The effects of webcams on German neonatal intensive care units - study protocol of a randomised crossover trial (Neo-CamCare).
Health services research
Neonatal intensive care units
Nurses
Parents
Preterm
Psychosocial stress
Webcams
Journal
BMC health services research
ISSN: 1472-6963
Titre abrégé: BMC Health Serv Res
Pays: England
ID NLM: 101088677
Informations de publication
Date de publication:
12 May 2021
12 May 2021
Historique:
received:
25
01
2021
accepted:
14
04
2021
entrez:
13
5
2021
pubmed:
14
5
2021
medline:
15
5
2021
Statut:
epublish
Résumé
The separation of parents and their prematurely born children during care in a neonatal intensive care unit (NICU) can have far-reaching consequences for the well-being of the parents and also of the children. The aim of this study is to evaluate the use of webcams on NICUs and to conduct a systematic assessment of their possible effects on parents and clinical staff. In addition, it aims at determining the need for webcams in German NICUs and to identify possible barriers and moderators. The development and evaluation of practical guidance for the use of webcams will enable the comprehensive education of clinical staff and parents and, as a result, is intended to mitigate any potential undesirable consequences. The study will be based on a mixed methods approach including all groups concerned in the care. Qualitative data will be collected in interviews and focus groups and evaluated using content analysis. The collection of quantitative data will be based on written questionnaires and will aim to assess the status quo as regards the use of webcams on German NICUs and the effects on parents, physicians, and nursing staff. These effects will be assessed in a randomised cross-over design. Four NICUs will be involved in the study and, in total, the parents of 730 premature babies will be invited to take part in the study. The effects on the nursing staff, such as additional workload and interruptions in workflows, will be evaluated on the basis of observation data. This study will be the largest multicentre study known to us that systematically evaluates the use of webcams in neonatal intensive care units. The effects of the implementation of webcams on both parents and care providers will be considered. The results provide evidence to decide whether to promote the use of webcams on NICUs or not and what to consider when implementing them. The trial has been registered at the German Clinical Trial Register (DRKS). Number of registration: DRKS00017755 , date of registration: 25.09.2019.
Sections du résumé
BACKGROUND
BACKGROUND
The separation of parents and their prematurely born children during care in a neonatal intensive care unit (NICU) can have far-reaching consequences for the well-being of the parents and also of the children. The aim of this study is to evaluate the use of webcams on NICUs and to conduct a systematic assessment of their possible effects on parents and clinical staff. In addition, it aims at determining the need for webcams in German NICUs and to identify possible barriers and moderators. The development and evaluation of practical guidance for the use of webcams will enable the comprehensive education of clinical staff and parents and, as a result, is intended to mitigate any potential undesirable consequences.
METHODS
METHODS
The study will be based on a mixed methods approach including all groups concerned in the care. Qualitative data will be collected in interviews and focus groups and evaluated using content analysis. The collection of quantitative data will be based on written questionnaires and will aim to assess the status quo as regards the use of webcams on German NICUs and the effects on parents, physicians, and nursing staff. These effects will be assessed in a randomised cross-over design. Four NICUs will be involved in the study and, in total, the parents of 730 premature babies will be invited to take part in the study. The effects on the nursing staff, such as additional workload and interruptions in workflows, will be evaluated on the basis of observation data.
DISCUSSION
CONCLUSIONS
This study will be the largest multicentre study known to us that systematically evaluates the use of webcams in neonatal intensive care units. The effects of the implementation of webcams on both parents and care providers will be considered. The results provide evidence to decide whether to promote the use of webcams on NICUs or not and what to consider when implementing them.
TRIAL REGISTRATION
BACKGROUND
The trial has been registered at the German Clinical Trial Register (DRKS). Number of registration: DRKS00017755 , date of registration: 25.09.2019.
Identifiants
pubmed: 33980220
doi: 10.1186/s12913-021-06387-3
pii: 10.1186/s12913-021-06387-3
pmc: PMC8117291
doi:
Types de publication
Clinical Trial Protocol
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
456Subventions
Organisme : Innovationsfonds
ID : 01VSF18037
Références
Clin Med Res. 2016 Mar;14(1):1-6
pubmed: 26864509
BMC Pediatr. 2017 Jul 11;17(1):158
pubmed: 28693450
Breastfeed Med. 2018 Jan/Feb;13(1):8-17
pubmed: 29048210
J Perinatol. 2014 Jul;34(7):555-61
pubmed: 24651730
Adv Neonatal Care. 2015 Dec;15(6):440-6
pubmed: 26505333
J Educ Eval Health Prof. 2011;8:4
pubmed: 21637319
J Pediatr Nurs. 2008 Jun;23(3):e26-36
pubmed: 18492543
Am J Perinatol. 2015 Feb;30(2):131-6
pubmed: 24896140
J Adv Nurs. 2017 Oct;73(10):2441-2449
pubmed: 28329427
BMJ. 2000 Dec 2;321(7273):1400-2
pubmed: 11099288
Acta Paediatr. 2017 Nov;106(11):1787-1792
pubmed: 28779485
Perm J. 2011 Summer;15(3):32-6
pubmed: 22058667
JAMA Pediatr. 2016 Sep 1;170(9):863-70
pubmed: 27428766
J Adv Nurs. 2007 Apr;58(1):90-8
pubmed: 17394620
JAMA Pediatr. 2015 Sep;169(9):855-62
pubmed: 26214387
Matern Health Neonatol Perinatol. 2019 Apr 30;5:6
pubmed: 31061714
BMJ. 2008 Sep 29;337:a1655
pubmed: 18824488
Arch Pediatr. 2017 Sep;24(9):837-842
pubmed: 28754281
BMJ Open. 2016 Oct 8;6(10):e012676
pubmed: 27855105
Pediatr Crit Care Med. 2018 Dec;19(12):1153-1161
pubmed: 30334907
J Matern Fetal Neonatal Med. 2020 Jun;33(11):1874-1880
pubmed: 32216530
Biomed Res Int. 2017;2017:9152627
pubmed: 29159182