Human interaction in the NICU and its association with outcomes on the Brief Infant-Toddler Social and Emotional Assessment (BITSEA)

Gonya, Jenn; Feldman, Keith; Brown, Kathryn P.; Stein, M.; Keim, Sarah A.; Boone, Kelly M.; Rumpf, Wolfgang; Ray, William C.; Chawla, Nitesh V.; Butter, Eric

doi:10.1016/j.earlhumdev.2018.08.010

Cited by 18 publications

(10 citation statements)

References 29 publications

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“…There is some evidence, however, that suggests the use of singlefamily rooms without family presence for prolonged periods of time may lead to sensory deprivation and worse developmental outcomes [26]. Our own data also suggests that those EP infants that lack prolonged human interaction seem to do worse on measurements that assess social competence and dysregulation [27]. The use of a "hybrid" system in which single-family rooms are used initially with the transition to an open bay model is gaining in popularity [28].…”

Section: Sustainingmentioning

confidence: 68%

Development of a small baby unit to improve outcomes for the extremely premature infant

et al. 2021

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Survival and outcomes for extremely premature (EP) infants have improved and even infants born at 23 and 24 weeks that were previously considered non-viable are now routinely surviving. This review describes our particular institution's basis for and process of creating and sustaining a small baby program for a quaternary, referral-based neonatal intensive care unit. Through multidisciplinary collaboration, small baby guidelines were developed that established uniform care and optimized evidence-based practice for the care of this unique patient population. A focus on parent-centered care while removing noxious stimuli for the patient has improved neurodevelopmental outcomes. Data collection, quality improvement, and ongoing research are incorporated in the small baby program to establish and sustain best practices and outcomes for the EP patient. Through the establishment of a small baby unit, we have improved survival, decreased short-term morbidities, and improved neurodevelopmental outcomes for the EP infant in our region.

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Section: Sustainingmentioning

confidence: 68%

Development of a small baby unit to improve outcomes for the extremely premature infant

et al. 2021

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“…For example, delayed oral feedings have been linked to longer hospital stays [ 5 ]. Even missed comfort activities may undermine the social-emotional development of extremely preterm infants [ 6 ]. Thus, to ensure a high degree of nursing quality for infants, missed care must not be tolerated in the NICU.…”

Section: Introductionmentioning

confidence: 99%

Missed nursing care and its influencing factors among neonatal intensive care unit nurses in South Korea: a descriptive study

Kim¹,

Chae²

2022

Child Health Nurs Res

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Purpose: Preventing missed care is important in neonatal intensive care units (NICUs) due to neonates’ vulnerabilities. This study examined missed care and its influencing factors among NICU nurses.Methods: Missed care among 120 Korean NICU nurses was measured using a cross-culturally adapted online questionnaire. The frequency of missed care for 32 nursing activities and the significance of 23 reasons for missed care were collected.Results: All participants had missed at least 1 activity, missing on average 19.35 activities during a typical work-day. The most common missed item was “provide developmental care for the baby”. The most common reason for missed care was “emergency within the unit or deterioration of one of the assigned patients”. The final regression model explained 9.6% of variance in missed care. The average daily number of assigned patients receiving inotropes or sedation over the last month influenced the total number of missed care items.Conclusion: Missed care was affected by nurses’ workload related to the number of patients taking medication. Frequently missed activities, especially those related to developmental care, require patience and time, conflicting with safety prioritization and inadequate working conditions. NICU nurses’ working conditions should be improved to ensure adequate time for nursing activities.

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“…Misinterpreting the communication can lead to physiologic disruption and stress. [8][9][10][11][12] Emerging science has identified behavioral communication as an important way of understanding the experience of the baby. Understanding, interpreting, and responding appropriately to the nonverbal communication of approach and avoidance responses to the environment and caregiving allow for an interactive communication between the baby, professionals, and family and respect the baby's ability to be a significant interactor in caregiving and lead to protective and nurturing opportunities.…”

mentioning

confidence: 99%

“…The m/other, father, family, and caregiver can better identify the baby's communication and respond accordingly. Misinterpreting the communication can lead to physiologic disruption and stress 8–12. Emerging science has identified behavioral communication as an important way of understanding the experience of the baby.…”

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confidence: 99%

Individualized Family-Centered Developmental Care

2021

Journal of Perinatal &Amp; Neonatal Nursing

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High-quality care is a process of current practice based on credible evidence that is continuously evaluated to improve short-and long-term health outcomes and is measurable and monitored over time. The process and outcome of quality care are dynamic, evolving, holistic, and resilient. Systems thinking guides the study of quality care, standardized competent practice, and relationship of the interacting parts of the system/process to achieve optimum outcomes. 1,2 Quality care and systems thinking are inextricably linked in the delivery of family-centered care (FCC).FCC came to the forefront in the United States in 1987 when the US Surgeon to General called for a family-centered coordinated approach to care for families of children with special needs. 3 This model of care promoted partnerships and collaboration with families. Over the course of the next few decades, studies centered on its applicability to many settings, including the intensive care units (ICUs). Neonatal intensive care unit designs incorporated family spaces; yet, there was a gap in the evidence to accurately measure family perceptions and health outcomes. 3 A paucity of evidence existed to support FCC interventions. Increasing evidence and a focus on both babies and their families in intensive care has emerged in the last decade. As a result in 2015, the Interprofessional Consensus Committee of Standards, Competencies, and Best Practices for Infant and Family-Centered Developmental Care in Intensive Care began work to create an evidence-based framework to guide neonatal care. 4 The framework is grounded in evidence from a review of more than 1000 articles, with levels of evidence identified. 5

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Human interaction in the NICU and its association with outcomes on the Brief Infant-Toddler Social and Emotional Assessment (BITSEA)

Cited by 18 publications

References 29 publications

Development of a small baby unit to improve outcomes for the extremely premature infant

Development of a small baby unit to improve outcomes for the extremely premature infant

Missed nursing care and its influencing factors among neonatal intensive care unit nurses in South Korea: a descriptive study

Individualized Family-Centered Developmental Care

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