Introduction of Microsystems in a Level 3 Neonatal Intensive Care Unit - an Interprofessional Approach
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Stress, Psychological
- Sponsor
- McMaster Children's Hospital
- Enrollment
- 200
- Locations
- 1
- Primary Endpoint
- Change of stress level of Parents - Salivary cortisol (ng/dL)
- Last Updated
- 9 years ago
Overview
Brief Summary
The advancement in life-saving technologies and clinical expertise in the care of extremely premature infants, have resulted in the development of large neonatal intensive care units (NICU). It has been suggested that reconstruction of megaunits of neonatal intensive care to smaller care units with specific patient population and clinical team providers will be essential to maintain optimal teamwork, quality of care and patient outcome.
Despite the growing knowledge around the need for reconstruction of large NICUs to smaller units of care, there is no evidence regarding the safety and efficacy of microsystem model of care on the key aspects of health care. At the McMaster Children's Hospital (MCH), we planned a change from standard model of care to the microsystem model of care and therefore we aimed to prospectively assess the effect of this organizational change on the variable aspects of health care.
A working group met weekly to formulate the implementation planning, to review the adaptation and adjustment process and to ascertain the quality of implementation following the initiation of the microsystem model.
The study was retrospectively registered.
Investigators
Christoph Fusch
Professor
McMaster Children's Hospital
Eligibility Criteria
Inclusion Criteria
- Not provided
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Change of stress level of Parents - Salivary cortisol (ng/dL)
Time Frame: once every week, up to 3 month corrected age
Change of stress level of Health Care Professional - Salivary cortisol (ng/dL)
Time Frame: once every week, up to 3 month corrected age
Incidence of necrotizing enterocolitis
Time Frame: up to 3 month corrected age
Number of days with parenteral nutrition
Time Frame: up to 3 month corrected age
Bayley scale - Psychomotor Developmental Index
Time Frame: up to 3 month corrected age
Number of changes in the primary health care professionals
Time Frame: up to 3 month corrected age
Incidence of bronchopulmonary dysplasia
Time Frame: up to 3 month corrected age
use of resources (lab tests, X-rays, microbiological tests)
Time Frame: up to 3 month corrected age
number of procedures
Change of stress level of Patients - Salivary cortisol (ng/dL)
Time Frame: once every week, up to 3 month corrected age
Length of stay - days
Time Frame: up to 3 month corrected age
Incidence of sepsis
Time Frame: up to 3 month corrected age
Time to full feed - days
Time Frame: up to 3 month corrected age
Noise level (decibel)
Time Frame: up to 3 month corrected age
Time of feed initiation - days
Time Frame: up to 3 month corrected age
Bayley scale - Mental Developmental Index
Time Frame: up to 3 month corrected age
Incidence of retinopathia of prematurity
Time Frame: up to 3 month corrected age
Duration of mechanical ventilation - days
Time Frame: up to 3 month corrected age