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'Baby Liberation' - Developing and implementing an individualised, developmentally-supportive care bundle to

Bronagh McAlinden1, Natasha Pool2, Jane Harnischfeger2

  • 1Physiotherapy Department, Queensland Children's Hospital, Children's Health Queensland Hospital and Health Service, Brisbane, Australia; Paediatric Intensive Care Unit, Queensland Children's Hospital, Children's Health Queensland Hospital and Health Service, Brisbane, Australia.

Early Human Development
|January 30, 2024
PubMed

Insights

The Baby Liberation program was successfully implemented in a Paediatric Intensive Care Unit, providing individualized developmental care plans to over half of eligible infants. This neuroprotective strategy improved pain management and staff support, showing feasibility for wider adoption.

Area of Science:

  • Neonatal neurology
  • Developmental pediatrics
  • Healthcare quality improvement

Background:

  • Infants in pediatric intensive care units face risks of neurological injury and long-term developmental issues.
  • An individualized, family-centered developmental care program, 'Baby Liberation,' was introduced to mitigate these risks.
  • The program aimed to optimize neuroprotection and minimize adverse developmental outcomes for critically ill infants.

Purpose of the Study:

  • To implement the 'Baby Liberation' program in a quaternary pediatric intensive care unit.
  • To assess the feasibility of the program's implementation.
  • To document environmental changes, enablers, and limitations during implementation.

Main Methods:

  • A single-center, prospective pilot study was conducted.
  • Infants under six months admitted to the Queensland Children's Hospital Pediatric Intensive Care Unit were included.
  • Data on eligible patients, care plans, and pre/post environmental audits were collected.

Main Results:

  • The 'Baby Liberation' program was feasibly implemented, with 57.8% of eligible infants receiving individualized care plans.
  • Environmental audits revealed significant improvements in developmental care areas.
  • Greatest improvements were observed in pain and stress management (+95%) and staff support and development (+83.3%).

Conclusions:

  • The 'Baby Liberation' program is feasible for implementation in a large quaternary pediatric intensive care unit.
  • The program demonstrates potential for expansion to other pediatric acute care settings.
  • Successful implementation can enhance neuroprotective strategies and developmental outcomes for critically ill infants.
Abstract

Keywords:
Developmental careInfantMultidisciplinaryPaediatric Intensive Care Unit

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