoces prematuros. O também explorou práticas cuidados que visam facilitar o no ambiente social prematuros, envolvendo mães, famílias, enfermeiras hospitais. Conclusões: identificados informam desenvolvimento estratégias intervenção fim promover precoce. ideal requer habilidades aprimoradas gerenciamento enfermagem, infraestrutura hospitalar adequada envolvimento da família paciente. Esses resultados contribuem avanço conhecimento sobre saúde enfermagem.

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Supporting Fathers in the Neonatal Intensive Care Unit

The Journal of Perinatal & Neonatal Nursing, Год журнала: 2024, Номер unknown

Опубликована: Сен. 11, 2024

Purpose: This scoping review explores the critical yet often overlooked role of fathers in neonatal intensive care unit (NICU) environment, particularly during emotionally tumultuous period following birth a critically ill infant. Background: The an infant significantly disrupts family dynamics and may impact each parent. Fathers NICU are frequently overlooked, leading to feelings isolation stress. face confusion, stress, sense exclusion, which compounded by trauma having Discussion: Using Preferred Reporting Item for Systematic Reviews Meta‐analysis model, authors identified 18 articles that provide guidance on potential solutions supporting inclusive environment families, including fathers. also consider need staff provider training sustainable environment. Outcomes from highlight support fathers, emphasizing their involvement is crucial well-being family. Implications practice: Creating welcoming address fathers’ needs, providing flexible policies can improve paternal engagement. Effective communication systems, peer-led groups, vital. Precis Statement: Inclusive practices, better communication, tailored enhance

Язык: Английский

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An exploration of emotions amongst mothers of preterm infants; an Indonesian context

Journal of Neonatal Nursing, Год журнала: 2024, Номер unknown, С. 101598 - 101598

Опубликована: Дек. 1, 2024

Язык: Английский

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Implementation of Listening Visits with Parents of Preterm Infants in an Italian Neonatal Intensive Care Unit

MCN The American Journal of Maternal/Child Nursing, Год журнала: 2024, Номер 49(3), С. 151 - 156

Опубликована: Апрель 4, 2024

Abstract Purpose: To assess the feasibility of implementing Listening Visits (LV) in an Italian neonatal intensive care unit (NICU). Study Design and Methods: This implementation LV included empathic listening problem-solving sessions provided by a psychologist to 26 parents hospitalized preterm newborns. Using RE-AIM framework, three facets were assessed: reach , adoption . Results: It is feasible integrate into NICU: 76% families willing try ( ). recipients reported high satisfaction. Twelve 16 (75%) received six or more ), with mothers attending sessions. Implementation fidelity defined here as percentage that at least four sessions, was 94% among 30% fathers. Clinical Implications: The intervention for parental support during NICU stay deemed helpful parents. Parents motivated participate even though their levels depression, stress, anxiety not high. In addition use standardized screening questionnaires, requests clinical team indications should be decision-making provision services.

Язык: Английский

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