Parents, siblings and grandparents in the Neonatal Intensive Care Unit A survey of policies in eight European countries

Greisen, Gorm; Mirante, Nadia; Haumont, Dominique; Pierrat, Véronique; Pallás‐Alonso, Carmen Rosa; Warren, Inga; Smit, Bert; Westrup, Björn; Sizun, Jacques; Maraschini, Alice; Cuttini, Marina

doi:10.1111/j.1651-2227.2009.01439.x

Cited by 140 publications

(104 citation statements)

References 18 publications

(23 reference statements)

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“…There is convincing evidence about the positive effects of Kangaroo Mother Care [9][10][11], but studies suggest there are huge differences in the provision of facilities to enable skinto-skin care and parental involvement [12,13]. A recent European survey, for example, found that 100% of included units in Sweden had reclining chairs near babies' cots and 100% had beds for the parents whilst in the UK these figures were 11% and 77% respectively [14].…”

Section: Introductionmentioning

confidence: 99%

Mothers’ perceptions of family centred care in neonatal intensive care units

Finlayson

Dixon

Smith

et al. 2014

Sexual & Reproductive Healthcare

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Section: Introductionmentioning

confidence: 99%

Mothers’ perceptions of family centred care in neonatal intensive care units

Finlayson

Dixon

Smith

et al. 2014

Sexual & Reproductive Healthcare

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“…14,19 The QCC covers the following areas: developmental care practices, policies toward parents, control of environment, and infant pain management. Furthermore, general information about the unit is obtained, such as number of beds and admissions per year.…”

Section: Measurement Of Developmental Carementioning

confidence: 99%

Level of NICU Quality of Developmental Care and Neurobehavioral Performance in Very Preterm Infants

2012

PEDIATRICS

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WHAT'S KNOWN ON THIS SUBJECT: Although developmental care in NICUs reduces the stress experienced by preterm infants, the actual level of developmental care may vary and little is known about how the level of developmental care relates to preterm infants' neurobehavioral performance. WHAT THIS STUDY ADDS:The study demonstrates the relationship between variations in developmental care in NICUs and the neurobehavior of preterm infants. Infants from NICUs with high-quality developmental care compared with infants from units with low quality of care evidenced a better neurobehavioral profile.abstract OBJECTIVE: To examine the relation between the neurobehavior of very preterm infants and the level of NICU quality of developmental care. METHODS:The neurobehavior of 178 very preterm infants (gestational age #29 weeks and/or birth weight #1500 g) from 25 NICUs participating in a large multicenter, longitudinal study (Neonatal Adequate Care for Quality of Life, NEO-ACQUA) was examined with a standardized neurobehavioral assessment, the NICU Network Neurobehavioral Scale (NNNS). A questionnaire, the NEO-ACQUA Quality of Care Checklist was used to evaluate the level of developmental care in each of the NICUs. A factor analyses applied to NEO-ACQUA Quality of Care Checklist produced 2 main factors: (1) the infant-centered care (ICC) index, which measures parents' involvement in the care of their infant and other developmentally oriented care interventions, and (2) the infant pain management (IPM) index, which measures the NICU approach to and the procedures used for reducing infant pain. The relations between NNNS neurobehavioral scores and the 2 indexes were evaluated. RESULTS:Infants from NICUs with high scores on the ICC evidenced higher attention and regulation, less excitability and hypotonicity, and lower stress/abstinence NNNS scores than infants from low-care units. Infants from NICUs with high scores on the IPM evidenced higher attention and arousal, lower lethargy and nonoptimal reflexes NNNS scores than preterm infants from low-scoring NICUs.CONCLUSIONS: Very preterm infant neurobehavior was associated with higher levels of developmental care both in ICC and in IPM, suggesting that these practices support better neurobehavioral stability.

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“…La présence des parents est trop souvent limitée [10,11]. L'ouverture des services de néonatologie aux parents reste variable en Europe.…”

Section: Introductionunclassified

“…L'ouverture des services de néonatologie aux parents reste variable en Europe. Une enquête réalisée en 2005 dans dix pays européens [11] montre que si l'ouverture des services aux parents 24 heures/24 est admise dans près de 70 % des unités interrogées, il existe des disparités Nord-Sud importantes : cette politique est quasi universelle dans les pays du Nord de l'Europe alors qu'elle n'est admise que dans environ un tiers des unités espagnoles et italiennes. La France occupait alors une position intermédiaire avec un peu plus de 50 % des unités qui autorisaient la présence des parents 24 heures/24, sans aucune restriction.…”

Section: Introductionunclassified