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Family-centred care change during COVID-19.
Vetcho, Siriporn; Cooke, Marie; Petsky, Helen; Saito, Amornrat; Ullman, Amanda J.
  • Vetcho S; School of Nursing and Midwifery, Griffith University, Brisbane.
  • Cooke M; Menzies Health Institute Queensland, Griffith University, Brisbane.
  • Petsky H; Faculty of Nursing, Prince of Songkla University, Songkhla.
  • Saito A; School of Nursing and Midwifery, Griffith University, Brisbane.
  • Ullman AJ; School of Nursing and Midwifery, Griffith University, Brisbane.
Nurs Crit Care ; 27(3): 460-468, 2022 05.
Article in English | MEDLINE | ID: covidwho-1714281
ABSTRACT

BACKGROUND:

Family-centred care (FCC) is an approach to promote family and health care provider partnership. This has been incorporated into neonatal intensive care units (NICUs) worldwide. However, FCC in low resource health settings, such as Thailand, is challenging and further impacted by coronavirus disease 2019 (COVID-19).

AIMS:

To evaluate FCC innovations to improve respect, collaboration and support in a Thai NICU. STUDY

DESIGN:

A quasi-experimental study was conducted in an NICU in southern Thailand. Pre-implementation was prior to COVID-19, and parental and staff perceptions of FCC were measured via Perceptions of Family Centred Care-Parent (PFCC-P) and -Staff (PFCC-S) survey. The FCC innovations were developed by stakeholders based on the COVID-19 restrictions, pre-survey results, parents' and clinicians' interviews and integrative review, then implemented via a flowchart. Post-implementation evaluation was via repeated surveys. Comparisons were made pre-and post-implementation, with Mann-Whitney U-test statistics for parents and Wilcoxon's Rank Sum for staff.

RESULTS:

A total of 185 (85 pre; 100 post) parents and 20 (pre and post; paired group) health care professionals participated. Because of COVID-19, many planned interventions were unfeasible, however, other innovations achieved (e.g., structured telephone updates, information booklet revision). There was an increase in parents' perception of respect ([median] 2.50-3.50), collaboration (2.33-3.33) and support (2.60-3.60) domains and overall (2.50-3.43; p < .001; 95% CI 2.93-3.11). Interdisciplinary professionals' perception of FCC did not significantly change pre-and post-implementation/COVID-19 pandemic for respect (3.00-2.92), collaboration (3.22-3.33), support (3.20-3.20) and overall (3.15-3.20; 95% CI 3.10-3.25).

CONCLUSION:

Despite the challenges of COVID-19 restricting NICU access, the provision of FCC was maintained and even improved. RELEVANCE TO CLINICAL PRACTICE Further research is necessary to develop FCC practice innovations associated with communication, across diverse health care systems and resources.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Qualitative research / Reviews Limits: Humans / Infant, Newborn Language: English Journal: Nurs Crit Care Journal subject: Nursing / Critical Care Year: 2022 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Qualitative research / Reviews Limits: Humans / Infant, Newborn Language: English Journal: Nurs Crit Care Journal subject: Nursing / Critical Care Year: 2022 Document Type: Article