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Archives of Disease in Childhood ; 107(Suppl 2):A31-A32, 2022.
Article in English | ProQuest Central | ID: covidwho-2019822

ABSTRACT

1391 Figure 1 1391 Figure 2ConclusionThe data in this cohort reflects the fact that most neonates presenting to ED were clinically well, however, some require a period of observation prior to safe discharge. The referral pathway (figure 1) was intended for babies <14 days and identifies those appropriate for discussion with the neonatal team, in particular where the main presenting problem is a feeding issue, jaundice or weight loss. In addition, it excludes any baby with possible respiratory infective symptoms that would preclude them from NNU admission. The referral pathway (figure 1) allows for a conversation between ED and neonatal teams, aiming to ensure babies with routine neonatal issues are assessed in the most appropriate area, while acknowledging the need for flexibility due to out of hours neonatal staffing, cot capacity and need for observation prior to discharge.

2.
Arch Dis Child Fetal Neonatal Ed ; 106(2): 172-177, 2021 Mar.
Article in English | MEDLINE | ID: covidwho-767783

ABSTRACT

OBJECTIVE: To evaluate the parent and staff experience of a secure video messaging service as a component of neonatal care. DESIGN: Multicentre evaluation incorporating quantitative and qualitative items. SETTING: Level II and level III UK neonatal units. POPULATION: Families of neonatal inpatients and neonatal staff. INTERVENTION: Use of a secure, cloud-based asynchronous video messaging service to send short messages from neonatal staff to families. Evaluation undertaken July-November 2019. MAIN OUTCOME MEASURES: Parental experience, including anxiety, involvement in care, relationships between parents and staff, and breastmilk expression. RESULTS: In pre-implementation surveys (n=41), families reported high levels of stress and anxiety and were receptive to use of the service. In post-implementation surveys (n=42), 88% perceived a benefit of the service on their neonatal experience. Families rated a positive impact of the service on anxiety, sleep, family involvement and relationships with staff. Qualitative responses indicated enhanced emotional closeness, increased involvement in care and a positive effect on breastmilk expression. Seventy-seven post-implementation staff surveys were also collected. Staff rated the service as easy to use, with minimal impact on workload. Seventy-one percent (n=55) felt the service had a positive impact on relationships with families. Staff identified the need to manage parental expectations in relation to the number of videos that could be sent. CONCLUSIONS: Asynchronous video messaging improves parental experience, emotional closeness to their baby and builds supportive relationships between families and staff. Asynchronous video supports models of family integrated care and can mitigate family separation, which could be particularly relevant during the COVID-19 pandemic.


Subject(s)
COVID-19/psychology , Intensive Care, Neonatal/psychology , Parents/psychology , Text Messaging/statistics & numerical data , Video Recording/statistics & numerical data , Female , Humans , Infant, Newborn , Intensive Care Units, Neonatal/organization & administration , Male
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