TY - JOUR
T1 - An international study on implementation and facilitators and barriers for parent-infant closeness in neonatal units
AU - van Veenendaal, Nicole R.
AU - Labrie, Nanon H. M.
AU - Mader, Silke
AU - van Kempen, Anne A. M. W.
AU - van der Schoor, Sophie R. D.
AU - van Goudoever, Johannes B.
AU - CROWN Study Group
AU - Bertino, Enrico
AU - Bhojnagarwala, Bikash
AU - Bodrogi, Eszter
AU - Bohlin, Kajsa
AU - Bracht, Marianne
AU - Bührer, Christoph
AU - Domellöf, Magnus
AU - Embleton, Nicholas
AU - Endl, Christoph
AU - Ertl, Tibor
AU - Funke, Simone
AU - Gangi, Sarah
AU - Garg, Shalabh
AU - Guimarães, Hercília
AU - Haiden, Nadja
AU - Koskinen, Eija
AU - Klingenberg, Claus
AU - Klisch, Olga
AU - Kobberup, Helle
AU - Kovalova, Olena M.
AU - Krolak-Olejnik, Barbara
AU - Lapillonne, Alexandre
AU - Lee, Shoo
AU - Lehtonen, Liisa
AU - McKechnie, Liz
AU - Mimoso, Gabriela
AU - Molloy, Eleanor
AU - Moltu, Sissel J.
AU - Mulder, Antonius L.
AU - Nádor, Csaba
AU - Normann, Erik
AU - O'Brien, Karel
AU - van Overmeire, Bart
AU - Pavlyshyn, Halyna
AU - Pellicer, Adelina
AU - Picaud, Jean-Charles
AU - Poets, Christian F.
AU - Rabe, Heike
AU - Ryan, Ethel
AU - Sadowska-Krawczenko, Iwona
AU - Salvesen, Bodil
AU - Sanakova, Petra
AU - Sarapuk, Iryna
AU - Schuler, Rahel
N1 - Funding Information: Nicole R. van Veenendaal reports grants from Nutricia (the Netherlands) during the conduct of this study. Anne A. M. W. van Kempen and Sophie R. D. van der Schoor report grants from Nutricia (the Netherlands) outside the submitted work. Nutricia (the Netherlands) had no role in study design, data collection, data analysis, data interpretation, writing of the report, or decision to submit for publication. Nanon H.M. Labrie is funded through a personal grant awarded by the Dutch Organization for Scientific Research (NWO, VI.Veni.191S.032), which had no role in study design, data collection, data analysis, and data interpretation, writing of the report, or decision to submit for publication. In support of EFCNI and as an appreciation of the time and effort put into this study, EFCNI received a donation from the Emma Children's Hospital. Johannes B. Goudoever is a member of the editorial board. Pediatric Investigation Funding Information: We would like to thank Mrs. M. Pedenko, the mother of one of our admitted preterm infants during the conduct of this study, for help during interviews with Ukrainian professionals. We are incredibly thankful to Ms. F. Bacchini (Executive Director of the Canadian Premature Babies Foundation) for her expert view while revising this manuscript. Publisher Copyright: © 2022 Chinese Medical Association. Pediatric Investigation published by John Wiley & Sons Australia, Ltd on behalf of Futang Research Center of Pediatric Development.
PY - 2022/9
Y1 - 2022/9
N2 - Importance: Parent-infant closeness and active parent participation in neonatal care are important for parent and infant health. Objective: To give an overview of current neonatal settings and gain an in-depth understanding of facilitators and barriers to parent-infant closeness, zero-separation, in 19 countries. Methods: Neonatal intensive care unit (NICU) professionals, representing 45 NICUs from a range of geographic regions in Europe and Canada, were purposefully selected and interviewed June–December 2018. Thematic analysis was conducted to identify, analyze and report patterns (themes) for parent-infant closeness across the entire series of interviews. Results: Parent-infant separation during infant and/or maternity care is very common (42/45 units, 93%), despite the implementation of family integrated care (FICare) practices, including parent participation in medical rounds (17/45, 38%), structured education sessions for parents (16/45, 36%) and structured training for healthcare professionals (22/45, 49%). NICU professionals encountered four main themes with facilitators and barriers for parent-infant closeness on and between the hospital, unit, staff, and family level: Culture (jointly held characteristics, values, thinking and behaviors about parental presence and participation in the unit), Collaboration (the act of working together between and within different levels), Capacities (resources and policies), and Coaching (education to acquire and transfer knowledge and skills). Interpretation: Implementing parent-infant closeness in the NICU is still challenging for healthcare professionals. Further optimization in neonatal care towards zero-separation and parent-infant closeness can be achieved by enforcing the ‘four Cs for Closeness’: Culture, Collaboration, Capacities, and Coaching.
AB - Importance: Parent-infant closeness and active parent participation in neonatal care are important for parent and infant health. Objective: To give an overview of current neonatal settings and gain an in-depth understanding of facilitators and barriers to parent-infant closeness, zero-separation, in 19 countries. Methods: Neonatal intensive care unit (NICU) professionals, representing 45 NICUs from a range of geographic regions in Europe and Canada, were purposefully selected and interviewed June–December 2018. Thematic analysis was conducted to identify, analyze and report patterns (themes) for parent-infant closeness across the entire series of interviews. Results: Parent-infant separation during infant and/or maternity care is very common (42/45 units, 93%), despite the implementation of family integrated care (FICare) practices, including parent participation in medical rounds (17/45, 38%), structured education sessions for parents (16/45, 36%) and structured training for healthcare professionals (22/45, 49%). NICU professionals encountered four main themes with facilitators and barriers for parent-infant closeness on and between the hospital, unit, staff, and family level: Culture (jointly held characteristics, values, thinking and behaviors about parental presence and participation in the unit), Collaboration (the act of working together between and within different levels), Capacities (resources and policies), and Coaching (education to acquire and transfer knowledge and skills). Interpretation: Implementing parent-infant closeness in the NICU is still challenging for healthcare professionals. Further optimization in neonatal care towards zero-separation and parent-infant closeness can be achieved by enforcing the ‘four Cs for Closeness’: Culture, Collaboration, Capacities, and Coaching.
KW - Couplet-care
KW - Family centered care
KW - Family integrated care
KW - Neonatalogy
KW - Parent-collaboration
KW - Parent-infant closeness
KW - Zero-separation
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U2 - https://doi.org/10.1002/ped4.12339
DO - https://doi.org/10.1002/ped4.12339
M3 - Article
C2 - 36203512
SN - 2574-2272
VL - 6
SP - 179
EP - 188
JO - Pediatric Investigation
JF - Pediatric Investigation
IS - 3
ER -