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The Evolution of an Interdisciplinary Developmental Round in a Surgical Neonatal Intensive Care Unit
Nadine Griffiths1, Kristen James-Nunez, Kaye Spence
1Australasian NIDCAP Training Centre (Ms Griffiths, Ms James-Nunez, Ms Spence, Dr Crowle, Ms Pettigrew, Dr Loughran-Fowlds), Grace Centre for Newborn Intensive Care (Ms Spence, Dr Loughran-Fowlds, Ms Griffiths, Ms James-Nunez and Dr Crowle) and Speech Pathology Department (Ms Pettigrew), The Children's Hospital at Westmead, Sydney, New South Wales, Australia.
Developmental rounds in surgical neonatal intensive care units (sNICUs) provide crucial support. This study shows increased parental engagement and numerous recommendations, highlighting their value in improving neonatal care.
Area of Science:
- Neonatal Intensive Care
- Developmental Psychology
- Pediatric Surgery
Background:
- Developmentally supportive environments enhance outcomes for hospitalized neonates.
- Developmental rounds, a multidisciplinary strategy, offer bedside consultations and individualized recommendations.
- Their application in surgical neonatal intensive care units (sNICUs) is minimally reported.
Purpose of the Study:
- To describe the focus and work of a developmental round team and strategy within an sNICU.
Main Methods:
- A retrospective audit of developmental round key performance criteria was conducted over a four-year period (2015-2018).
Main Results:
- Over 300 developmental consults and 2000 individualized recommendations were provided annually.
- Parental presence during developmental rounds increased by 10% (from 48% to 58%) during the audit period.
Conclusions:
- Developmental rounds are an effective intervention in sNICUs, evidenced by high consultation numbers and increased parental engagement.
- Further research is needed to link developmental round interventions with long-term neonatal outcomes.
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