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1. Staff Perceptions of Family-Centered Care in Italian Neonatal Intensive Care Units: A Multicenter Cross-Sectional Study

Author

Immacolata Dall’Oglio, Rachele Mascolo, Anna Portanova, Angela Ragni, Patrizia Amadio, Martina Fiori, Marco Tofani, Orsola Gawronski, Simone Piga, Gennaro Rocco, Emanuela Tiozzo, Jos M. Latour, and on behalf of the FCC Italian NICUs Study Group

Subjects
family centered care, neonatal, intensive care unit, nursing, healthcare professionals, quality of care, Pediatrics, RJ1-570
Abstract

Family Centered Care (FCC) in Neonatal Intensive Care Units (NICUs) included family involvement in the care process of newborns and infants. Staff perceptions of FCC may influence clinical practice and management strategies in NICUs, with an impact on quality and humanization of the care. The Family-Centred Care Questionnaire-Revised (FCCQ-R) was adapted for the NICU setting, therefore the FCCQ-R@it-NICU was developed and used for the present study in 32 Italian NICUs. We calculated internal consistency using Cronbach’s alpha correlation between Current and Necessary dimensions of the scale using the Pearson correlation coefficient. Furthermore, we investigated which characteristics could influence staff perceptions of FCC in NICUs. 921 NICU professionals participated in the study. The FCCQ-R@it-NICU revealed good internal consistency (0.96) and good correlation between dimensions (p < 0.05). Statistical and significant differences in Current and Necessary dimensions were found and some demographic characteristics were found predictable on FCC practice. The FCCQ-R@it-NICU is a valid tool to investigate staff perceptions about FCC in NICU settings. Profession, education level and work experience seem to positively influence the perception of what is required for FCC practice within NICUs.

Published
2022
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2. Evaluation of Mother’s Stress during Hospitalization Can Influence the Breastfeeding Rate. Experience in Intensive and Non Intensive Departments

Author

Andrea Finocchi, Guglielmo Salvatori, G. Brindisi, Immacolata Dall'Oglio, Andrea Dotta, Silvia Foligno, Anna Portanova, A. Pace, Patrizia Amadio, and Paolo Rossi

Subjects
Adult, medicine.medical_specialty, breastfeeding, hospitalization, stress, Health, Toxicology and Mutagenesis, Breastfeeding, Mothers, lcsh:Medicine, Article, law.invention, Young Adult, 03 medical and health sciences, Maternal stress, 0302 clinical medicine, Pregnancy, law, Intensive Care Units, Neonatal, Lactation, Stress (linguistics), medicine, Humans, 030212 general & internal medicine, Child, 030219 obstetrics & reproductive medicine, Milk, Human, Cesarean Section, business.industry, lcsh:R, Stressor, Infant, Newborn, Public Health, Environmental and Occupational Health, Settore MED/38, Intensive care unit, High stress, Breast Feeding, medicine.anatomical_structure, Emergency medicine, Female, Observational study, business, Stress, Psychological
Abstract

A mother&rsquo, s milk offers several benefits to infant&rsquo, s health, but, some factors may lead to a reduction in the duration of breastfeeding, such as maternal stress. The objective of our study is to determine if the rate of breastfeeding can be influenced by stress induced by infants&rsquo, hospitalization. A preliminary observational non-randomized study was carried out in Bambino Ges&ugrave, Children&rsquo, s Hospital between October 2016 and January 2017, in order to elucidate a possible relationship between breastfeeding and maternal stress, linked to hospitalization. We modeled the modified version of the PSS NICU (Parental Stressor Scale&mdash, neonatal intensive care unit) questionnaire, which investigated parental stress during hospitalization. This included 33 items with a score from 0 to 5. The overall score, high stress, was established at 85 points or higher. The principal statistically significant correlation was between &lsquo, high PSS score&rsquo, and reduced breastfeeding during hospitalization (p-value: 0.048, OR: 2.865, 95%, CI: 1.008&ndash, 8.146). This relation was not influenced by other descriptive characteristics of the mother. The PSS questionnaire can be an instrument to evaluate the influence of stress in breastfeeding and to monitor the rate and success of lactation. Our study highlights that the stress from hospitalization could influence the success of breastfeeding, mostly in intensive settings and during long hospitalizations.

Published
2020
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