Neonatal Nurses' Report of Family-Centered Care Resources and Practices.
Journal
Advances in neonatal care : official journal of the National Association of Neonatal Nurses
ISSN: 1536-0911
Titre abrégé: Adv Neonatal Care
Pays: United States
ID NLM: 101125644
Informations de publication
Date de publication:
01 Oct 2022
01 Oct 2022
Historique:
pubmed:
8
11
2021
medline:
8
9
2022
entrez:
7
11
2021
Statut:
ppublish
Résumé
A paucity of studies describes the prevalence of family-centered care (FCC) practices and resources in US neonatal units. To identify US prevalence of FCC practices and resources and to identify the largest gaps in resource provision. Neonatal nurses completed an online survey through national conferences (eg, NANN educational conference), neonatal organization Web sites (eg, NANN research survey), and social media (eg, NANN and NPA Facebook). Nurses provided demographics and the National Perinatal Association Self-Assessment on Comprehensive Family Support, a 61-item checklist of FCC practices and resources from 6 categories: family-centered developmental care, staff education/support, peer support, palliative care, discharge education, and mental health support. Nurses (n = 103) reported lowest resources for Peer Support and Mental Health Support. About a third had a neonatal intensive care unit parent advisory committee (n = 39; 37.9%). Only 43.7% (n = 45) had necessary amenities for families to stay with their infants. Less than a third felt that mental health professionals were adequately staffed to provide counseling to parents (n = 28; 27.5%). Very few nurses had adequate training on providing parents psychological support (n = 16; 15.8%). More than half (n = 58; 56.3%) stated that all staff receive training in family-centered developmental care. Finally, less than half (n = 42; 40.8%) stated that staff see parents as equal members of the care team. We demonstrate a consistent and widespread lack of training provided to neonatal staff in nearly every aspect of comprehensive FCC support. Researchers need to identify unit/organizational interventions that increase adoption and implementation of FCC practices and resources.
Sections du résumé
BACKGROUND
BACKGROUND
A paucity of studies describes the prevalence of family-centered care (FCC) practices and resources in US neonatal units.
PURPOSE
OBJECTIVE
To identify US prevalence of FCC practices and resources and to identify the largest gaps in resource provision.
METHODS
METHODS
Neonatal nurses completed an online survey through national conferences (eg, NANN educational conference), neonatal organization Web sites (eg, NANN research survey), and social media (eg, NANN and NPA Facebook). Nurses provided demographics and the National Perinatal Association Self-Assessment on Comprehensive Family Support, a 61-item checklist of FCC practices and resources from 6 categories: family-centered developmental care, staff education/support, peer support, palliative care, discharge education, and mental health support.
RESULTS
RESULTS
Nurses (n = 103) reported lowest resources for Peer Support and Mental Health Support. About a third had a neonatal intensive care unit parent advisory committee (n = 39; 37.9%). Only 43.7% (n = 45) had necessary amenities for families to stay with their infants. Less than a third felt that mental health professionals were adequately staffed to provide counseling to parents (n = 28; 27.5%). Very few nurses had adequate training on providing parents psychological support (n = 16; 15.8%). More than half (n = 58; 56.3%) stated that all staff receive training in family-centered developmental care. Finally, less than half (n = 42; 40.8%) stated that staff see parents as equal members of the care team.
IMPLICATIONS FOR PRACTICE
CONCLUSIONS
We demonstrate a consistent and widespread lack of training provided to neonatal staff in nearly every aspect of comprehensive FCC support.
IMPLICATIONS FOR RESEARCH
CONCLUSIONS
Researchers need to identify unit/organizational interventions that increase adoption and implementation of FCC practices and resources.
Identifiants
pubmed: 34743109
doi: 10.1097/ANC.0000000000000964
pii: 00149525-202210000-00013
pmc: PMC9061894
mid: NIHMS1738942
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
473-483Subventions
Organisme : NINR NIH HHS
ID : K23 NR019081
Pays : United States
Organisme : NINR NIH HHS
ID : T32 NR015433
Pays : United States
Informations de copyright
Copyright © 2021 by The National Association of Neonatal Nurses.
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