Parents using live streaming video cameras to view infants in a regional NICU: Impacts upon bonding, anxiety and stress

Kilcullen, Meegan; Kandasamy, Yogavijayan; Evans, Michelle; Kanagasignam, Yogesan; Atkinson, Ian; Valk, Steven van der; Vignarajan, Janardhan; Baxter, Michelle

doi:10.1016/j.jnn.2021.03.013

Cited by 6 publications

(25 citation statements)

References 17 publications

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“…Ensuring parents are properly informed could allow them to manage their own (and others) expectations of livestreaming and facilitate conversations around what parents would like to see on the livestream. Studies have identified that while cameras may be switched off during routine cares or procedures, in our study, parents reported they enjoyed seeing these activities, and enhanced their feeling of involvement in their baby’s care [ 11 , 13 ]. Clearer communication between parents and professionals is therefore required to determine when the web cameras will be livestreaming (if not 24 h a day), and what activities will be livestreamed, to minimise parental distress and facilitate engagement with their baby.…”

Section: Discussionmentioning

confidence: 86%

“…These were particular issues during the COVID-19 pandemic, when parental access was restricted in many hospitals as part of cross infection concerns [ 9 ]. The use of digital technology, such as web-based cameras and live video streaming, became one way in which the effects of physical separation on parental bonding could potentially be mitigated [ 10 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

“…Studies exploring the impact of livestreaming technology in neonatal units highlight positive parental benefits resulting from reduced feelings of separation, and improved parent-infant bonding [ 10 – 16 ]. These studies have also reported adverse effects on parental wellbeing, however, from parents seeing their baby in distress on the livestream, seeing clinical procedures performed on their baby, or technological difficulties with the technology [ 10 , 11 , 15 , 16 ]. The majority of studies are quantitative in nature with few using qualitative methodology to explore the experiences of parents who have used livestreaming technology in depth.…”

Section: Introductionmentioning

confidence: 99%

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Parental experiences of live video streaming technology in neonatal care in England: a qualitative study

et al. 2023

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Background The use of bedside cameras in neonatal units facilitates livestreaming of infants to support parental and family bonding when they are unable to be physically present with their baby. This study aimed to explore the experiences of parents of infants previously admitted for neonatal care and who used live video streaming to view their baby in real-time. Methods Qualitative semi-structured interviews were conducted after discharge with parents of infants admitted for neonatal care on a tertiary level neonatal unit in the UK in 2021. Interviews were conducted virtually, transcribed verbatim and uploaded into NVivo V12 to facilitate analysis. Thematic analysis by two independent researchers was undertaken to identify themes representing the data. Results Seventeen participants took part in sixteen interviews. Thematic analysis identified 8 basic themes which were grouped into 3 organizational themes: (1) family integration of the baby including parent-infant, sibling-infant, and wider family-infant attachment facilitated through livestreaming, (2) implementation of the livestreaming service including communication, initial set up of the livestreaming service, and areas for improvement, and (3) parental control including emotional, and situational control. Conclusions The use of livestreaming technology can provide parents with opportunities to integrate their baby into their wider family and friendship community and gain a sense of control over their baby’s admission for neonatal care. On-going parental education around how to use, and what to expect from, livestreaming technology is required to minimise any potential distress from viewing their baby online.

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Section: Discussionmentioning

confidence: 86%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Parental experiences of live video streaming technology in neonatal care in England: a qualitative study

et al. 2023

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“…Jennifer Weber et al do not find a significant difference between parents with and without webcam usage in one NICU regarding the perceived information status or feelings of anxiety when separated from their infant [22]. Other researchers report that parents feel reassured and less stressed concerning the separation when they use a webcam [6,23,24]. However, it can be expected that webcams provide this reassuring effect only if the infant appears to be well through the webcam.…”

Section: Discussionmentioning

confidence: 99%

“…To date, this is not standard care in Germany. Qualitative studies indicate that some parents expect webcams to enable them to leave the ward feeling more reassured, as they can check on their infant from home and thus overcome the lack of information during this time [4][5][6][7]. Being certain of their infants' wellbeing, e.g.…”

Section: Introductionmentioning

confidence: 99%

Parental preference for webcams in neonatal intensive care units: an indicator of lacking trust?

et al. 2022

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Background Some neonatal intensive care units offer parents webcam systems for times when they cannot be in the ward. Leaving an infant in the ward can be challenging for parents, and trust in the neonatal healthcare professionals mitigates parents’ worries of not knowing how their infant is doing while they are away. If parents lack trust in the neonatal healthcare professionals, they may attempt to compensate by using webcams. In this work, we examine whether an association exists between the parental preference to use a webcam and low trust in physicians and nursing staff. Methods In a nationwide, retrospective cross-sectional study, parents of infants with a birth weight below 1500 g were surveyed six to 18 months after their infant’s birth. Parents who were not offered a webcam system in the ward were asked whether they would have opted for it. Trust was measured by the Trust in Physician and Trust in Nursing Staff scales. Results Of the parents who were not offered a webcam, 69% would have chosen to use a webcam if they had been granted the opportunity. The decision for or against a webcam was not significantly associated with either trust in physicians (OR = 0.654, 95% CI = 0.456, 0.937, p = .124) or trust in nursing staff (OR = 1.064, 95% CI = 0.783, 1.446, p = .932). Conclusions While the majority of parents surveyed would opt for webcam usage, this preference should not be interpreted as an indicator of lacking trust in neonatal healthcare professionals.

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Live stream webcams on the neonatal unit: ‘An additional responsibility’ for nursing workload?

Chant¹,

Meek²,

Hayns-Worthington³

et al. 2024

Journal of Neonatal Nursing

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Parents using live streaming video cameras to view infants in a regional NICU: Impacts upon bonding, anxiety and stress

Cited by 6 publications

References 17 publications

Parental experiences of live video streaming technology in neonatal care in England: a qualitative study

Parental experiences of live video streaming technology in neonatal care in England: a qualitative study

Parental preference for webcams in neonatal intensive care units: an indicator of lacking trust?

Live stream webcams on the neonatal unit: ‘An additional responsibility’ for nursing workload?

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