Quality Improvement Initiative for Family-Centered Care in the Neonatal Intensive Care Unit of a Tertiary Hospital in South Africa

被引:6
|
作者
Maree, Carin [1 ,2 ]
Kekana, Poppy [2 ,3 ]
van der Walt, Christa [2 ,4 ]
Yazbek, Mariatha [1 ]
Leech, Ronell [1 ]
机构
[1] Univ Pretoria, Dept Nursing Sci, Private Bag X323, ZA-0007 Pretoria, Gauteng, South Africa
[2] Sigma Theta Tau Africa Mother & Child Hlth Nurse, Pretoria, South Africa
[3] Steve Biko Acad Hosp, Neonatal Intens Care Unit, Pretoria, South Africa
[4] Northwest Univ, INSINQ Res Focus Area, Potchefstroom, South Africa
关键词
family-centered care; neonatal intensive care; quality improvement initiative; SECURITY; SUPPORT; INFANTS; RISK;
D O I
10.1097/JPN.0000000000000274
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
The introduction of family-centered care in the neonatal intensive care unit was identified as a high priority to facilitate bonding and attachment with potential positive outcomes for the parents and infants. The aim of the study was, therefore, to develop and implement a quality improvement initiative to foster family-centered care in a tertiary neonatal intensive care unit from birth onward. A pretest posttest intervention design was used using mixed methods over 3 phases to determine the perceived level of family-centered care according to healthcare professionals and parents using self-administered questionnaires; to develop and implement a quality improvement initiative to enhance family-centered care in a neonatal intensive care unit using a nominal group technique, followed by the quality improvement process; and to evaluate the outcomes of the initiative by repeating the self-administered questionnaires to parents and staff. Various activities were introduced as part of the initiative such as early breastfeeding, early introduction of parents to their infant, open visitation policy, and involvement in caring activities. The perceived level of care according to staff and parents increased. It is expected to enhance bonding and attachment between the infants and their parents, with consequential long-term positive outcomes.
引用
收藏
页码:274 / 280
页数:7
相关论文
共 50 条
  • [41] Quality improvement initiative approach to decrease the unindicated usage of antibiotics in a neonatal intensive care unit of a tertiary care teaching hospital in Hyderabad, India
    Konda, Kalyan Chakravarthy
    Singh, Himabindu
    Madireddy, Alimelu
    Poodari, Megha Mala Rao
    BMJ OPEN QUALITY, 2021, 10
  • [42] Family centered care and practice in the neonatal intensive care unit
    Rodrigues, Bruna Caroline
    Borotta Uema, Roberta Tognollo
    Rissi, Gabrieli Patricio
    Segantini Felipin, Larissa Carolina
    Higarashi, Ieda Harumi
    REV RENE, 2019, 20
  • [43] Family-Centered Care for LGBTQ+ Parents of Infants in the Neonatal Intensive Care Unit: An Integrative Review
    Yinger, Olivia Swedberg
    Jones, Aubrey
    Fallin-Bennett, Keisa
    Gibbs, Chelsea
    Farr, Rachel H.
    CHILDREN-BASEL, 2024, 11 (06):
  • [44] Lived Experience of Caregivers of Family-Centered Care in the Neonatal Intensive Care Unit: "Evocation of Being at Home"
    Shirazi, Zahra Hadian
    Sharif, Farkhondeh
    Rakhshan, Mahnaz
    Pishva, Narjes
    Jahanpour, Faezeh
    IRANIAN JOURNAL OF PEDIATRICS, 2016, 26 (05)
  • [45] Equity, inclusion and cultural humility: contemporizing the neonatal intensive care unit family-centered care model
    Lechner, Beatrice E.
    Kukora, Stephanie K.
    Hawes, Katheleen
    JOURNAL OF PERINATOLOGY, 2024, 44 (05) : 760 - 766
  • [46] Equity, inclusion and cultural humility: contemporizing the neonatal intensive care unit family-centered care model
    Beatrice E. Lechner
    Stephanie K. Kukora
    Katheleen Hawes
    Journal of Perinatology, 2024, 44 : 760 - 766
  • [47] Virtual family-centered hospital rounds in the neonatal intensive care unit: protocol for a cluster randomized controlled trial
    Rosenthal, Jennifer L.
    Tancredi, Daniel J.
    Marcin, James P.
    Ketchersid, Audriana
    Horath, Elva T.
    Zerda, Erika N.
    Bushong, Trevor R.
    Merriott, Daniel S.
    Romano, Patrick S.
    Young, Heather M.
    Hoffman, Kristin R.
    TRIALS, 2023, 24 (01)
  • [48] Virtual family-centered hospital rounds in the neonatal intensive care unit: protocol for a cluster randomized controlled trial
    Jennifer L. Rosenthal
    Daniel J. Tancredi
    James P. Marcin
    Audriana Ketchersid
    Elva T. Horath
    Erika N. Zerda
    Trevor R. Bushong
    Daniel S. Merriott
    Patrick S. Romano
    Heather M. Young
    Kristin R. Hoffman
    Trials, 24
  • [49] Effects of implementing family-centered rounds (FCRs) in a neonatal intensive care unit (NICU)
    Voos, Kristin C.
    Ross, Gail
    Ward, Mary J.
    Yohay, Anne-Lise
    Osorio, Snezana Nena
    Perlman, Jeffrey M.
    JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE, 2011, 24 (11): : 1403 - 1406
  • [50] A Family-Centered "Visitation" Policy in the Neonatal Intensive Care Unit That Welcomes Parents As Partners
    Griffin, Terry
    JOURNAL OF PERINATAL & NEONATAL NURSING, 2013, 27 (02) : 160 - 165