Trends in Family-Centered Care in Neonatal Intensive Care

Maree, Carin; Downes, Fiona

doi:10.1097/jpn.0000000000000202

Cited by 25 publications

(17 citation statements)

References 31 publications

(37 reference statements)

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“…Models of care which explicitly incorporate parents in the care of their infant in the NICU are now well supported in the literature [16]. Progression and integration of FCC and KMC has been slow, however; both need appropriate facilities and resources, policies, education for parents and HCPs, and shifts in beliefs and attitudes [17].…”

Section: Introductionmentioning

confidence: 99%

What is stopping us? An implementation science study of kangaroo care in British Columbia’s neonatal intensive care units

Coutts¹,

Woldring²,

Pederson

et al. 2021

BMC Pregnancy Childbirth

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Background The goal of the Neonatal Intensive Care Unit (NICU) is to provide optimal care for preterm and sick infants while supporting their growth and development. The NICU environment can be stressful for preterm infants and often cannot adequately support their neurodevelopmental needs. Kangaroo Care (KC) is an evidence-based developmental care strategy that has been shown to be associated with improved short and long term neurodevelopmental outcomes for preterm infants. Despite evidence for best practice, uptake of the practice of KC in resource supported settings remains low. The aim of this study was to identify and describe healthcare providers’ perspectives on the barriers and enablers of implementing KC. Methods This qualitative study was set in 11 NICUs in British Columbia, Canada, ranging in size from 6 to 70 beds, with mixed levels of care from the less acute up to the most complex acute neonatal care. A total of 35 semi-structured healthcare provider interviews were conducted to understand their experiences providing KC in the NICU. Data were coded and emerging themes were identified. The Consolidated Framework for Implementation Research (CFIR) guided our research methods. Results Four overarching themes were identified as barriers and enablers to KC by healthcare providers in their particular setting: 1) the NICU physical environment; 2) healthcare provider beliefs about KC; 3) clinical practice variation; and 4) parent presence. Depending on the specific features of a given site these factors functioned as an enabler or barrier to practicing KC. Conclusions A ‘one size fits all’ approach cannot be identified to guide Kangaroo Care implementation as it is a complex intervention and each NICU presents unique barriers and enablers to its uptake. Support for improving parental presence, shifting healthcare provider beliefs, identifying creative solutions to NICU design and space constraints, and the development of a provincial guideline for KC in NICUs may together provide the impetus to change practice and reduce barriers to KC for healthcare providers, families, and administrators at local and system levels.

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Section: Introductionmentioning

confidence: 99%

What is stopping us? An implementation science study of kangaroo care in British Columbia’s neonatal intensive care units

Coutts¹,

Woldring²,

Pederson

et al. 2021

BMC Pregnancy Childbirth

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“…They are unfamiliar with the potentially complex problems; moreover, they do not even get time to prepare for this unexpected event. 1 The sudden and unexpected admission of baby to a neonatal unit is a time of great stress and uncertainty. Not only the mother but also the father and whole family are affected by stress.…”

Section: Introductionmentioning

confidence: 99%

Stress Level of Parents of Hospitalized Preterm Neonates

Kaur,

Kumar

et al. 2022

Nursing & Midwifery Research Journal

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Background: Preterm birth is an unexpected event, which is very stressful for the parents and family members as they are never prepared for this situation. The major stressors of parental stress such as the appearance of the neonate, neonatal intensive care unit (NICU) environment, condition of the neonate, behaviour of care professionals and financial implications are well documented. Objective: To assess the level of stress among the parents of preterm hospitalized neonates admitted in the NICU, Nehru Hospital, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh. Methods: Data were collected by interviewing 17 parents on the fifth day of admission to the NICU, PGIMER, Chandigarh, after taking informed written consent from them. The Parental Stress Scale–NICU (PSS-NICU) and the fathers stress scale were used to assess the stress level of parents of hospitalized preterm neonates. Data were analysed by using SPSS (version 20). Results: The mean age of mothers was 28.24 ± 4.96 and that of the fathers was 30.29 ± 4.25. The total mean mothers’ stress score was 171.76 ± 33.44, and the total mean fathers’ stress score was 125.02 ± 36.16. Conclusion: The study showed that mothers and fathers were very stressful during the period of hospitalization of their preterm neonates.

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“…Review of the history of FCC indicates that it has become a central part of neonatal intensive care since 2010 despite variations in implementation (Maree & Downes, 2016). Nurses are well positioned to serve as champions for patient- and family-centered care (FCC) within the hospital (Abraham & Moretz, 2012).…”

Section: Introductionmentioning

confidence: 99%

Dark and Bright—Two Sides of Family-Centered Care in the NICU: A Qualitative Study

et al. 2018

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Nurses in the Neonatal Intensive Care Unit (NICU) have an important role in implementing family-centered care (FCC). The aim of the study was to explore the lived experiences of NICU nurses on implementing FCC. An interpretative phenomenological study was conducted and 11 employed nurses were interviewed from April 2015 to February 2016. The data were analyzed through the Diekelmann, Allen, and Tanner approach. Four main themes of "strain to achieve stability," "bewildered by taking multiple roles," "accepting the family," and "reaching bright horizon" were extracted. This study provided deeper understanding about nurses' perceptions of FCC implementation. In Muslim developing countries, FCC implementation is challenging and nurses are under extra pressure because of a shortage in nursing workforce; however, having positive experiences with family participation and valuing theism beliefs allowed them to support family involvement. Support of nurses to take FCC strategies in the NICU is needed by officials overseeing the health care system.

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Trends in Family-Centered Care in Neonatal Intensive Care

Abstract: Family

Cited by 25 publications

References 31 publications

What is stopping us? An implementation science study of kangaroo care in British Columbia’s neonatal intensive care units

What is stopping us? An implementation science study of kangaroo care in British Columbia’s neonatal intensive care units

Stress Level of Parents of Hospitalized Preterm Neonates

Dark and Bright—Two Sides of Family-Centered Care in the NICU: A Qualitative Study

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