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

Veenendaal, Nicole R. van; Labrie, Nanon; Mader, Silke; Kempen, Anne A. M. W. van; Goudoever, Johannes B. van; Bertino, Enrico; Bhojnagarwala, Bikash; Bodrogi, Eszter; Bohlin, Kajsa; Bracht, Marianne; Bührer, Christoph; Domellöf, Magnus; Embleton, Nicholas; Endl, Christoph; Ertl, Tibor; Funke, Simone; Gangi, Sarah; Garg, Shalabh; Guimarães, Hercília; Haiden, Nadja; Koskinen, Eija; Klingenberg, Claus; Klisch, Olga; Kobberup, Helle; Ковальова, Олена Михайлівна; Krolak‐Olejnik, Barbara; Lapillonne, Alexandre; Lee, Shoo; Lehtonen, Liisa; McKechnie, Liz; Mimoso, Gabriela; Molloy, Eleanor J.; Moltu, Sissel J.; Mulder, A. L. M.; Nádor, Csaba; Normann, Erik; O’Brien, Karel; Overmeire, Bart Van; Pavlyshyn, Halyna; Pellicer, Adelina; Picaud, Jean‐Charles; Poets, Christian F.; Rabe, Heike; Ryan, Ethel; Sadowska‐Krawczenko, Iwona; Salvesen, Bodil; Sanakova, Petra; Sarapuk, Iryna; Schuler, Rahel; Senterre, Thibault; Strola, Patrizia; Thomas, Mark; Vento, Máximo; Voloshko, Viktoriia; Weis, Janne; Wiedermannová, Hana; Zabakas, Konstantin

doi:10.1002/ped4.12339

Cited by 20 publications

(28 citation statements)

References 64 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…An observational study 20 focusing on a survey to Swedish NICUs showed that, similarly to what we have described, most units did not provide meals nor opportunities for other family members to visit, and only around half units provided a bed/room to stay for parents. Another international study in European NICUs 21 described similar findings, with single family rooms, kitchen, bathroom or comfortable chairs mentioned as key facilitators for parent‐infant closeness. This study found that most units did not have single family rooms, and parents unfrequently participated on rounds.…”

Section: Discussionmentioning

confidence: 52%

Architectural design, facilities and family participation in neonatal units in Spain: A multicentre study

Solís‐García,

Cambra‐Rufino,

Piris Borregas

et al. 2024

Acta Paediatrica

View full text Add to dashboard Cite

AimThe architecture of neonatal units plays a key role in developmental strategies and preterm outcomes. The aim was to evaluate the design of Spanish neonatal units and its impact on the participation of parents in neonatal care.MethodsA web‐based survey was sent to all level III Spanish neonatal units, including questions about hospital data, architectural design, facilities and family participation.ResultsThe study included 63 units. Most units (87%) had part or all the intensive care patients located in open bay units, while 54% had at least one individual patient cubicle. Single family rooms, defined as those including enough space and furniture for family members to stay with the infant without restrictions, were available in 8 units (13%). Eighteen units (29%) had a structured programme of family education. Units with single family rooms were more likely to have parental participation in rounds (p < 0.01), safety protocols (p = 0.02), oxygen management (p < 0.01) and nasogastric tube feeding (p = 0.02), as well as to allow siblings to participate in kangaroo care (p < 0.01).ConclusionWidely variable architectural designs and policies were found in Spanish neonatal units. The presence of single family rooms may have impacted the participation of parents in neonatal care.

show abstract

Section: Discussionmentioning

confidence: 52%

Architectural design, facilities and family participation in neonatal units in Spain: A multicentre study

Solís‐García,

Cambra‐Rufino,

Piris Borregas

et al. 2024

Acta Paediatrica

View full text Add to dashboard Cite

show abstract

“…Parent empowerment was often cited as a positive outcome of the mFICare program overall and of the individual components. Similar benefits have been seen with implementation of FICare in other countries, where it is also recognized that ongoing NICU investment in team education and coaching is needed to sustain a culture of parent–professional collaboration 23…”

Section: Discussionmentioning

confidence: 71%

“…Similar benefits have been seen with implementation of FICare in other countries, where it is also recognized that ongoing NICU investment in team education and coaching is needed to sustain a culture of parent-professional collaboration. 23…”

