Improving infant outcomes through implementation of a family integrated care bundle including a parent supporting mobile application.
Adult
Child Development
Environment
Female
Gestational Age
Health Knowledge, Attitudes, Practice
Humans
Infant, Newborn
Infant, Premature
Inservice Training
Intensive Care Units, Neonatal
/ organization & administration
Length of Stay
Male
Mobile Applications
Parents
/ education
Patient Care Bundles
/ methods
Patient Discharge
Patient Participation
Retrospective Studies
Social Support
Socioeconomic Factors
United Kingdom
health economics
health services research
information technology
multidisciplinary team-care
neonatology
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
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
172-177Informations 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.