The functions of adequate communication in the neonatal care unit: A systematic review and meta-synthesis of qualitative research

Wreesmann, Willem jan W.; Lorié, Esther S.; Veenendaal, Nicole R. van; Kempen, Anne A. M. W. van; Ket, Hans; Labrie, Nanon

doi:10.1016/j.pec.2020.11.029

Cited by 36 publications

(38 citation statements)

References 76 publications

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“…Healthcare professional communication is a key component of this change in culture 23 . It has several functions which include building/maintaining relationships, exchanging information, (sharing) decision‐making, and enabling parent self‐management 24 . With good parent‐provider communication, parents’ experiences within the NICU setting can be ameliorated.…”

Section: Implementing Ficarementioning

confidence: 99%

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Family integrated care: Supporting parents as primary caregivers in the neonatal intensive care unit

Waddington

Veenendaal

O’Brien

et al. 2021

Pediatric Investigation

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Family integrated care (FICare) is a collaborative model of neonatal care which aims to address the negative impacts of the neonatal intensive care unit (NICU) environment by involving parents as equal partners, minimizing separation, and supporting parent‐infant closeness. FICare incorporates psychological, educational, communication, and environmental strategies to support parents to cope with the NICU environment and to prepare them to be able to emotionally, cognitively, and physically care for their infant. FICare has been associated with improved infant feeding, growth, and parent wellbeing and self‐efficacy; important mediators for long‐term improved infant neurodevelopmental and behavioural outcomes. FICare implementation requires multi‐disciplinary commitment, staff motivation, and sufficient time for preparation and readiness for change as professionals relinquish power and control to instead develop collaborative partnerships with parents. Successful FICare implementation and culture change have been applied by neonatal teams internationally, using practical approaches suited to their local environments. Strategies such as parent and staff meetings and relational communication help to break down barriers to change by providing space for the co‐creation of knowledge, the negotiation of caregiving roles and the development of trusting relationships. The COVID‐19 pandemic highlighted the vulnerability within programs supporting parental presence in neonatal units and the profound impacts of parent‐infant separation. New technologies and digital innovations can help to mitigate these challenges, and support renewed efforts to embed FICare philosophy and practice in neonatal care during the COVID‐19 recovery and beyond.

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Section: Implementing Ficarementioning

confidence: 99%

“…With good parent‐provider communication, parents’ experiences within the NICU setting can be ameliorated. Sensitive and appropriate language is needed to build partnerships and support parents during hospital stay 24,25 …”

Section: Implementing Ficarementioning

confidence: 99%

Family integrated care: Supporting parents as primary caregivers in the neonatal intensive care unit

Waddington

Veenendaal

O’Brien

et al. 2021

Pediatric Investigation

View full text Add to dashboard Cite

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“…These main themes are strongly interconnected to each other and represent key elements of the FCC concept [ 8 ]. FCC interventions empower parents and thus contribute to their sense of autonomy; parents gain security, encouragement and are supported in challenging or demanding situations [ 30 ].…”

Section: Discussionmentioning

confidence: 99%

“…This aspect of continuity lays the foundation for the development of a partnership between the family and health care professionals. On the one hand, the health care professionals continuously obtain more insights into the family, allowing them to better address individual needs [ 31 ] and to communicate in an appropriate, family-oriented way [ 15 , 30 ]. On the other hand, parents benefit from the expertise and guidance provided to them.…”

Section: Discussionmentioning

confidence: 99%

“…Jeukens-Visser et al [ 15 ] described the importance of a strength-based and non-judgmental communication approach, where the attitude of health care professionals plays a central role and parents are seen as experts. Wreesmann et al [ 30 ] denoted communication as the basis to promote parents’ partnership participation in care of their infant, leading to positive care outcomes. They developed a specific communication framework for families with preterm infants [ 30 ].…”

Section: Discussionmentioning

confidence: 99%

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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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Association of a Family Integrated Care Model With Paternal Mental Health Outcomes During Neonatal Hospitalization

et al. 2022

Self Cite

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Key Points Question Is there an association between the neonatal care setting—a family integrated care (FICare) model in single family rooms with complete couplet-care for the mother-newborn dyad vs standard neonatal care in open bay units—and mental health and participation outcomes among fathers of preterm newborns? Findings In this cohort study of 263 fathers, fathers in the FICare model perceived less stress and participated more in caring for their newborns compared with those in standard care. Participation mediated the beneficial association of the FICare model on fathers’ depressive symptoms and parent-newborn bonding. Meaning These findings suggest that supporting fathers to actively participate in all aspects of care of preterm newborns should be encouraged regardless of the neonatal unit’s architectural design.

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The functions of adequate communication in the neonatal care unit: A systematic review and meta-synthesis of qualitative research

Cited by 36 publications

References 76 publications

Family integrated care: Supporting parents as primary caregivers in the neonatal intensive care unit

Family integrated care: Supporting parents as primary caregivers in the neonatal intensive care unit

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

Association of a Family Integrated Care Model With Paternal Mental Health Outcomes During Neonatal Hospitalization

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