Discuss and Share Experiences in Implementing FCC Models in University of Hong Kong - Shenzhen Hospital (HKU-SZH)

ABSTRACT

Aim: To discuss and share experiences in implementing Family centered care (FCC) models in Hong Kong - Shenzhen Hospital (HKU-SZH). Met hods At present, FCC has not been wel l implemented in China and most NICU adopt closed management. Since December 2013, our department has introduced the FCC concept and implemented 24-hour opening ward, providing family members with a series of services including ward rounds, progressive health education, palliative care, breast-feeding, cold chain support of breast milk, breast milk bank, family visit, followup after discharge, and mutual support group for family members. The above services were maintained during the COVID-19 period. Results: 10,615 newborns were treated from December 2013 to December 2020, the minimum gestational age of preterm infants treated successfully was 22+6 weeks and the minimum weight was 500g. The patient satisfaction rate in 2020 was 99.9%, and the average breastfeeding rate in 2020 was 84% while 83.4% of full-term infants and 90.2% of premature infants were breast-fed. (A multi-center survey of 974 cases of nutrition-related status of preterm infants in NICU in China reported that 13.6% of preterm infants were breast-fed during 2005-2006) The nosocomial infection rate from 2014 to 2020 was controlled between 0.41% and 2.02%. Literature showed that the incidence rate of nosocomial infection in neonatal care units of 17 grade A general hospitals in China from 2013 to 2014 was 3.35%. Conclusion: An open NICU based on the FCC concept is feasible and contributes to increased breastfeeding rates and patient satisfaction without increasing the incidence of nosocomial infections.