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Virtual family-centered rounds (FCR) in the neonatal intensive care unit (NICU) significantly boosted parent attendance. This telehealth approach also decreased emergency department revisits for NICU infants.

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Area of Science:

  • Neonatal Intensive Care Unit (NICU) care
  • Telehealth applications in pediatrics
  • Family-centered care models

Background:

  • Family-centered rounds (FCR) are crucial for involving families in neonatal care.
  • Limited family access to bedside FCR in the NICU is a significant barrier.
  • Telehealth offers a potential solution to enhance family engagement.

Purpose of the Study:

  • To evaluate the impact of offering virtual FCR in the NICU.
  • To assess effects on parental and neonatal outcomes.
  • To determine if telehealth improves family access and engagement.

Main Methods:

  • A cluster randomized controlled trial comparing virtual FCR (intervention) to usual care (control).
  • Inclusion of all eligible families with hospitalized infants during the study period.
  • Outcomes measured included FCR attendance, parent experience, and neonatal health metrics.

Main Results:

  • Virtual FCR significantly increased parent attendance rates (4.81 times higher).
  • The intervention group showed reduced odds of 30-day emergency department revisits (0.37 times).
  • No significant effects were found for other secondary outcomes.

Conclusions:

  • Offering virtual FCR enhances parent participation in neonatal care.
  • Virtual FCR is associated with a reduction in NICU infant emergency department revisits.
  • Telehealth is a viable strategy to improve family engagement in the NICU setting.