Developing family‐centred care in a neonatal intensive care unit: an action research study protocol

Skene, Caryl; Gerrish, Kate; Price, Fiona; Pilling, Elizabeth; Bayliss, Pauline

doi:10.1111/jan.12863

Cited by 21 publications

(23 citation statements)

References 44 publications

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“…The positive correlation among some sections of Status and the "Personnel Practice" section for Priority for Change, probably demonstrates the difficulty to translate FCC principles into daily practices. Innovative policies at hospital level and organisational strategies could address and align daily FCC practices (Abraham and Moretz, 2012;Boztepe and Kerimoğlu Yıldız, 2017;Coombs et al, 2017;Dunn et al, 2006;Skene et al, 2016). Furthermore this approach is necessary especially in larger units with higher numbers of infants discharged as emerged by the findings of our survey.…”

Section: Discussionmentioning

confidence: 88%

The current practice of family-centred care in Italian neonatal intensive care units: A multicentre descriptive study

Dall’Oglio

Mascolo

Tiozzo

et al. 2019

Intensive and Critical Care Nursing

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Section: Discussionmentioning

confidence: 88%

The current practice of family-centred care in Italian neonatal intensive care units: A multicentre descriptive study

Dall’Oglio

Mascolo

Tiozzo

et al. 2019

Intensive and Critical Care Nursing

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“…Essa proximidade com o neonato traz benefícios para a tríade pai, filho e mãe. A presença do pai na unidade neonatal é de grande ajuda para o fortalecimento da rede de apoio à mãe e, por isso, a equipe precisa valorizar tais momentos promovendo o cuidado centrado na família 19,20 . Há que se considerar também que o envolvimento do homem na rotina de cuidados com o neonato é mais uma possibilidade para que se invista no estabelecimento do vínculo pai-filho 21 .…”

Section: Discussionunclassified

Validação de tecnologia educacional sobre fototerapia para orientar familiares de neonatos ictéricos [Validation of educational technology on phototherapy to guide family members of icteric neonates] [Validación de tecnología educativa sobre fototerapia para orientar a familiares de neonatos ictéricos]

et al. 2018

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Objetivo: validar tecnologia educacional sobre fototerapia para orientar familiares de neonatos ictéricos. Método: estudo de desenvolvimento metodológico, realizado em 2012, com nove juízes especialistas, 11 enfermeiros assistenciais e 11 familiares, mediante aplicação de questionários submetidos à análise estatística. Foi realizado em uma maternidade pública estadual no município de Manaus, Brasil. Resultados: a tecnologia a ser validada foi do tipo álbum seriado, com dupla face, intitulado A luz que cura, a mão que cuida. O Índice de Validade de Conteúdo (IVC) foi de 79,7%. O Índice de Concordância (IC) na validação de aparência foi de 96,1% entre enfermeiros e 97,2% entre familiares. Conclusão:a tecnologia educacional mostrou-se válida quanto ao conteúdo e aparência, com potencial para orientar familiares de neonatos ictéricos por enfermeiros que atuam na área neonatal e maternidade.ABSTRACTObjective: to validate an educational technology on phototherapy designed to guide family members of icteric neonates. Method: a methodological study carried out in 2012 with 9 specialist, 11 nursing assistants and 11 family members, through the application of questionnaires later submitted to statistical analysis. The study was conducted in a state public maternity hospital in the city of Manaus, Brazil. Results: the technology that was to be validated was a double-sided flip chart called The light that heals, the hand that cares. The Content Validity Index was 79.7%. The Concordance Index for the validation of appearance was 96.1% among nurses and 97.2% among family members. Conclusion: the educational technology was validated for content and appearance and demonstrated potential for orientations of family members of icteric neonates conducted by nurses who work in the neonatal and maternity areas.RESUMENObjetivo: validar tecnología educativa sobre fototerapia para orientar a familiares de neonatos ictéricos. Método: estudio de desarrollo metodológico, realizado en 2012, con 9 jueces especialistas, 11 enfermeros asistenciales y 11 familiares, mediante aplicación de cuestionarios sometidos al análisis estadístico. Se realizó en una maternidad pública estadual en el municipio de Manaus, AM, Brasil. Resultados: la tecnología validada fue del tipo álbum seriado, con doble cara, titulado La luz que cura, la mano que cuida. El Índice de Validez de Contenido fue del 79,7%. El Índice de Concordancia en la validación de apariencia fue del 96,1% entre enfermeros y el 97,2% entre familiares. Conclusión: la tecnología educativa se mostró válida en cuanto al contenido y apariencia, con potencial para orientar a familiares de neonatos ictéricos por enfermeros que actúan en el área neonatal y maternidad.

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“…Involving families in shared care and decision making can reduce parental stress, facilitate family attachment, and improve practitioner/parent relations . Valuing parents as direct caregivers has been shown to positively affect self‐efficacy and promote parenting skills . Previous research identifies that a negative influence on maternal perceptions of self‐worth is the feeling of guilt and responsibility associated with substance use in pregnancy .…”

Section: Discussionmentioning

confidence: 99%

Systematic mixed‐study review of nonpharmacological management of neonatal abstinence syndrome

MacVicar

Kelly

2019

Birth

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Background Neonatal abstinence syndrome is a multisystem disorder resulting from exposure to maternal addictive substance use in pregnancy. Withdrawal is characterized by neonatal tremors, feeding difficulties, and sleep disruption. The aim of this systematic review is to explore the nonpharmacological management of infants at risk of neonatal abstinence syndrome after prenatal exposure. Methods A systematic mixed‐study review was conducted. A search of CINAHL, MEDLINE, AMED, PsycARTICLES, PsycINFO, and Web of Science was performed for relevant articles published between January 2007 and June 2018. Quantitative and qualitative data were extracted and thematic analysis undertaken. The findings were synthesized as a narrative summary. Results Fourteen studies were included in the review, of which nine were quality improvement initiatives and five explored complementary therapies. The most common components of nonpharmacological management were consolation therapy and rooming‐in of mother and baby. Implementation strategies incorporated family integrated care and practitioner training in the evaluation of neonatal withdrawal. When nonpharmacological management was applied, there was a reduction in the need for pharmacotherapy and a shorter hospital stay for newborns. Potential barriers to effective management included unreliable assessment tools, judgmental practitioner attitudes, and limited breastfeeding promotion. Conclusions Providing and optimizing nonpharmacological management for the infant at risk of neonatal abstinence syndrome improves outcomes by reducing their length of hospital stay and the need for pharmacotherapy.

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Developing family‐centred care in a neonatal intensive care unit: an action research study protocol

Cited by 21 publications

References 44 publications

The current practice of family-centred care in Italian neonatal intensive care units: A multicentre descriptive study

The current practice of family-centred care in Italian neonatal intensive care units: A multicentre descriptive study

Systematic mixed‐study review of nonpharmacological management of neonatal abstinence syndrome

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