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Family-Centred Care Rounds in a Neonatal Intensive Care Setting: An Implementation Sciences Feasibility Study
Adrien Saugy1,2, Philippe Pythoud1,3, Gwenaelle De Clifford-Faugère1
1Institute of Higher Education and Research in Health Care, University of Lausanne, Lausanne, Switzerland.
Family-centred rounds (FCR) in neonatal intensive care units (NICU) are feasible and may reduce parental stress and enhance satisfaction. Further research is needed to assess long-term sustainability and impact.
Area of Science:
- Neonatal intensive care
- Family-centered care
- Healthcare communication
Background:
- Neonatal intensive care unit (NICU) parents experience significant stress.
- Clear communication and family involvement are crucial for parental well-being.
- Family-centered rounds (FCR) are a key component of family-centered care (FCC).
Purpose of the Study:
- To assess the feasibility of implementing FCR in a Swiss NICU.
- Evaluate acceptability, implementation, and limited efficacy of FCR.
Main Methods:
- One-group pre-post feasibility study (June-September 2022).
- Measured participation rate, duration, fidelity, parent-reported stress and satisfaction (PSS, EMPATHIC-N), and HCP-reported collaboration (AITCS-II).
Main Results:
- 37 FCRs conducted with 7 parents (24% participation).
- FCRs averaged 12m13s; parents reported reduced stress and increased satisfaction.
- Healthcare professionals noted improved care coordination.
Conclusions:
- FCR implementation in a NICU setting is feasible.
- FCR shows potential to improve parental stress, satisfaction, and interprofessional collaboration.
- Further evaluation of FCR sustainability is warranted.
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