G109 Restricting visitors to the nicu significantly reduces nosocomial viral respiratory tract infections in babies

Lakshmanan, A; Szatkowski, Lisa; Zinna, Shairbanu; Clarkson, Mandy; McClaughry, Rebecca; Soo, Shiu; Sharkey, Don

doi:10.1136/archdischild-2015-308599.108

Cited by 6 publications

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…One study in UK found that restricted access was associated with a signi cant decline in respiratory infections [33], while another study in India showed allowing parents in the NCU to directly participate in their newborn's care did not increase in hospital acquired infections [34]. In all cases, education on hygiene practices are essential for all parents, visitors and providers.…”

Section: Discussionmentioning

confidence: 99%

A Qualitative Study to Explore the Experience of Parents of Newborns Admitted to Neonatal Care Unit in Rural Rwanda

Byiringiro

Wong

Logan

et al. 2020

Preprint

View full text Add to dashboard Cite

(310/350 words) Background: Neonatal Care Units (NCUs) provide special care for sick and small newborns and can help reduce neonatal mortality. For parents, the experience of having a hospitalized newborn can be traumatic. In LMIC, especially sub-Saharan Africa, there is limited information about the parents’ experience of care in NCUs. Objective: Our study aimed to explore the experience of parents in the NCU of a rural district hospital in Rwanda. Methods: A qualitative study was conducted with parents whose newborns were hospitalized in the Ruli District Hospital NCU from September 2018 to January 2019. In-depth interviews were conducted using a semi-structured guide in the participants homes by trained data collectors. Data were transcribed, translated, and then coded using a structured code book. All data analyses were conducted using Dedoose software. Results: Twenty-one interviews were conducted primarily with mothers (90.5%, n=19) among newborns who were most often discharged home alive (90.5%, n=19). Parents reported stressful and emotional responses to having their newborns admitted particularly when they lacked clear understanding of their newborn’s condition, generally positive communication and interactions with healthcare providers and other parents, policies and procedures in the NCU that contributed to stress and limited access to newborns by fathers and other family members, and stress due to the high financial burden of NCU care. Conclusion: The admission of a newborn into the NCU alone was a source of stress for parents and caregivers in rural Rwanda. However, there were several positive factors of the NCU including involvement of mothers and support from healthcare providers. The experience in the NCU can be improved when healthcare providers communicate and explain the newborn’s status to the parents and actively involve them in the care of their newborn. Expanding the NCU access for families, encouraging peer support, and ensuring financial accessibility for neonatal care services could contribute to improved experiences for families. KEYWORDS: prematurity, neonatology, family-centered care, neonatal care unit, nurses, patient satisfaction, patient experience

show abstract

Section: Discussionmentioning

confidence: 99%

A Qualitative Study to Explore the Experience of Parents of Newborns Admitted to Neonatal Care Unit in Rural Rwanda

Byiringiro

Wong

Logan

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…However, studies have con icting results. One study in UK found that restricted access was associated with a signi cant decline in respiratory infections [33], while another study in India showed allowing parents in the NCU to directly participate in their newborn's care did not increase in hospital acquired infections [34]. In all cases, education on hygiene practices are essential for all parents, visitors and providers.…”

Section: Discussionmentioning

confidence: 99%

A Qualitative Study to Explore the Experience of Parents of Newborns Admitted to Neonatal Care Unit in Rural Rwanda

