The purpose of this pilot study is to compare parent and infant outcomes and unit outcomes pre and post a planned unit-wide intervention aimed at increasing parent presence in the Neonatal Intensive Care Unit (NICU). The FCC intervention will consist of communicating an expectation that all NICU parents be present at minimum 4 hours/day versus the current practice of telling families to "come as much as they can" that has resulted in inconsistent parent presence.
Family centered care (FCC) is becoming the standard of care in the Neonatal Intensive Care Unit (NICU) and many benefits of FCC programs are reported in the literature. However, the integration of FCC practices remains inconsistent in NICUs and many families do not fully access available FCC supports. As a result NICU families continue to report feelings of powerlessness, stress, depression and lack of confidence in their ability to care for their infants at home. Studies of increased family presence in the NICU (8hours/day and 24/hours/day) have reported promising results for infants and families, but these studies report on programs implemented outside of the US. It is not known whether a program requiring fewer hours/day of parent presence, which may be a better fit with current US family demographics and policies, would demonstrate similar benefits. The purpose of this pilot study is to compare parent and infant outcomes and unit outcomes pre and post a planned unit-wide intervention aimed at increasing parent presence in the NICU. The FCC intervention will consist of communicating an expectation that all NICU parents be present at minimum 4 hours/day versus the current practice of telling families to "come as much as they can" that has resulted in inconsistent parent presence. Following informed consent, data will be collected on up to 45 NICU infants and families pre- and post- the intervention for a total sample of up to 90. Infant measures will include Salivary Cortisol levels, Infant weight gain, Length of Stay and Feeding route at discharge as well as rates of Family Visiting, Traditional Holding, Kangaroo Care (KC), and Breastfeeding. Parent measures will include Salivary Cortisol Levels and reported stress using the Parent Stress Scale: NICU. Unit-wide data will also be collected pre- and post- the intervention. Unit wide measures will include rates of Visitation, KC, Breastfeeding, Nosocomial Infections, IV infiltrates, Medication Errors and Incident (SERS) report rates.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
78
Communication to all NICU families that they should be in the NICU a minimum of 4 hours/day.
Neonatal Intensive Care Unit, Children's Memorial Hospital
Chicago, Illinois, United States
Ann & Robert H Lurie Childrens Hospital of Chicago
Chicago, Illinois, United States
Parent Salivary Cortisols
Salivary Cortisol levels obtained at admission, every 4 weeks and at discharge
Time frame: Throughout duration of NICU stay, an expected average of 4 weeks
Parent Stress Scale: NICU
Measured at admission and discharge using validated Parent Stress Scale: NICU
Time frame: Throughout duration of NICU stay, an expected average of 4 weeks
Infant Salivary Cortisol
Measured at admission, every 4 weeks and at discharge
Time frame: Throughout duration of NICU stay, an expected average of 4 weeks
Family Visiting Rate
Rate of family visiting in hours per week
Time frame: Throughout duration of NICU stay, an expected average of 4 weeks
Parent Kangaroo Care Rate
Rate of Kangaroo Care (skin to skin holding of infant by a parent) per week
Time frame: Throughout duration of NICU stay, an expected average of 4 weeks
Breastfeeding Rate
Rate of mother providing breast milk for her infant
Time frame: Throughout duration of NICU stay, an expected average of 4 weeks
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.