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Collaborating to Improve Neonatal Care: ParentAl Participation on the NEonatal Ward-Study Protocol of the neoPARTNER
Hannah Hoeben1,2, Milène T Alferink1,2, Anne A M W van Kempen1
1Department of Paediatrics/Neonatology, OLVG, 1091 AC Amsterdam, The Netherlands.
Insights
Family-integrated care (FICare) enhances parental involvement in neonatal units through family-centered rounds (FCR). This study investigates FCR
Area of Science:
- Neonatal care
- Pediatric psychology
- Healthcare management
Background:
- Traditional neonatal care often marginalizes parents, limiting their role in infant care.
- The family-integrated care (FICare) model promotes active parental participation, with family-centered rounds (FCR) as a key component.
- Evidence on FCR's impact on families, neonates, and healthcare organizations, including biological stress mechanisms, is limited.
Purpose of the Study:
- To assess the effects of family-centered rounds (FCR) within the FICare model on parental stress, neonatal outcomes, and organizational factors.
- To explore potential biological stress mechanisms influenced by FCR in parent-infant dyads.
- To provide practical FICare implementation materials for Dutch neonatal settings.
Main Methods:
- A stepped-wedge cluster-randomized trial involving ten Dutch neonatal wards.
- Inclusion of parents with infants hospitalized for at least seven days.
- Primary outcome: parental stress (PSS:NICU) at discharge; secondary outcomes: parental, neonatal, healthcare professional, and organizational outcomes; analysis of stress biomarkers.
Main Results:
- (Study ongoing, results pending)
Conclusions:
- (Study ongoing, conclusions pending)
Abstract:
Parents are often appointed a passive role in the care for their hospitalised child. In the family-integrated care (FICare) model, parental involvement in neonatal care is emulated. Parental participation in medical rounds, or family-centred rounds (FCR), forms a key element. A paucity remains of randomised trials assessing the outcomes of FCR (embedded in FICare) in families and neonates, and outcomes on an organisational level are relatively unexplored. Likewise, biological mechanisms through which a potential effect may be exerted are lacking robust evidence. Ten level two Dutch neonatal wards are involved in this stepped-wedge cluster-randomised trial FCR (embedded in FICare) by one common implementation strategy. Parents of infants hospitalised for at least 7 days are eligible for inclusion. The primary outcome is parental stress (PSS:NICU) at discharge. Secondary outcomes include parental, neonatal, healthcare professional and organisational outcomes. Biomarkers of stress will be analysed in parent-infant dyads. With a practical approach and broad outcome set, this study aims to obtain evidence on the possible (mechanistic) effect of FCR (as part of FICare) on parents, infants, healthcare professionals and organisations. The practical approach provides (experiences of) FICare material adjusted to the Dutch setting, available for other hospitals after the study.
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