The neonatal intensive parenting unit: an introduction

Hall, Sue; Hynan, Michael T.; Phillips, Raylene; Lassen, Stephen R.; Craig, J W; Goyer, Erika; Hatfield, Rebecca F.; Cohen, Howard

doi:10.1038/jp.2017.108

Cited by 61 publications

(61 citation statements)

References 72 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Although newborns may be less impacted by COVID-19 directly, there is concern that the pandemic and the necessary public health measures employed in response may negatively impact the psychosocial health of high-risk infants and their families in the Neonatal Intensive Care Unit (NICU). The impact of early adversity on infant brain development is well recognized [ 3 ], and recommendations are in place to mitigate these effects through NICU family-centered developmental care models [ 4 , 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

The downstream effects of COVID-19: a call for supporting family wellbeing in the NICU

Erdei

Liu

2020

J Perinatol

View full text Add to dashboard Cite

Parents of NICU infants are a vulnerable population from a psychological perspective, and often experience high levels of acute stress, depression, anxiety, and post-traumatic stress. The added burden of the current SARS CoV-2 disease (COVID-19) pandemic is likely to exacerbate these issues, with potential implications for the wellbeing of infants and families in the short- and long-term. In this paper, we propose utilizing the stress contagion framework and consider how psychosocial stress can “spill over” into the parent-infant relationship domain, which can impact child development and family wellbeing longer term. As the effects of the pandemic will likely persist well beyond the acute stage, we offer advocacy points and general guidelines for healthcare professionals to consider in their quest to mitigate stress and build resilience in NICU families.

show abstract

Section: Introductionmentioning

confidence: 99%

The downstream effects of COVID-19: a call for supporting family wellbeing in the NICU

Erdei

Liu

2020

J Perinatol

View full text Add to dashboard Cite

show abstract

“…The literature on family and maternal support during a child's stay in NICU highlights that the social support structure is almost solitary (18) and portrays professionals' reception and support in matters related to family and maternal reorganization in this context as incipient (18)(19) . It is imperative that NICU teams extend their care focus beyond solving the child's medical problems and consider partnership and interest in family issues (20) .…”

Section: Discussionmentioning

confidence: 99%

Maternal care in the preterm child’s family context: A comprehensive look towards the sibling

et al. 2019

View full text Add to dashboard Cite

Objective: To analyze maternal care for siblings of preterm babies hospitalized in the neonatal intensive care unit. Method: Qualitative research using symbolic interactionism as a theoretical reference and narrative research as a methodological reference. Ten mothers were surveyed through semi-structured interviews. Results: Three thematic units emerged from the analysis of data: “social support in the sharing of child care”; “promotion of adaptation to the arrival of a sibling” and “maternal feelings and coping”. Final considerations: Care for the premature child’s sibling is developed under mothers’ physical distance from him/her, justified by the need to remain close to the premature child due to risks and fragility related to the condition.

show abstract

“…Low-income families are more likely to lack health insurance coverage (Devoe et al, 2007;Kreider et al, 2016;Larson & Halfon, 2010), have higher out of pocket costs (Devoe et al, 2007;Galbraith, Wong, Kim, & Newacheck, 2005;Gwet & Machlin, 2018), and experience unmet healthcare needs due to cost (Fry-Johnson et al, 2005;Kreider et al, 2016;Wherry, Kenney, & Sommers, 2016). Americans spend roughly 13% of their income on out-of-pocket healthcare expenses, which presents a huge financial liability for low-income families (Gwet & Machlin, 2018). Even low-income families with private insurance experience significant unmet healthcare needs due to unaffordable premiums, high deductibles, and co-payments (Devoe et al, 2007).…”

Section: Implications For Public Policymentioning

confidence: 99%

Reducing toxic stress in the neonatal intensive care unit to improve infant outcomes

Weber

Harrison

2019

Nursing Outlook

View full text Add to dashboard Cite

In 2011, the American Academy of Pediatrics (AAP) published a technical report on the lifelong effects of early toxic stress on human development, and included a new framework for promoting pediatric health: the Ecobiodevelopmental Framework for Early Childhood Policies and Programs. We believe that hospitalization is a specific form of toxic stress for the neonatal patient, and that toxic stress must be addressed by the nursing profession in order to substantially improve outcomes for the critically-ill neonate. Approximately 4% of normal birthweight newborns and 85% of low birthweight newborns are hospitalized each year in the highly technological Neonatal Intensive Unit (NICU). Neonates are exposed to roughly 70 stressful procedures a day during hospitalization, which can permanently and negatively alter the infant's developing brain. Neurologic deficits can be partly attributed to the frequent, toxic, and cumulative exposure to stressors during NICU hospitalization. However, the AAP Report does not provide specific action steps necessary to address toxic stress in the NICU and realize the new vision for pediatric healthcare outlined therein. Therefore, this paper applies the concepts and vision laid out in the AAP Report to the care of the hospitalized neonate and provides action steps for true transformative change in neonatal intensive care. We review how the environment of the NICU is a significant source of toxic stress for hospitalized infants. We provide recommendations for caregiving practices that could significantly buffer the toxic stress experienced by hospitalized infants. We also identify areas of research inquiry that are needed to address gaps in nursing knowledge and to propel nursing science forward. Finally, we advocate for several public policies that are not fully addressed in the AAP Technical Report, but are vital to the health and development of all newborns.

show abstract

The neonatal intensive parenting unit: an introduction

Cited by 61 publications

References 72 publications

The downstream effects of COVID-19: a call for supporting family wellbeing in the NICU

The downstream effects of COVID-19: a call for supporting family wellbeing in the NICU

Maternal care in the preterm child’s family context: A comprehensive look towards the sibling

Reducing toxic stress in the neonatal intensive care unit to improve infant outcomes

Contact Info

Product

Resources

About