Impact of Increased Parent Presence in the NICU on Parent & Infant Outcomes
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Family Relationship
- Sponsor
- Ann & Robert H Lurie Children's Hospital of Chicago
- Enrollment
- 78
- Locations
- 2
- Primary Endpoint
- Parent Salivary Cortisols
- Status
- Completed
- Last Updated
- 7 years ago
Overview
Brief Summary
The purpose of this pilot study is to compare parent and infant outcomes and unit outcomes pre and post a planned unit-wide intervention aimed at increasing parent presence in the Neonatal Intensive Care Unit (NICU). The FCC intervention will consist of communicating an expectation that all NICU parents be present at minimum 4 hours/day versus the current practice of telling families to "come as much as they can" that has resulted in inconsistent parent presence.
Detailed Description
Family centered care (FCC) is becoming the standard of care in the Neonatal Intensive Care Unit (NICU) and many benefits of FCC programs are reported in the literature. However, the integration of FCC practices remains inconsistent in NICUs and many families do not fully access available FCC supports. As a result NICU families continue to report feelings of powerlessness, stress, depression and lack of confidence in their ability to care for their infants at home. Studies of increased family presence in the NICU (8hours/day and 24/hours/day) have reported promising results for infants and families, but these studies report on programs implemented outside of the US. It is not known whether a program requiring fewer hours/day of parent presence, which may be a better fit with current US family demographics and policies, would demonstrate similar benefits. The purpose of this pilot study is to compare parent and infant outcomes and unit outcomes pre and post a planned unit-wide intervention aimed at increasing parent presence in the NICU. The FCC intervention will consist of communicating an expectation that all NICU parents be present at minimum 4 hours/day versus the current practice of telling families to "come as much as they can" that has resulted in inconsistent parent presence. Following informed consent, data will be collected on up to 45 NICU infants and families pre- and post- the intervention for a total sample of up to 90. Infant measures will include Salivary Cortisol levels, Infant weight gain, Length of Stay and Feeding route at discharge as well as rates of Family Visiting, Traditional Holding, Kangaroo Care (KC), and Breastfeeding. Parent measures will include Salivary Cortisol Levels and reported stress using the Parent Stress Scale: NICU. Unit-wide data will also be collected pre- and post- the intervention. Unit wide measures will include rates of Visitation, KC, Breastfeeding, Nosocomial Infections, IV infiltrates, Medication Errors and Incident (SERS) report rates.
Investigators
Susan M Horner, MS, APN/CNS, RNC-NIC
Clinical Nurse Specialist - Developmental Specialist
Ann & Robert H Lurie Children's Hospital of Chicago
Eligibility Criteria
Inclusion Criteria
- •Less than 2 weeks of age
- •Must be admitted to NICU
Exclusion Criteria
- •Previously discharged home
- •\<28 weeks gestation
- •Anticipated hospital stay \> 3 months
Outcomes
Primary Outcomes
Parent Salivary Cortisols
Time Frame: Throughout duration of NICU stay, an expected average of 4 weeks
Salivary Cortisol levels obtained at admission, every 4 weeks and at discharge
Parent Stress Scale: NICU
Time Frame: Throughout duration of NICU stay, an expected average of 4 weeks
Measured at admission and discharge using validated Parent Stress Scale: NICU
Infant Salivary Cortisol
Time Frame: Throughout duration of NICU stay, an expected average of 4 weeks
Measured at admission, every 4 weeks and at discharge
Secondary Outcomes
- Family Visiting Rate(Throughout duration of NICU stay, an expected average of 4 weeks)
- Parent Kangaroo Care Rate(Throughout duration of NICU stay, an expected average of 4 weeks)
- Breastfeeding Rate(Throughout duration of NICU stay, an expected average of 4 weeks)