Section: Discussionmentioning

confidence: 99%

Mobile-Enhanced Family-Integrated Care for Preterm Infants

Franck,

Hodgson,

Gay

et al. 2023

Advances in Neonatal Care

View full text Add to dashboard Cite

Background: The mobile-enhanced family-integrated care (mFICare) model addresses inconsistencies in family-centered care (FCC) delivery, with an evidence-based bundle of staff training, parent participation in rounds, parent classes, parent peer mentors, expanded role for parents in infant caregiving, and a parent-designed app. Purpose: Our aim was to explore the views of neonatal intensive care unit (NICU) nurses and physicians about mFICare implementation, including what worked well and what could be improved. Methods: As part of a larger study to compare mFICare with FCC, we invited registered nurses, nurse practitioners, and fellow and attending physicians at the 3 study sites to participate in a survey about mFICare implementation. Data were analyzed with descriptive statistics and thematic analysis. Results: The majority of the 182 respondents with experience delivering mFICare positively rated parent-led rounds, parent classes, parent skills acquisition, and the nurse–family relationship resulting from participation in mFICare. Respondents were less familiar or neutral regarding the parent peer mentor and app components of mFICare. Most respondents agreed that the mFICare program improved parent empowerment, and they shared suggestions for optimizing implementation. Physicians experienced more challenges with parent participation in rounds than nurses. Three themes emerged from the free-text data related to emotional support for parents, communication between staff and parents, and the unique experiences of families receiving mFICare. Implications for Practice and Research: The mFICare program was overall acceptable to nurses and physicians, and areas for improvement were identified. With implementation refinement, mFICare can become a sustainable model to enhance delivery of FCC in NICUs.

show abstract

“…In countries across the world, family-integrated care (FICare) has become a standard of care, in which parents are integrated into the care team as equal members and as partners who deliver the majority of infant care in the NICU. 4-7 FICare results in benefits for both parents and infants, including demonstrated improvements in infant weight gain and exclusive breastfeeding rates, NICU length of stay, parent confidence and involvement in infant care, parent–infant bonding, and lower symptoms of parent stress, anxiety, and depression 1,4,8-13. Formal FICare programs do provide structured training to parents through the Parent Education pillar of FICare, in which parents learn how to care for their infant through required parent presence at the bedside (eg, 6-8 hours a day for 5 days a week), frequent small group education sessions, and participation in bedside rounds.…”

mentioning

confidence: 99%

“…[4][5][6][7] FICare results in benefits for both parents and infants, including demonstrated improvements in infant weight gain and exclusive breastfeeding rates, NICU length of stay, parent confidence and involvement in infant care, parent-infant bonding, and lower symptoms of parent stress, anxiety, and depression. 1,4,[8][9][10][11][12][13] Formal FICare programs do provide structured training to parents through the Parent Education pillar of FICare, in which parents learn how to care for their infant through required parent presence at the bedside (eg, 6-8 hours a day for 5 days a week), frequent small group education sessions, and participation in bedside rounds. Through prolonged parent presence and engagement with the care team, parents not only learn how to complete a wide range of infant care tasks but also learn how to comanage complex care in the NICU as members of the care team.…”

mentioning

confidence: 99%

Family Management Skills Reported by Parents of Preterm Infants in the NICU Using the Self- and Family Management Framework (SFMF)

Weber,

Bakas,

Schulman-Green

et al. 2023

Advances in Neonatal Care

View full text Add to dashboard Cite

Background: Across the globe, family-integrated care (FICare) has become an evidence-based standard in which parents deliver the majority of infant care in the neonatal intensive care unit (NICU). Because of extensive barriers to parent presence, adaptations to FICare may be required for successful implementation. Family management theory may provide structure to the Parent Education of FICare and help nurses guide parents' skill development as equal care members. Purpose: To identify family management skills employed by NICU parents using the Self- and Family Management Framework (SFMF). Methods: We conducted secondary analyses of qualitative interview data from NICU parents (n = 17) who shared their experiences of using family management skills to care for their infant. We categorized skills according to 3 main self- and family management processes: Focusing on Infant Illness Needs; Activating Resources; and Living With Infant Illness. Results: Parents reported several family management skills currently identified in the SFMF, as well as new skills such as conflict management, power brokerage, and addressing resources related to social determinants of health. Parent activation of resources was critical to sustaining parent focus on the infant's illness needs. Implications for Practice and Research: By teaching skills that parents reported as helping them manage infant care, neonatal nurses may better facilitate parent integration into the care team. Future researchers can incorporate the skills identified in this study into the design of family management interventions that facilitate FICare implementation in the United States.

show abstract

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

Abstract: van Goudoever, Johannes B and CROWN Study Group, (2022) An international study on implementation and facilitators and barriers for parent-infant closeness in neonatal units. Pediatric Investigation. pp. 1-10.

Cited by 20 publications

References 64 publications

Architectural design, facilities and family participation in neonatal units in Spain: A multicentre study

Architectural design, facilities and family participation in neonatal units in Spain: A multicentre study

Mobile-Enhanced Family-Integrated Care for Preterm Infants

Family Management Skills Reported by Parents of Preterm Infants in the NICU Using the Self- and Family Management Framework (SFMF)

Contact Info

Product

Resources

About