Family-Centered Care for Newborns: From Pilot Implementation to National Scale-up in India
1Department of Neonatology, ABVIMS and Dr RML Hospital, New Delhi. Correspondence to: Dr Arti Maria, Department of Neonatology, Consultant and Head, Department of Neonatology, ABVIMS and Dr RML Hospital, New Delhi. artimaria@gmail.com.
Insights
Family-centered care (FCC) enhances infant and child health by fostering partnerships between families and healthcare providers. Successful FCC implementation requires caregiver support, provider attitudinal shifts, and active parental involvement in care.
Area of Science:
- Pediatrics
- Neonatology
- Family Health
Background:
- Family-centered care (FCC) is the established standard for pediatric and newborn care.
- It emphasizes a collaborative partnership between healthcare professionals and families.
- This partnership builds trust and transparency in the care process.
Purpose of the Study:
- To identify key prerequisites for successful FCC implementation in a newborn intensive care unit.
- To explore the role of healthcare providers in empowering families for caregiving.
- To discuss the broader implications and scalability of FCC in child health.
Main Methods:
- Qualitative analysis of implementation experiences in a newborn intensive care unit.
- Identification of critical success factors for FCC integration.
- Observation of parent-provider interactions and parental skill development.
Main Results:
- Successful FCC implementation hinges on adequate caregiver infrastructure, healthcare provider attitudinal shifts, and active parental involvement.
- Healthcare providers are pivotal in enhancing parental confidence and competence for post-discharge care.
- FCC positively impacts all domains of nurturing care for infants and children.
Conclusions:
- Family-centered care is crucial for nurturing care across pediatric and newborn settings.
- Successful national scale-up requires context-specific adaptations and leveraging existing health program support.
- Expanding FCC to antenatal and postnatal periods can promote early childhood development.
Abstract:
Family-centered care (FCC) is a well-evidenced approach, recognized as the standard of care for newborns and children. This approach promotes a mutually beneficial partnership between health professionals and infant/young children's families, providing an opportunity for developing trustful relations and transparency of care. Implementation experience from our newborn intensive care unit highlighted three prerequisites for successful implementation, which include adequate infrastructure and basic amenities for the primary caregiver; attitudinal change amongst healthcare providers accepting parents/family as partners in the care of the newborn; and active involvement of primary caregivers in baby care activities alongside the nurses. Healthcare providers played a crucial role in empowering parents, improving their confidence and competence to transition into the role of primary caregivers after discharge. FCC contributes to all domains of nurturing care and has relevance in newborn care and pediatric care at all levels, with scope for being expanded to the antenatal and postnatal period to promote early childhood development. With national scale-up in progress, addressing actual or perceived barriers to implementation requires context-specific adaptation and the best use of opportunities and funding support available under the national health program.
More Related Videos
09:33Visualizing Field Data Collection Procedures of Exposure and Biomarker Assessments for the Household Air Pollution Intervention Network Trial in India
Published on: December 23, 2022
08:08Author Spotlight: Capturing Infant-Caregiver Interactions Through Synchronized Multimodal Data Collection
Published on: May 31, 2024
Related Concept Videos
01:15Nursing Implementation
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
00:55Parental Care
01:30Primary Healthcare Services
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
01:27Nursing Clinical Information System
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
01:26Methods Of Healthcare Delivery System
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
01:13Patient-centered Care