Exploring Parental and Staff Perceptions of the Family-Integrated Care Model

Broom, Margaret; Parsons, Georgia; Carlisle, Hazel; Kecskés, Zsuzsoka; Thibeau, Shelley

doi:10.1097/anc.0000000000000443

Cited by 40 publications

(46 citation statements)

References 13 publications

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“…Changing routines is challenging and requires a shift in thinking [12], which was shown to be difficult for some individuals. Similar to our findings, other studies have also reported challenges in changing nurses’ professional role and motivation when implementing elements of the FCC [13, 14, 17, 29]. Therefore, it is crucial that the staff is prepared for this change in their professional role [10, 30, 31].…”

Section: Discussionsupporting

confidence: 89%

“…Several complex interventions have been shown to be effective in enhancing FCC in the NICUs. These include an educational–behavioral intervention program for parents [5], family-centered rounds [15], developmental care [16], family nurture intervention [8], and family-integrated care [17–20]. The evaluation of complex FCC interventions with randomized controlled trials design have been conducted in controlled environments that do not consider the impact of contextual factors in their implementation [21].…”

Section: Introductionmentioning

confidence: 99%

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Key factors supporting implementation of a training program for neonatal family- centered care – a qualitative study

Toivonen

Lehtonen

Ahlqvist‐Björkroth

et al. 2019

BMC Health Serv Res

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Background Traditionally, the care of infants in neonatal care units has been professionally centered, paying less attention to family support. In recent years, many interventions have been developed to improve family-centered care and thereby parent and infant outcomes. Understanding the key factors of implementation of these interventions would help improve clinical practice. The aim of this study was to describe the staff’s perceptions of the implementation of the Close Collaboration with Parents Training Program and to identify the barriers and facilitators of the implementation. Methods A descriptive qualitative interview study was conducted in eight neonatal intensive care units in Finland. Nineteen unit managers and 32 nurses were interviewed after their unit had finished the 1.5-year training program. Data were analyzed using thematic content analysis. Results Key factors facilitating the implementation of the training program were multidisciplinary commitment and the staff’s motivation to change their professional role to work as the parents’ facilitator. Observable benefits promoted the implementation, as well as experiential learning as a facilitation method. The role of mentor was remarkable as a facilitator. In addition, contextual elements such as support from leadership and proper timing were important. Conclusions Implementation of family-centered care is facilitated by staff who is prepared to accept parents as partners and adopt a new professional role. Enough time for preparation, readiness for the change, solid support from the leadership, and a multidisciplinary approach are needed as well. Mentoring was found to be one of the key factors facilitating the change. Electronic supplementary material The online version of this article (10.1186/s12913-019-4256-1) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Key factors supporting implementation of a training program for neonatal family- centered care – a qualitative study

Toivonen

Lehtonen

Ahlqvist‐Björkroth

et al. 2019

BMC Health Serv Res

View full text Add to dashboard Cite

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“…This also has particular relevance for models of FiCare in which staff become teachers and mentors to families, reinforcing them as partners at the heart of care. 22 This benefit of the service may be especially important in critically ill patients where survival is uncertain. In these circumstances, video messages may allow staff to provide an additional support to families, with potential benefits to parent and staff well-being.…”

Section: Supporting Family Involvement In Carementioning

confidence: 99%

Asynchronous video messaging promotes family involvement and mitigates separation in neonatal care

Kirolos

Sutcliffe

Clausen

et al. 2020

Arch Dis Child Fetal Neonatal Ed

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ObjectiveTo evaluate the parent and staff experience of a secure video messaging service as a component of neonatal care.DesignMulticentre evaluation incorporating quantitative and qualitative items.SettingLevel II and level III UK neonatal units.PopulationFamilies of neonatal inpatients and neonatal staff.InterventionUse of a secure, cloud-based asynchronous video messaging service to send short messages from neonatal staff to families. Evaluation undertaken July–November 2019.Main outcome measuresParental experience, including anxiety, involvement in care, relationships between parents and staff, and breastmilk expression.ResultsIn pre-implementation surveys (n=41), families reported high levels of stress and anxiety and were receptive to use of the service. In post-implementation surveys (n=42), 88% perceived a benefit of the service on their neonatal experience. Families rated a positive impact of the service on anxiety, sleep, family involvement and relationships with staff. Qualitative responses indicated enhanced emotional closeness, increased involvement in care and a positive effect on breastmilk expression. Seventy-seven post-implementation staff surveys were also collected. Staff rated the service as easy to use, with minimal impact on workload. Seventy-one percent (n=55) felt the service had a positive impact on relationships with families. Staff identified the need to manage parental expectations in relation to the number of videos that could be sent.ConclusionsAsynchronous video messaging improves parental experience, emotional closeness to their baby and builds supportive relationships between families and staff. Asynchronous video supports models of family integrated care and can mitigate family separation, which could be particularly relevant during the COVID-19 pandemic.

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“…While the provision of developmental neuroprotective care is a fundamental neonatal nursing responsibility, the five core measures included in the 2011 NANN guidelines serve as imperatives that an optimal neuroprotective environment requires the coordination of care with disciplines of medicine and nursing, including the scope of practice of NTs [18][19][20][21][22][23]. Skilled neonatal therapy competencies support preventative intervention from birth to enhance physiologic function and neurostructural development of the infant with benefits extending to all stakeholders including the infant, family, healthcare community, and provider networks [11,[24][25][26][27][28][29][30][31][32][33][34][35][36].…”

Section: Introductionmentioning

confidence: 99%

Risk-adjusted/neuroprotective care services in the NICU: the elemental role of the neonatal therapist (OT, PT, SLP)

Craig

Smith

2020

J Perinatol

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Infants admitted to neonatal intensive care units (NICU) require carefully designed risk-adjusted management encompassing a broad spectrum of neonatal subgroups. Key components of an optimal neuroprotective healing NICU environment are presented to support consistent quality of care delivery across NICU settings and levels of care. This article presents a perspective on the role of neonatal therapists-occupational therapists, physical therapists, and speech-language pathologists-in the provision of elemental risk-adjusted neuroprotective care services. In alignment with professional organization competency recommendations from these disciplines, a broad overview of neonatal therapy services is described. Recognizing the staffing budget as one of the more difficult challenges hospital department leaders face, the authors present a formula-based approach to address staff allocations for neonatal therapists working in NICU settings. The article has been reviewed and endorsed

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Exploring Parental and Staff Perceptions of the Family-Integrated Care Model

Abstract: Further research is needed to assess the long-term impact of FICare on neonates, parents, and staff.

Cited by 40 publications

References 13 publications

Key factors supporting implementation of a training program for neonatal family- centered care – a qualitative study

Key factors supporting implementation of a training program for neonatal family- centered care – a qualitative study

Asynchronous video messaging promotes family involvement and mitigates separation in neonatal care

Risk-adjusted/neuroprotective care services in the NICU: the elemental role of the neonatal therapist (OT, PT, SLP)

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