1. Developing family-centred care in a neonatal intensive care unit: An action research study
- Author
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Pauline Bayliss, Caryl Skene, Kate Gerrish, Siobhan Gillespie, Fiona Price, and Elizabeth Pilling
- Subjects
Adult ,Male ,Neonatal intensive care unit ,Family support ,Psychological intervention ,Participatory action research ,Qualitative property ,Critical Care Nursing ,Interviews as Topic ,03 medical and health sciences ,0302 clinical medicine ,Nursing ,Intensive Care Units, Neonatal ,Patient-Centered Care ,Surveys and Questionnaires ,Humans ,Medicine ,Program Development ,Action research ,Competence (human resources) ,Qualitative Research ,030504 nursing ,business.industry ,Infant, Newborn ,030208 emergency & critical care medicine ,Focus Groups ,Focus group ,England ,Female ,Health Services Research ,sense organs ,0305 other medical science ,business - Abstract
Aim To develop, implement and evaluate family-centred interventions to promote parental involvement in caregiving in a Neonatal Intensive Care Unit. Methodology A participatory action research approach was used to implement two changes in practice a) improved skin-to-skin contact b) unlimited parental presence at the cot-side. The changes were underpinned by a family-centred philosophy of care and education. Data were collected from staff using a questionnaire, focus groups and interviews, and from parents using focus groups and interviews. Qualitative data were analysed using Framework and quantitative data analysed using descriptive and t-test statistics. Setting A Neonatal Intensive Care Unit in England. Findings Changes in practice were successfully implemented. Nurses reported positively on improvements in Family Centred Care; most notably information-sharing with parents, providing family support, enabling parental participation in care and improved competence supporting parents in care-giving. These changes were reflected in parental feedback. Conclusion Understanding the context of the neonatal unit can support cultural change when change is actively facilitated and owned by the staff concerned. Acknowledging parents as the main caregiver can be challenging for nurses and they require support and education to enable them to manage the changes necessary to provide Family-Centred Care.
- Published
- 2019
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