Improving infant outcomes through implementation of a family integrated care bundle including a parent supporting mobile application.


Journal

Archives of disease in childhood. Fetal and neonatal edition
ISSN: 1468-2052
Titre abrégé: Arch Dis Child Fetal Neonatal Ed
Pays: England
ID NLM: 9501297

Informations de publication

Date de publication:
Mar 2020
Historique:
received: 23 10 2018
revised: 21 05 2019
accepted: 24 05 2019
pubmed: 23 6 2019
medline: 10 3 2020
entrez: 23 6 2019
Statut: ppublish

Résumé

The aim of the Integrated Family Delivered Care (IFDC) programme was to improve infant health outcomes and parent experience through education and competency-based training. In collaboration with veteran parents' focus groups, we created an experienced co-designed care bundle including IFDC mobile application, which together with staff training programme comprised the IFDC programme. Infant outcomes were compared with retrospective controls in a prepost intervention analysis. The primary outcome measure was the length of stay (LOS). Between April 2017 and May 2018, 89 families were recruited; 37 infants completed their entire care episode in our units with a minimum LOS >14 days. From a gestational age (GA) and birth weight-matched retrospective cohort, 57 control infants were selected. Data were also analysed for subgroup under 30 weeks GA (n=20).Infants in the IFDC group were discharged earlier: median corrected GA (36 This is the first reported study from a UK tertiary neonatal unit demonstrating significant benefits of family integrated care programme. The IFDC programme has significantly reduced LOS, resulted in the earlier achievement of full enteral and suck feeds.

Identifiants

pubmed: 31227521
pii: archdischild-2018-316435
doi: 10.1136/archdischild-2018-316435
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

172-177

Informations de copyright

© Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

Auteurs

Jayanta Banerjee (J)

Department of Neonatology, Imperial College Healthcare NHS Trust, London, UK.
Department of Paediatrics, Imperial College London Institute of Clinical Sciences, London, UK.

Annie Aloysius (A)

Department of Neonatology, Imperial College Healthcare NHS Trust, London, UK.

Karen Mitchell (K)

Department of Neonatology, Imperial College Healthcare NHS Trust, London, UK.

Ines Silva (I)

Department of Neonatology, Imperial College Healthcare NHS Trust, London, UK.

Dimitrios Rallis (D)

Department of Neonatology, Imperial College Healthcare NHS Trust, London, UK.
2nd Neonatal Unit, Aristotle University of Thessaloniki School of Medicine, Thessaloniki, Greece.

Sunit V Godambe (SV)

Department of Neonatology, Imperial College Healthcare NHS Trust, London, UK.

Aniko Deierl (A)

Department of Neonatology, Imperial College Healthcare NHS Trust, London, UK.

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