The Influence of Neonatal Nursery Design on Mothers' Interactions in the Nursery

Jones, Liz; Peters, K. E.; Rowe, Jennifer; Sheeran, Nicola

doi:10.1016/j.pedn.2016.05.005

Cited by 22 publications

(29 citation statements)

References 36 publications

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“…This subscale of the family-centered care measure assesses privacy and the extent to which a parent feels welcome and "not like a visitor". Qualitative work indicates that SFR mothers experience greater ownership over both their space and the care of their infant [39], and this may apply to small pods such as those at our study site. Parents identify having their presence welcomed by staff and amenities for them as factors that foster presence [40], suggesting that respect from staff and presence might be related.…”

Section: Discussionmentioning

confidence: 86%

“…We found no difference between units. In contrast, an Australian survey reported that OW mothers had greater support from nurses than SFR mothers [39], and indepth interviews revealed that in the SFR unit both mothers and nurses considered it more difficult to initiate interactions compared to in one large space where others were visible. Further examination of nurse support in units of differing design is warranted to better understand how to optimize support in different environments.…”

Section: Discussionmentioning

confidence: 91%

“…In our qualitative study in the SFRs of this unit parents described how privacy allowed them to learn to care for their infant without feeling scrutinized [41]. Nurses have observed that SFR mothers "know more and do more" and in turn are more confident and prepared for discharge compared to OW mothers [39].…”

Section: Discussionmentioning

confidence: 95%

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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

et al. 2020

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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 1 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, nurseparent 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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Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 91%

See 1 more Smart Citation

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

et al. 2020

View full text Add to dashboard Cite

show abstract

“…This subscale of the family-centered care measure assesses privacy and the extent to which a parent feels welcome and "not like a visitor". Qualitative work indicates that SFR mothers experience greater ownership over both their space and the care of their infant (40), and this may apply to small pods such as those at our study site. Parents identify having their presence welcomed by staff and amenities for them as factors that foster presence (41), suggesting that respect from staff and presence might be related.…”

Section: Discussionmentioning

confidence: 86%

“…In our qualitative study in the SFRs of this unit parents described how privacy allowed them to learn to care for their infant without feeling scrutinized (42). Nurses have observed that SFR mothers "know more and do more" and in turn are more confident and prepared for discharge compared to OW mothers (40).…”

Section: Discussionmentioning

confidence: 95%

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 enrolment and again prior to discharge. Results: Pod/SFR mothers reported significantly less overall 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 enrolment 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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Kangaroo mother care practice, knowledge, and perception among NICU nurses in Riyadh, Saudi Arabia

Al-Shehri

Binmanee

2021

International Journal of Pediatrics and Adolescent Medicine

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Background: The imapct of Kangaroo Mother Care (KMC) in neonates is positively reported in the literature. However, several challenges hindered the wide-scale application of this practice. Objectives: To assess the levels of knowledge and competency of kangaroo mother care (KMC) among nurses and to identify the potential barriers to practice. Methodology: Structured web-based questionnaires were submitted to nurses working at neonatal intensive care units (NICUs) located in Riyadh, Saudi Arabia. The participants were asked to answer 23 questions distributed in four main domains, namely, demographic data, knowledge about KMC, practice levels, and barriers to KMC practice. For answers to the knowledge and barriers to practice domains, the mean scores (standard deviations) were calculated to present participants' perceptions and beliefs from 1 (strongly disagree) to 5 (strongly agree). Results: Two hundred nine NICU nurses responded (95.2% females, 89.5% working in a government hospital, 69.9% obtained a Bachelor's degree). The majority of respondents perceived KMC as promoting maternal-infant bonding (4.47 ± 1.3) and enhancing successful breastfeeding (4.44 ± 0.9), while there were considerable uncertainties about KMC application in infants weighing < 1000 g (2.21 ± 1.2). Most of the nurses encouraged parents to perform KMC (92.8%) and provided sufficient information to optimize practice (90%). However, several barriers were apparent, including fear of accidental extubation, lack of time due to workload, familial reluctance to initiate KMC, and lack of privacy during KMC practice. Conclusion: There is reasonable knowledge among NICU nurses, and most of them are actively engaged in practice. There is an urgent need to address the reported barriers through the implementation of clear practice guidelines, provision of suitable educational programs, optimization of staff numbers, and financial support for the development of areas conducive to KMC.

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The Influence of Neonatal Nursery Design on Mothers' Interactions in the Nursery

Abstract: Mothers and nurses perceived that the SFR nursery enhanced privacy and maternal closeness for mothers compared to the OB nursery. However, the SFR nursery design presented challenges to some interactions of value to nurses and mothers.

Cited by 22 publications

References 36 publications

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

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

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

Kangaroo mother care practice, knowledge, and perception among NICU nurses in Riyadh, Saudi Arabia

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