Predictors of Parental Presence in the Neonatal Intensive Care Unit

Lauren Head Zauche1, Michael S Zauche, Anne L Dunlop

  • 1Emory University School of Nursing, Atlanta, Georgia (Drs Head Zauche, Dunlop, and Mr Zauche); Augusta University School of Nursing (Dr Williams); and Emory University School of Medicine, Atlanta, Georgia (Dr Dunlop).

Insights

Parental presence in the neonatal intensive care unit (NICU) is influenced by factors like number of children at home and infant

Area of Science:

  • Neonatal care and developmental psychology.
  • Understanding parental involvement in high-risk infant care.

Background:

  • Parental presence in the neonatal intensive care unit (NICU) is crucial for preterm infants' development.
  • Limited research exists on the predictors of parental presence in the NICU setting.

Purpose of the Study:

  • To identify sociodemographic, clinical, environmental, and maternal psychological factors predicting parent presence in the NICU.
  • Investigating key determinants of parental engagement with preterm infants.

Main Methods:

  • Prospective cohort study of 66 preterm infants in two US level III NICUs.
  • Collected 48-hour parental presence data via visitation logs and medical records.
  • Utilized a general linear model to analyze predictors of parental presence.

Main Results:

  • Parental presence averaged 32.40% of visitation time.
  • Significant predictors included: number of children at home, neurological comorbidity, room type, surgical history, and perceived NICU stressfulness.
  • Room type and surgical history showed a significant interaction effect, collectively explaining 65.8% of the variance in parental presence.

Conclusions:

  • Identifying predictors of parental presence is vital for developing supportive interventions and NICU designs.
  • Understanding these factors enables healthcare providers to support at-risk infants and families, potentially improving outcomes and attachment.
Abstract

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