TY - JOUR
T1 - Collaborating to Improve Neonatal Care
T2 - ParentAl Participation on the NEonatal Ward—Study Protocol of the neoPARTNER Study
AU - Hoeben, Hannah
AU - Alferink, Milène T.
AU - van Kempen, Anne A. M. W.
AU - van Goudoever, Johannes B.
AU - van Veenendaal, Nicole R.
AU - van der Schoor, Sophie R. D.
N1 - Funding Information: This research is funded as SPIN project by the Dutch Association of Paediatrics (NVK) in collaboration with the Prince Bernhard Culture Fund. Publisher Copyright: © 2023 by the authors.
PY - 2023/9/1
Y1 - 2023/9/1
N2 - Parents are often appointed a passive role in the care for their hospitalised child. In the family-integrated care (FICare) model, parental involvement in neonatal care is emulated. Parental participation in medical rounds, or family-centred rounds (FCR), forms a key element. A paucity remains of randomised trials assessing the outcomes of FCR (embedded in FICare) in families and neonates, and outcomes on an organisational level are relatively unexplored. Likewise, biological mechanisms through which a potential effect may be exerted are lacking robust evidence. Ten level two Dutch neonatal wards are involved in this stepped-wedge cluster-randomised trial FCR (embedded in FICare) by one common implementation strategy. Parents of infants hospitalised for at least 7 days are eligible for inclusion. The primary outcome is parental stress (PSS:NICU) at discharge. Secondary outcomes include parental, neonatal, healthcare professional and organisational outcomes. Biomarkers of stress will be analysed in parent–infant dyads. With a practical approach and broad outcome set, this study aims to obtain evidence on the possible (mechanistic) effect of FCR (as part of FICare) on parents, infants, healthcare professionals and organisations. The practical approach provides (experiences of) FICare material adjusted to the Dutch setting, available for other hospitals after the study.
AB - Parents are often appointed a passive role in the care for their hospitalised child. In the family-integrated care (FICare) model, parental involvement in neonatal care is emulated. Parental participation in medical rounds, or family-centred rounds (FCR), forms a key element. A paucity remains of randomised trials assessing the outcomes of FCR (embedded in FICare) in families and neonates, and outcomes on an organisational level are relatively unexplored. Likewise, biological mechanisms through which a potential effect may be exerted are lacking robust evidence. Ten level two Dutch neonatal wards are involved in this stepped-wedge cluster-randomised trial FCR (embedded in FICare) by one common implementation strategy. Parents of infants hospitalised for at least 7 days are eligible for inclusion. The primary outcome is parental stress (PSS:NICU) at discharge. Secondary outcomes include parental, neonatal, healthcare professional and organisational outcomes. Biomarkers of stress will be analysed in parent–infant dyads. With a practical approach and broad outcome set, this study aims to obtain evidence on the possible (mechanistic) effect of FCR (as part of FICare) on parents, infants, healthcare professionals and organisations. The practical approach provides (experiences of) FICare material adjusted to the Dutch setting, available for other hospitals after the study.
KW - biomarkers of stress
KW - family centred care
KW - family-centred rounds
KW - family-integrated care
KW - neonatology
KW - parental participation
KW - parental stress
KW - patient empowerment
KW - shared decision-making
UR - http://www.scopus.com/inward/record.url?scp=85172773636&partnerID=8YFLogxK
U2 - https://doi.org/10.3390/children10091482
DO - https://doi.org/10.3390/children10091482
M3 - Article
C2 - 37761442
SN - 2227-9067
VL - 10
JO - Children
JF - Children
IS - 9
M1 - 1482
ER -