Related Experiment Video
Updated: Sep 3, 2025

'Boden Food Plate': Novel Interactive Web-based Method for the Assessment of Dietary Intake
Published on: September 18, 2018
Usefulness of the Parental Electronic Diary During Medical Rounds in a NICU
Leena Taittonen1, Malin Pärus, Maija Lahtinen
1Department of Paediatrics, Tampere University Hospital, Tampere, Finland (Dr Taittonen); Turku University Hospital, Turku, Finland (Dr Pärus); Department of Paediatrics, Vaasa Central Hospital, Vaasa, Finland (Mss Lahtinen and Ahola); and Neonatal Unit, Karolinska Hospital, Stockholm, Sweden (Drs Taittonen and Bartocci).
Insights
Parents using electronic diaries in neonatal intensive care units (NICUs) reported positive experiences and improved recognition of infant cues. Nurses found the diaries useful for decision-making, though doctors
Area of Science:
- Neonatal Intensive Care Unit (NIC.C.) Care
- Parental Engagement
- Digital Health
Background:
- Parental involvement in Neonatal Intensive Care Units (NICU) is crucial for infant well-being.
- Current methods for capturing parental experiences in the NICU are limited.
- Integrating parental perspectives can enhance family-centered care models.
Purpose of the Study:
- To evaluate the feasibility and utility of an electronic diary for parents in the NICU.
- To assess the impact of the electronic diary on parental perception of infant care.
- To gather feedback from parents and healthcare staff on the diary's usefulness.
Main Methods:
- Parents in the NICU completed an electronic diary during their stay.
- Healthcare staff (nurses and doctors) completed questionnaires on the diary's utility.
- Key variables included length of stay, Kangaroo care duration, breastfeeding frequency, and parental recognition of infant cues.
Main Results:
- Parents reported positive experiences and felt capable of recognizing their infant's signals.
- The electronic diary provided valuable insights into parental perceptions within the NICU environment.
- Nurses reported positive utility of the diary for decision-making, while doctors' opinions were mixed.
Conclusions:
- Electronic diaries offer a novel method for gathering parental insights in the NICU.
- The study highlights the potential of digital tools to improve parental involvement and care.
- Further research is needed to explore the broader impact on clinical practice and patient outcomes.
Abstract:
Parental involvement in the care of their baby in family rooms in neonatal intensive care units (NICUs) can be improved. This could be done with an electronic medical report completed by the parents, which is then linked to the patient record system. The parents selected for this study completed an electronic diary during their stay in the NICU, while the staff answered a questionnaire about their opinion on the usefulness of the parents' diary. The length of stay, length of time the baby spent in Kangaroo care, breastfeeding, time given to breastfeeding, feeling of tiredness, the capability of identifying the newborn's signals, and parents' opinion on the diary were variables in the study. The NICU staff's opinion about the usefulness of the diary in decision-making was sought using a questionnaire. Eleven mothers and three fathers completed the diary. The median time for staying in the ward was 20 hours/day. The median time in Kangaroo care was 3 hours/day. The majority of mothers were breastfeeding on average 5 times per day. The commonest length of time for breastfeeding was 1 to 2 hours/day. The parents felt somewhat tired during their stay. All parents recognized their child's signals mostly or all the time. Most parents were happy with the diary. The nursing staff's opinions on the usefulness of the diary too were uniformly positive, whereas the doctors' opinions varied from positive to critical in nature. In conclusion, the diaries provided us with new information about parents' perceptions in the NICU. The nurses found the diary useful whereas the doctors were more critical.
Related Concept Videos
Methods of Documentation VII: EMR
Guidelines for Nursing Documentation II
Timely documentation is crucial to ensure continuity of care for patients. Any delays in recording or reporting medical information can result in medical errors and even adverse patient outcomes. From medication administration to diagnostic test results, every detail must be accurately and promptly documented to provide the best possible care for patients.
Methods of Documentation III: PIE
Methods of Documentation II: POMR
Methods of Documentation IV: Focus Charting
It typically involves three columns for recording information:
Purpose of Health Records I
Here's a breakdown of how health records serve these purposes:

