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Updated: Oct 4, 2025

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Implementation of a pilot electronic parent support tool in and after neonatal intensive care unit discharge
Joanne Lagatta1, Margaret Malnory2, Elizabeth Fischer2
1Department of Pediatrics, Medical College of Wisconsin, Milwaukee, WI, USA. jlagatta@mcw.edu.
Objective:
To describe an electronic parent support tool for the neonatal intensive care unit (NICU), and to assess whether support requests changed with staff availability.
Methods:
We implemented secure text- or email-based parent support in the NICU and in the week after discharge. Questionnaires asked whether a parent would like psychology, social work, child life, chaplain, or post-discharge nurse support. Requested referrals were placed, and customized online resources and contacts were provided. We assessed whether requests changed based on in-person resource availability.
Results:
Of 378 infants in our NICU from May to December, 202 parents agreed to participate. The proportion agreeing to participate increased over time (38-59%, p = 0.012). Post-discharge nurse requests decreased over time (90-45%, p = 0.033); other requests did not change significantly.
Conclusions:
An electronic tool increased parent support availability in the NICU and following discharge, even after staff were available at the bedside.
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