Objective
To assess the perspectives of neonatologists, neonatal nurses, and parents on research-related education and communication practices in the neonatal intensive care unit (NICU).
Study design
Questionnaire circulated through interest groups and administered using the internet.
Results
323 respondents responded to the survey. 52 were neonatologists, 188 were neonatal nurses, and 83 were parents of NICU graduates. Analysis was descriptive. Differences were noted between stakeholder groups with respect to whether current medications meet the needs of sick neonates, research as central to the mission of the NICU, availability of appropriate education/training for all members of the research team, and adequacy of information provided to parents before, during, and after a research study is completed.
Conclusion
Engagement of nurses and parents at all stages of NICU research is currently suboptimal; relevant good practices, including education, should be shared among neonatal units.
Background:
Decades of research supports the benefits of kangaroo care (KC) for the parent and newborn. Supportive KC devices may be an important tool clinicians can use to assist parents with KC. In recent years, there has been a rise in the availability of KC devices. However, the use, needs, and preferences for these supportive devices by neonatal clinicians have not been documented.
Purpose:
To survey clinicians' use, needs, and preferences of KC supportive devices, and examine whether differences exist based on clinician and organizational characteristics.
Methods:
A cross-sectional, online survey was sent through neonatal organization Web sites, conferences, and social media.
Results:
Many clinicians (n = 68, 43%; N = 158) facilitated KC with a supportive device, with 81% of devices provided by the clinician's employer. The most important “Must Have” feature of a KC device was “Safety: Reduces patient falls if caregiver sleeps or needs to use hands” (84% of respondents) followed by washability (82%), and “immediate, effective access to the baby” (78%). Clinicians' responses did not differ based on hospital setting, type of unit, KC experience, or experience using a KC device.
Implications for Practice:
To support safe use of KC devices in neonatal intensive care unit (NICU) clinical care, a device must hold the proper KC position consistently, allow immediate access to the infant, and hold the infant in place without the parent's hands to prevent falls. Training is needed to ensure safe device use.
Implications for Research:
Future research should evaluate the safety, efficacy, and cost-effectiveness of these devices.
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