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Updated: Jun 22, 2025

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Parental impact during and after neonatal intensive care admission
Danielle Guez-Barber1, Betsy Pilon2
1Instructor, Division of Neurology, Department of Pediatrics, The Children's Hospital of Philadelphia (CHOP), Philadelphia, PA 19104, USA; University of Pennsylvania Perelman School of Medicine, Philadelphia, PA 19104, USA.
Insights
Parents are vital partners in improving infant neurodevelopmental outcomes in the neonatal intensive care unit (NICU). Integrating parents into clinical care and research leads to better outcomes for children.
Area of Science:
- Neonatal care
- Neurodevelopmental research
- Pediatric clinical practice
Background:
- Parents significantly influence neurodevelopmental outcomes for infants in the neonatal intensive care unit (NICU).
- Parental engagement in clinical care and research offers synergistic benefits, enhancing both care comprehensiveness and research robustness.
Purpose of the Study:
- To review strategies for integrating parents into neonatal intensive care unit (NICU) clinical care and research.
- To highlight the importance of effective communication and collaborative partnerships.
Main Methods:
- Review of existing literature and strategies for parental integration.
- Discussion of parental involvement in therapeutic interventions and neurodevelopmental care.
- Analysis of communication strategies for clinicians and researchers.
Main Results:
- Engaged parents contribute to more comprehensive clinical care and meaningful research.
- Successful integration of parents improves clinical and research outcomes for children.
- Challenges in neonatal trials necessitate a culture of research and strong partnerships.
Conclusions:
- Recognizing and fostering the role of parents as active teammates is crucial.
- Optimizing neurodevelopmental outcomes in the NICU and beyond requires collaborative efforts between parents, clinicians, and researchers.
- Ongoing support and partnerships with advocacy organizations are essential for sustained success.
Abstract:
Parents play a pivotal role in neurodevelopmental outcomes of their children in the neonatal intensive care unit (NICU) and beyond. Integration of parents in clinical care and research is synergistic. Engaged parents yield more comprehensive clinical care and more robust and meaningful research products. Subsequently, successful clinical and research efforts improve outcomes for children. We review strategies for parental integration into NICU clinical care and research, including parental involvement in therapeutic interventions and neurodevelopmental care, and effective communication strategies for clinicians and researchers. We discuss challenges in neonatal trials and emphasize the need for building a culture of research, collaborative partnerships with patient advocacy organizations, and ongoing support beyond the NICU. Overall, we call for recognizing and fostering the impactful role of parents as teammates with clinicians and researchers in optimizing neurodevelopmental outcomes in the NICU and beyond.
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