Parent and nurse perceptions on the quality of family-centred care in 11 European NICUs

Raiskila, Simo; Lehtonen, Liisa; Tandberg, Bente Silnes; Normann, Erik; Ewald, Uwe; Caballero, Sylvia; Varendi, Heili; Toome, Liis; Nordhov, Marianne; Hallberg, Boubou; Westrup, Björn; Montirosso, Rosario; Axelin, Anna

doi:10.1016/j.aucc.2016.09.003

Cited by 61 publications

(53 citation statements)

References 48 publications

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“…We acknowledge that these questions did not cover all of the features of the units. We described variations in the care cultures of these units in previous publications . In this study, the care culture was approached from the perspective of parent–infant closeness and one major factor that affected this was identified: the opportunity for at least one parent to stay in the unit overnight.…”

Section: Discussionmentioning

confidence: 99%

Parents' presence and parent–infant closeness in 11 neonatal intensive care units in six European countries vary between and within the countries

et al. 2017

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AimLittle is known about the amount of physical parent–infant closeness in neonatal intensive care units (NICUs), and this study explored that issue in six European countries.MethodsThe parents of 328 preterm infants were recruited in 11 NICUs in Finland, Estonia, Sweden, Norway, Italy and Spain. They filled in daily diaries about how much time they spent in the NICU, in skin‐to‐skin contact (SSC) and holding their babies in the first two weeks of their hospitalisation.ResultsThe parents' NICU presence varied from a median of 3.3 (minimum 0.7–maximum 6.7) to 22.3 (18.7–24.0) hours per day (p < 0.001), SSC varied from 0.3 (0–1.4) to 6.6 (2.2–19.5) hours per day (p < 0.001) and holding varied from 0 (0–1.5) to 3.2 (0–7.4) hours per day (p < 0.001). Longer SSC was associated with singleton babies and more highly educated mothers. Holding the baby for longer was associated with gestational age. The most important factor supporting parent–infant closeness was the opportunity to stay overnight in the NICU. Having other children and the distance from home to the hospital had no impact on parent–infant closeness.ConclusionParents spent more time in NICUs if they could stay overnight, underlining the importance that these facilities play in establishing parent–infant closeness.

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Section: Discussionmentioning

confidence: 99%

Parents' presence and parent–infant closeness in 11 neonatal intensive care units in six European countries vary between and within the countries

et al. 2017

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“…Family-centered care is widely accepted as an ideal approach to and standard of care in the NICU (Raiskila et al, 2016). Implementation of FCC has been reported to rely on the knowledge, attitude, and skills of staff, the design of the physical space and the availability of parental support (Gooding et al, 2011).…”

Section: Family-centered Carementioning

confidence: 99%

“…FCC implementation in the NICUs also supports optimal parentinfant attachment during hospitalization, decreases NICU length of stay and contributes to improving parent and staff experience (Gooding et al, 2011). Despite the known advantages of FCC, challenges and barriers remain that restrict its implementation in the NICU (Raiskila et al, 2016). Studies report that NICU healthcare providers' knowledge and attitudes, the quality and nature of the relationships between nurses and physicians and parents, training in communication skills, and health care policies are key elements of effective implementation and integration of FCC (Hutchfield, 1999;Pediatrics, Medicine, Physicians, & Committee, 2006;Raiskila et al, 2016).…”

Section: Fcc Implementation and Contextmentioning

confidence: 99%

“…Despite the known advantages of FCC, challenges and barriers remain that restrict its implementation in the NICU (Raiskila et al, 2016). Studies report that NICU healthcare providers' knowledge and attitudes, the quality and nature of the relationships between nurses and physicians and parents, training in communication skills, and health care policies are key elements of effective implementation and integration of FCC (Hutchfield, 1999;Pediatrics, Medicine, Physicians, & Committee, 2006;Raiskila et al, 2016). Also reported in studies is the role of unit culture for how it facilitates or limits family participation and FCC implementation (Gooding et al, 2011).…”

Section: Fcc Implementation and Contextmentioning

confidence: 99%

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The Challenges of Implementing Family-Centered Care in NICU from the Perspectives of Physicians and Nurses

Mirlashari

Brown²,

Fomani

et al. 2020

Journal of Pediatric Nursing

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“…In the weeks prior to their infant's discharge, pod/SFR mothers were present twice as much as those in the OW (83.97 hours per week versus 43.97). International surveys show that presence varies greatly across both units and countries (38). Promoting parent presence is increasingly viewed as an essential component of NICU care given the benefits for infants long after discharge (11,14,15,39), and current understanding concerning the neurobiology of parenting.…”

Section: Discussionmentioning

confidence: 99%

A comparative study of mothers of infants hospitalized in an open ward neonatal intensive care unit and a combined pod and single-family room design

Feeley

Robins

Genest

et al. 2019

Preprint

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Background: The well-being of mothers of infants requiring Neonatal Intensive Care Unit (NICU) hospitalization may be affected by the architectural design of the unit. A few recent studies suggest there may be some drawbacks of single-family rooms (SFRs) for infants and their mothers, such as isolation of mothers and reduced exposure to auditory stimulation for infants. Purpose: To compare NICU-stress, symptoms of depression, perceptions of nurse-parent support and family-centered care, sleep disturbances, breastfeeding self-efficacy and readiness for discharge in mothers of infants cared for in an open ward (OW) to those cared for in a unit that includes both pods and SFRs. Methods: A pre-post quasi-experimental study was conducted in a Canadian level 3 unit before and after transitioning to a new unit of 6-bed pods and SFRs. OW data were collected in 2014 and pod/SFR data one year after the transition in 2017 to 2018. Mothers of infants hospitalized for at least 2 weeks completed questionnaires about stress, depressive symptoms, support, family-centered care, and sleep disturbances. In the week prior to discharge, they responded to breastfeeding self-efficacy and readiness for discharge questionnaires. They described their presence in the NICU at enrollment and again prior to discharge. Results: Pod/SFR mothers reported significantly less NICU-stress compared to OW mothers. OW mothers had greater sights and sounds stress and felt more restricted in their parental role. Pod/SFR mothers reported greater respect from staff. Controlling for maternal education, pod/SFR mothers perceived their infant’s readiness for discharge to be greater than OW mothers. There were no significant differences between groups in depressive symptoms, nurse-parent support, sleep disturbances, and breastfeeding self-efficacy. At enrollment and again in the weeks preceding discharge, pod/SFR mothers were present significantly more hours per week than OW mothers, controlling for maternal education. Conclusions: Further study of small pods is indicated as these units may be less stressful for parents, and enhance family-centered care, as well as maternal presence, compared to OWs.

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Parent and nurse perceptions on the quality of family-centred care in 11 European NICUs

Cited by 61 publications

References 48 publications

Parents' presence and parent–infant closeness in 11 neonatal intensive care units in six European countries vary between and within the countries

Parents' presence and parent–infant closeness in 11 neonatal intensive care units in six European countries vary between and within the countries

The Challenges of Implementing Family-Centered Care in NICU from the Perspectives of Physicians and Nurses

A comparative study of mothers of infants hospitalized in an open ward neonatal intensive care unit and a combined pod and single-family room design

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