French neonatal society position paper stresses the importance of an early family‐centred approach to discharging preterm infants from hospital

Pladys, Patrick; Zaoui, C.; Girard, L.; Mons, F.; Reynaud, A.; Casper, Charlotte; Kuhn, Pierre; Souet, G.; Fichtner, Christopher G.; Laprugne-Garcia, Élisabeth; Legouais, S.; Zores, Claire; Thiriez, Gérard; Duboz, Marie-Line; Knezovic‐Daniel, N; Renesme, Laurent; Brandicourt, A.; Gonnaud, F.; Picaud, JC; Julie‐Fische, C; Tourneux, P.; Truffert, Patrick; Audeoud, Frédérique; Pierrat, Véronique; Caeymaex, Laurence; Granier, Michèle; Bouvard, C.; Evrard, Anne; Saliba, Élie; Allen, Alex; Sizun, Jacques; Zana‐Taïeb, Elodie; Hüppi, Petra Susan

doi:10.1111/apa.15110

Cited by 11 publications

(4 citation statements)

References 40 publications

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“…Discussions focus on the plans concerning their child’s life, with each side seeking to humanize their relationship. This partnership should be undertaken from the start to ensure that the keystone of shared decision-making is established [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

Analysis of communication and logistic processes in neonatal intensive care unit

PIRRELLO

Sorin²,

Dahan

et al. 2022

BMC Pediatr

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Background In neonatology, parents play a central role as guarantors of the new-born’s autonomy. Notifying parents about their infant’s status in neonatal critical care is an integral part of the care. However, conveying this information can be very difficult for physicians and the neonatal medical team. The objective of this work is to assess the dimensions and dynamic processes of critical care communications in neonatal intensive care in order to enhance the development of theoretical and applied knowledge of these discussions. Methods This qualitative, descriptive study was conducted on critical care new-borns less than 28 days-old who were hospitalized in a neonatal intensive care unit. Verbatim communications with the parents were recorded using a dictaphone. Results The verbatim information had five themes: (a) critical care, (b) establishing the doctor-patient relationship, (c) assistance in decision making, (d) Socio-affective and (e) socio-symbolic dimensions. Our recordings underscored both the necessity of communication skills and the obligation to communicate effectively. Analysis of the dynamics of the communication process, according to the categories of delivering difficult information, showed few significant differences. Conclusion Physician training needs to include how to effectively communicate to parents to optimize their participation and cooperation in managing their care.

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Section: Discussionmentioning

confidence: 99%

Analysis of communication and logistic processes in neonatal intensive care unit

PIRRELLO

Sorin²,

Dahan

et al. 2022

BMC Pediatr

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“…These training sessions not only focus on the association itself, but also on the psychological experiences of the parents, the operations of the hospital, fundraising, and communications. Additionally, sessions include scientific aspects such as developmental care or French recommendations of GREEN ( Groupe de Réflexion et d’Évaluation de l’Environnement du Nouveau-né) [ 34 ].…”

Section: French Perspectives: Sos Préma Actionsmentioning

confidence: 99%

Implementation Outcomes and Challenges of Partnerships between Resource Parents and Parents with Sick Infants in Intensive Neonatal Care Units: A Scoping Review

et al. 2022

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Parents with a sick child in a neonatal intensive care unit (NICU) usually experience stress, anxiety, and vulnerability. These precarious feelings can affect early parent–child interactions and have consequences for the child’s neurodevelopment. Parents who have had a sick child in an NICU (veteran parents) can offer helpful interventions for these vulnerable families. This article is a scoping review of parental interventions used with the families of NICU infants, and an overview of French perspectives. Two independent reviewers studied the scientific literature published in English between 2001 to 2021 using Covidence software. The databases used were MEDLINE, ISI Web of Science, the Cochrane Database, and Google Scholar. Themes were identified from the articles’ results using an open coding approach. The data are presented in a narrative format. Ten articles were included, and four major themes addressed: (1) description of activities, (2) recommendations, (3) impact, and (4) barriers (resulting from recruitment, training, remuneration, and organization). Activities were very diverse, and a step-by-step implementation was recommended by all authors. Peer-support interventions might be a potential resource for those anxious parents and improve their NICU experiences. These challenges are described by SOS Préma in France. This article brings together recent studies on partnership in the NICU. It is an innovative topic in neonatology with vast issues to explore.

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“…In contrast, responsive parenting is associated with improved developmental outcomes and increased resilience in the child [ 6 ]. Consequently, health care provision should be aware of the potential burdens and vulnerabilities of preterm children and their parents in order to be able to support positive development and to intervene at an early stage to prevent short- and long-term negative effects [ 7 ]. To achieve this, different approaches are proposed.…”

Section: Introductionmentioning

confidence: 99%

“…This strength-based approach is founded on the idea that behavioral subsystems, such as autonomic, motor, state organization, attention, and self-regulation of the infant, interact with and are influenced by the infant’s environment [ 17 ]. There is agreement that intervention programs related to preterm infants should provide a multilevel approach [ 7 , 18 ]. This includes family-centered care, psychosocial support, continuity of care and interprofessional collaboration (IPC), which begins in the antepartum period, continues throughout hospitalization and helps in making the transition from hospital to home [ 18 , 19 , 20 ].…”

Section: Introductionmentioning

confidence: 99%

Enhancing Parents’ Well-Being after Preterm Birth—A Qualitative Evaluation of the “Transition to Home” Model of Care

Haemmerli

Stoffel

Schmitt

et al. 2022

IJERPH

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There are few programs available aimed at preventing short- and long-term negative consequences after preterm birth and covering the entire care continuum. The “Transition to Home (TtH)” model is such a program, offering structured, individual support for families with preterm infants before and after hospital discharge. This study gathers and examines the parents’ views of receiving support from an interprofessional team under the TtH model of care during hospitalization and after discharge. Using a qualitative explorative design, 39 semi-structured interviews with parents were analyzed thematically. From this analysis, three main themes were identified: (1) TtH and the relevance of continuity of care; (2) Enhancement of parents’ autonomy and self-confidence; (3) Perception of interprofessional collaboration. Within these themes, the most relevant aspects identified were continuity of care and the appointment of a designated health care professional to anchor the entire care continuum. Emotional support complemented by non-medical approaches, along with strength-based and family resource-oriented communication, also emerged as key aspects. Continuous, family-centered care and well-organized interprofessional collaboration promote the well-being of the family after a premature birth. If the aspects identified in this study are applied, the transition from hospital to home will be smoothened for the benefit of affected families.

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French neonatal society position paper stresses the importance of an early family‐centred approach to discharging preterm infants from hospital

Abstract: and the group for reflections on and evaluation of the neonatal environment of the French neonatal society 7

Cited by 11 publications

References 40 publications

Analysis of communication and logistic processes in neonatal intensive care unit

Analysis of communication and logistic processes in neonatal intensive care unit

Implementation Outcomes and Challenges of Partnerships between Resource Parents and Parents with Sick Infants in Intensive Neonatal Care Units: A Scoping Review

Enhancing Parents’ Well-Being after Preterm Birth—A Qualitative Evaluation of the “Transition to Home” Model of Care

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