Multilevel social factors and NICU quality of care in California

Padula, Amy; Shariff‐Marco, Salma; Yang, Juan; Jain, Jennifer; Liu, Jessica; Conroy, Shannon M.; Carmichael, Suzan L.; Gomez, Scarlett Lin; Phibbs, Ciaran S.; Oehlert, John; Gould, Jeffrey B.; Profit, Jochen

doi:10.1038/s41372-020-0647-8

Cited by 16 publications

(7 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although parental experience in the NICU was explored in different countries (2,5,(32)(33)(34), there are variations in, accessibility of health facilities, parent-HCPs and parental involvement in the care due to socio-cultural differences, nurses' working culture and the hospital setting (35)(36)(37)(38). And also, it is not well explored in Ethiopia.…”

Section: Introductionmentioning

confidence: 99%

Parental Experiences in Neonatal Intensive Care Unit at Felege Hiwot Comprehensive Specialized Hospital, Bahir Dar, Ethiopia: A Phenomenological Study

Mengesha

Zelellw

Asfaw

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Neonatal intensive care settings are important to save the lives of sick neonates; however, parents are challenged by many stressful conditions during their stay outside the rooms of intensive care units. Therefore, this study aimed to explore the lived experiences of parents in a neonatal intensive care unit at Felege Hiwot Comprehensive Specialized Hospital, Bahir Dar, Northwest Ethiopia. Methods: In this study, a phenomenological qualitative approach was used to explore parental experience and data were collected using in-depth interviews from purposively selected parents. In addition, a thematic approach was used to analyze the data using Open Code Software Version 4.02. Results: In this study, parents found to developed psychological problems like anxiety, stress, worry, hopelessness and state of confusion. Emotional related conditions were anger, crying, sadness, frustration, dissatisfaction, regret, disappointment, feeling bad, self-blaming, nervousness, disturbance and lack of self-control. Parents expressed that health care providers showed indiscipline, lack of commitment and not cooperative at all. Conclusion: Parents of neonates in the intensive care unit were challenged due to a shortage of money and traveling a long distance. Psychological and emotional factors were identified as major stressors of parents during their stay in the NICU. Hence, providing psycho-emotional supports, strengthening parents–healthcare providers’ interaction, and scale up neonatal intensive care unit service into the primary health care unit are recommended.

show abstract

Section: Introductionmentioning

confidence: 99%

Parental Experiences in Neonatal Intensive Care Unit at Felege Hiwot Comprehensive Specialized Hospital, Bahir Dar, Ethiopia: A Phenomenological Study

Mengesha

Zelellw

Asfaw

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…16 It has been shown that NICUs with higher proportions of patients from lower SES have overall lower quality care as measured by a composite of maternal and infant outcome measures. 17 In addition, health insurance (private vs public), a proxy of SES, relates to prenatal and postnatal health opportunities, negatively affecting the health of those with lower SES. 18 Moreover, in the United States, non-English-speaking families in the NICU have been shown to be more susceptible to misunderstanding their child's diagnosis and treatments because clinical staff and families do not share a common language.…”

mentioning

confidence: 99%

Disparities in Kangaroo Care for Premature Infants in the Neonatal Intensive Care Unit

Brignoni-Pérez

Scala

Feldman

et al. 2021

J Dev Behav Pediatr

View full text Add to dashboard Cite

show abstract

“…Health disparities during the infant’s hospitalization in NICUs 81 – 87 include nurse understaffing and higher rates of infection, 82 , 83 , 85 , 88 mortality, 81 , 84 , 86 , 89 – 91 and neonatal morbidities. 92 Notably, in NICUs rated as higher quality, differences in morbidity between Black and White infants are smaller.…”

Section: Research Priorities For Preterm Echo Cohortsmentioning

confidence: 99%

Environmental influences on child health outcomes: cohorts of individuals born very preterm

et al. 2022

View full text Add to dashboard Cite

The National Institutes of Health’s Environmental influences on Child Health Outcomes (ECHO) Program was designed to address solution-oriented research questions about the links between children’s early life environment and their risks of pre-, peri-, and post-natal complications, asthma, obesity, neurodevelopmental disorders, and positive health. Children born very preterm are at increased risk for many of the outcomes on which ECHO focuses, but the contributions of environmental factors to this risk are not well characterized. Three ECHO cohorts consist almost exclusively of individuals born very preterm. Data provided to ECHO from cohorts can be used to address hypotheses about (1) differential risks of chronic health and developmental conditions between individuals born very preterm and those born at term; (2) health disparities across social determinants of health; and (3) mechanisms linking early-life exposures and later-life outcomes among individuals born very preterm. Impact The National Institutes of Health’s Environmental Influences on Child Health Outcomes Program is conducting solution-oriented research on the links between children’s environment and health. Three ECHO cohorts comprise study participants born very preterm; these cohorts have enrolled, to date, 1751 individuals born in 14 states in the U.S. in between April 2002 and March 2020. Extensive data are available on early-life environmental exposures and child outcomes related to neurodevelopment, asthma, obesity, and positive health. Data from ECHO preterm cohorts can be used to address questions about the combined effects of preterm birth and environmental exposures on child health outcomes.

show abstract

Multilevel social factors and NICU quality of care in California

Cited by 16 publications

References 40 publications

Parental Experiences in Neonatal Intensive Care Unit at Felege Hiwot Comprehensive Specialized Hospital, Bahir Dar, Ethiopia: A Phenomenological Study

Parental Experiences in Neonatal Intensive Care Unit at Felege Hiwot Comprehensive Specialized Hospital, Bahir Dar, Ethiopia: A Phenomenological Study

Disparities in Kangaroo Care for Premature Infants in the Neonatal Intensive Care Unit

Environmental influences on child health outcomes: cohorts of individuals born very preterm

Contact Info

Product

Resources

About