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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Assessment of family needs in neonatal intensive care units
1Medical College of Georgia in Augusta, 30912, USA. cmundy@mcg.edu
Insights
Parents in neonatal intensive care units (NICUs) prioritize assurance needs. Support needs are higher at admission than discharge, with no significant differences between mothers and fathers.
Area of Science:
- Neonatal intensive care unit (NICU) family-centered care research.
- Pediatric nursing and family support studies.
Background:
- Limited research exists on family needs within neonatal intensive care units (NICUs).
- Healthcare providers' assumptions about family needs can lead to inaccurate care plans.
- Assessing family needs is crucial for developing individualized, family-centered care plans.
Purpose of the Study:
- To identify the most and least important needs of parents in a level III NICU.
- To determine if parental needs differ between NICU admission and discharge.
- To investigate potential differences in needs between mothers and fathers.
Main Methods:
- Utilized the Neonatal Intensive Care Unit Family Needs Inventory for parent interviews.
- Parents rated the importance of various needs on a scale from 1 (not important) to 5 (not applicable).
Main Results:
- Over 93% of assessed items were rated as important or very important by parents.
- Assurance-type needs were ranked highest in importance by parents.
- Parents reported higher support needs at admission compared to discharge; no significant gender differences were found.
Conclusions:
- Identifying parental needs in the NICU enhances nursing communication and care planning.
- The Family Needs Inventory facilitates the integration of individualized nursing care.
- Addressing identified needs promotes a positive, family-centered experience for patients and families in the NICU.
Background:
Limited research has been conducted to assess family needs in neonatal intensive care units. Health care providers often make assumptions about what families need, but these assumptions are unfounded and can lead to inappropriate conclusions. When assessed appropriately, family needs can be incorporated into individualized plans of care, enhancing family-centered care.
Objective:
To assess the needs of parents in neonatal intensive care units, we asked the following 3 questions: What are the most and least important needs of families in a level III neonatal intensive care unit? Do parents' needs differ at admission and discharge? Do the needs of mothers and fathers differ?
Methods:
Parents were interviewed by using the Neonatal Intensive Care Unit Family Needs Inventory. Participants rated statements as not important (1), slightly important (2), important (3), very important (4), or not applicable (5).
Results:
Fifty-two (93%) of the 56 items were rated as important or very important, and parents rated assurance-type needs highest. Parents at admission rated support needs higher than parents at discharge rated those needs. Needs of mothers and fathers did not differ significantly.
Conclusions:
Identifying the needs of parents in neonatal intensive care units can enhance nursing communication and allow nurses to incorporate parents' needs into families' plans of care. The family needs inventory can help identify those needs and allows the integration of individualized nursing care to fulfill those needs, providing a positive family-centered experience in the unit for patients and their families.
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