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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.
Background:
Parental presence in the neonatal intensive care unit (NICU) may affect preterm infants' developmental outcomes. However, few studies have described predictors of parental presence in the NICU.
Purpose:
To identify sociodemographic, clinical, environmental, and maternal psychological factors that predict parent presence in the NICU.
Methods:
Using a prospective cohort design, 66 preterm infants between 32 and 40 weeks' corrected gestational age were recruited at 2 level III NICUs in the United States. Data for length of parental presence were collected for 48 consecutive hours from daily visitation logs and medical records. A general linear model was estimated to identify significant predictors of parental presence.
Results:
Parental presence varied considerably, with a mean percentage of visitation time of 32.40%. The number of children at home (P = .003), presence of neurological comorbidity (P < .001), room type (P < .001), surgical history (P < .001), and perceived stressfulness of the NICU (P = .03) each had large main effects on parental presence, and room type and surgical history (P = .004) had a large interaction effect on parental presence. These predictors accounted for 65.8% of the variance in parental presence.
Implications For Research:
Future research aimed at understanding predictors of parent presence is essential for developing interventions and designing NICUs that support parental presence.
Implications For Practice:
Understanding factors that contribute to parental presence may help healthcare providers identify infants at risk for low parental presence and thus be able to provide greater support to these infants and their families. As a result, this may help improve outcomes and attachment.
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