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Published on: January 7, 2020
Implementing modified family integrated care in a U.S. neonatal intensive care unit: nursing perspectives and effects
Zuzanna Kubicka1,2,3, John Fiascone4,5, David Williams6,7
1Department of Pediatrics, South Shore Hospital, Weymouth, MA, USA. zkubicka5@gmail.com.
Objectives:
(1) Assess effects of a modified Family Integrated Care (FICare) model on U.S. Neonatal Intensive Care Unit (NICU) parents; (2) Evaluate NICU nurses' perspectives.
Design:
Case -control design with parental stress assessed before and after NICU-wide FICare implementation using Parent Stressor Scale: NICU (PSS:NICU) questionnaire. In addition, stratification by degree of participation evaluated associations with parental stress, parental-staff communication and discharge readiness. Questionnaires captured nursing perspectives on FICare.
Results:
79 parents (88%) participated prior to FICare; 90 (90%) after. Parent stress was lower (p < 0.001) with FICare. Parents learning 5-15 infant-care skills had lower stress compared to those learning <5 (p = 0.008). Parent utilization of an educational app was associated with improved communication frequency (p = 0.007) and quality (p = 0.012). Bedside NICU nurses reported multiple positive associations of FICare for parents and staff.
Conclusions:
Any degree of FICare participation decreases parental stress; increased participation has multiple positive associations.
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