Asynchronous video messaging promotes family involvement and mitigates separation in neonatal care.
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 OUTCOMEMEASURES:
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.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Parents
/
Video Recording
/
Intensive Care, Neonatal
/
Text Messaging
/
COVID-19
Type of study:
Experimental Studies
/
Observational study
/
Prognostic study
/
Qualitative research
Limits:
Female
/
Humans
/
Male
/
Infant, Newborn
Language:
English
Journal:
Arch Dis Child Fetal Neonatal Ed
Journal subject:
Pediatrics
/
Perinatology
Year:
2021
Document Type:
Article
Affiliation country:
Archdischild-2020-319353
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