Virtual Visitation in a Neonatal Intensive Care Unit: Insights From 5 Years Using a PDSA Model to Improve...

Area of Science:

• Healthcare Management
• Neonatal Care
• Technology Implementation

Background:

• Neonatal intensive care units (NICUs) present unique challenges for family-centered care.
• Maintaining family connection is crucial for infant well-being and parental support.
• The COVID-19 pandemic necessitated innovative solutions for family engagement in NICUs.

Purpose of the Study:

• To implement a virtual visitation program in a NICU using the Plan-Do-Study-Act (PDSA) framework.
• To assess the safety, workflow impact, and parent satisfaction of virtual visitation.
• To establish a participatory decision-making structure for program implementation.

Main Methods:

• A 5-year study employing the Plan-Do-Study-Act (PDSA) methodology for iterative implementation.
• Qualitative and quantitative data collection on program cycles and outcomes.
• Routine outcome data monitoring for rapid problem identification and resolution.

Main Results:

• Successful implementation of virtual visitation in the NICU setting.
• Virtual visitation was associated with no patient harm and minimal workflow disruption.
• Increased utilization by parents and extended families, indicating program acceptance and value.
• Enhanced family connection and trust, particularly vital during the COVID-19 pandemic.

Conclusions:

• The PDSA framework effectively supported the implementation of virtual visitation in NICUs.
• Virtual visitation is a safe and beneficial tool for maintaining family-neonate bonds.
• The program fostered a supportive environment and improved parent satisfaction, demonstrating its value in modern neonatal care.