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Published on: May 31, 2024
Orchestrating Human Connection in Digital NICUs: Leadership Strategies for Technology-Enhanced Family-Centred Care
Osama Mohamed Elsayed Ramadan1, Elham Aldousari2, Nadia Bassuoni Elsharkawy3
1Department of Pediatric Nursing, Faculty of Nursing, Cairo University, Cairo, Egypt.
Neonatal nurse leaders can sustain human-centred care during digital technology implementation by strategically integrating tools to enhance, not replace, nurse-family connections. This ensures ethical, family-centred practice in digital neonatal intensive care units (NICUs).
Area of Science:
- Neonatal Nursing
- Digital Health Implementation
- Human-Centred Care
Background:
- Implementing digital technologies in neonatal intensive care units (NICUs) presents challenges to maintaining human-centred care.
- Nurse leaders play a critical role in navigating this transition.
Purpose of the Study:
- To explore strategies employed by neonatal nurse leaders to sustain human-centred care amidst digital technology integration in NICUs.
- To identify best practices for preserving the nurse-family connection in technologically advanced neonatal environments.
Main Methods:
- A qualitative, multi-site descriptive study was conducted in four NICUs in Saudi Arabia.
- Purposive maximum-variation sampling recruited 24 neonatal nurse leaders.
- Semi-structured interviews and document analysis were used, with thematic analysis performed using NVivo 14.
Main Results:
- Four key strategies emerged: embedding a human-centred vision, selecting digital tools to strengthen nurse-family bonds, redesigning workflows to preserve presence, and fostering team capability for digital-human integration.
- Specific workflow redesigns included device-free openings and family-inclusive portals.
Conclusions:
- Sustaining human-centred care in digital NICUs requires intentional leadership and structural engineering.
- A practice-ready framework is proposed to align digital transformation with family-centred care, enhancing safety and partnership for neonates.
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