Byiringiro

Wong

Logan

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Neonatal Care Units (NCUs) provide special care for sick and small newborns and can help reduce neonatal mortality. For parents, the experience of having a hospitalized newborn can be traumatic. In LMIC, especially sub-Saharan Africa, there is limited information about the parents’ experience of care in NCUs. Objective: Our study aimed to explore the experience of parents in the NCU of a rural district hospital in Rwanda. Methods: A qualitative study was conducted with parents whose newborns were hospitalized in the Ruli District Hospital NCU from September 2018 to January 2019. In-depth interviews were conducted using a semi-structured guide in the participants homes by trained data collectors. Data were transcribed, translated, and then coded using a structured code book. All data analyses were conducted using Dedoose software. Results: Twenty-one interviews were conducted primarily with mothers (90.5%, n=19) among newborns who were most often discharged home alive (90.5%, n=19). Parents reported stressful and emotional responses to having their newborns admitted particularly when they lacked clear understanding of their newborn’s condition, generally positive communication and interactions with healthcare providers and other parents, policies and procedures in the NCU that contributed to stress and limited access to newborns by fathers and other family members, and stress due to the high financial burden of NCU care. Conclusion: The admission of a newborn into the NCU alone was a source of stress for parents and caregivers in rural Rwanda. However, there were several positive factors of the NCU including involvement of mothers and support from healthcare providers. The experience in the NCU can be improved when healthcare providers communicate and explain the newborn’s status to the parents and actively involve them in the care of their newborn. Expanding the NCU access for families, encouraging peer support, and ensuring financial accessibility for neonatal care services could contribute to improved experiences for families.

show abstract

“…NCU access is usually justified as necessary for infection control, however, studies present controversial evidence. One study in the United Kingdom found that restricted access was associated with a significant decline in respiratory infections [36], while another study in India showed that allowing parents in the NCU to directly participate in their newborn's care did not increase in hospital acquired infections [37]. NCU access restrictions have particularly been adopted during the COVID-19 pandemic where Neonatal Intensive Care Units that preserved the 24/7 parental presence decreased from 83 to 53% according to a global survey [38].…”

Section: Plos Onementioning

confidence: 99%

A qualitative study to explore the experience of parents of newborns admitted to neonatal care unit in rural Rwanda

et al. 2021

View full text Add to dashboard Cite

Background Neonatal Care Units (NCUs) provide special care to sick and small newborns and help reduce neonatal mortality. For parents, having a hospitalized newborn can be a traumatic experience. In sub-Saharan Africa, there is limited literature about the parents’ experience in NCUs. Objective Our study aimed to explore the experience of parents in the NCU of a rural district hospital in Rwanda. Methods A qualitative study was conducted with parents whose newborns were hospitalized in the Ruli District Hospital NCU from September 2018 to January 2019. Interviews were conducted using a semi-structured guide in the participants’ homes by trained data collectors. Data were transcribed, translated, and then coded using a structured code book. All data were organized using Dedoose software for analysis. Results Twenty-one interviews were conducted primarily with mothers (90.5%, n = 19) among newborns who were most often discharged home alive (90.5%, n = 19). Four themes emerged from the interviews. These were the parental adaptation to having a sick neonate in NCU, adaptation to the NCU environment, interaction with people (healthcare providers and fellow parents) in the NCU, and financial stressors. Conclusion The admission of a newborn to the NCU is a source of stress for parents and caregivers in rural Rwanda, however, there were several positive aspects which helped mothers adapt to the NCU. The experience in the NCU can be improved when healthcare providers communicate and explain the newborn’s status to the parents and actively involve them in the care of their newborn. Expanding the NCU access for families, encouraging peer support, and ensuring financial accessibility for neonatal care services could contribute to improved experiences for parents and families in general.

show abstract

G109 Restricting visitors to the nicu significantly reduces nosocomial viral respiratory tract infections in babies

Cited by 6 publications

References 0 publications

A Qualitative Study to Explore the Experience of Parents of Newborns Admitted to Neonatal Care Unit in Rural Rwanda

A Qualitative Study to Explore the Experience of Parents of Newborns Admitted to Neonatal Care Unit in Rural Rwanda

A Qualitative Study to Explore the Experience of Parents of Newborns Admitted to Neonatal Care Unit in Rural Rwanda

A qualitative study to explore the experience of parents of newborns admitted to neonatal care unit in rural Rwanda

Contact Info

Product

Resources

About