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Practice recommendations regarding parental presence in NICUs during pandemics caused by respiratory pathogens like COVID-19.
- Source :
-
Frontiers in pediatrics [Front Pediatr] 2024 Jun 13; Vol. 12, pp. 1390209. Date of Electronic Publication: 2024 Jun 13 (Print Publication: 2024). - Publication Year :
- 2024
-
Abstract
- Aim: To co-create parental presence practice recommendations across Canadian NICUs during pandemics caused by respiratory pathogens such as COVID-19.<br />Methods: Recommendations were developed through evidence, context, Delphi and Values and Preferences methods. For Delphi 1 and 2, participants rated 50 items and 20 items respectively on a scale from 1 (very low importance) to 5 (very high). To determine consensus, evidence and context of benefits and harms were presented and discussed within the Values and Preference framework for the top-ranked items. An agreement of 80% or more was deemed consensus.<br />Results: After two Delphi rounds ( n = 59 participants), 13 recommendations with the highest rated importance were identified. Consensus recommendations included 6 strong recommendations (parents as essential caregivers, providing skin-to-skin contact, direct or mothers' own expressed milk feeding, attending medical rounds, mental health and psychosocial services access, and inclusion of parent partners in pandemic response planning) and 7 conditional recommendations (providing hands-on care tasks, providing touch, two parents present at the same time, food and drink access, use of communication devices, and in-person access to medical rounds and mental health and psychosocial services).<br />Conclusion: These recommendations can guide institutions in developing strategies for parental presence during pandemics caused by respiratory pathogens like COVID-19.<br />Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.<br /> (© 2024 Campbell-Yeo, Bacchini, Alcock, Mitra, MacNeil, Mireault, Beltempo, Bishop, Campbell, Chilcott, Comeau, Dol, Grant, Gubbay, Hughes, Hundert, Inglis, Lakoff, Lalani, Luu, Morton, Narvey, O'Brien, Robeson, Science, Shah and Whitehead.)
Details
- Language :
- English
- ISSN :
- 2296-2360
- Volume :
- 12
- Database :
- MEDLINE
- Journal :
- Frontiers in pediatrics
- Publication Type :
- Academic Journal
- Accession number :
- 38983460
- Full Text :
- https://doi.org/10.3389/fped.2024.1390209