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Exploring Parental and Staff Perceptions of the Family-Integrated Care Model: A Qualitative Focus Group Study.
Adv Neonatal Care. 2017 Dec; 17(6):E12-E19.AN

Abstract

BACKGROUND

Family-integrated care (FICare) is an innovative model of care developed at Mount Sinai Hospital, Canada, to better integrate parents into the team caring for their infant in the neonatal intensive care unit (NICU). The effects of FICare on neonatal outcomes and parental anxiety were assessed in an international multicenter randomized trial. As an Australian regional level 3 NICU that was randomized to the intervention group, we aimed to explore parent and staff perceptions of the FICare program in our dual occupancy NICU.

SUBJECTS AND DESIGN

This qualitative study took place in a level 3 NICU with 5 parent participants and 8 staff participants, using a post implementation review design.

METHODS

Parents and staff perceptions of FICare were explored through focus group methodology. Thematic content analysis was done on focus group transcripts.

RESULTS

Parents and staff perceived the FICare program to have had a positive impact on parental confidence and role attainment and thought that FICare improved parent-to-parent and parent-to-staff communication. Staff reported that nurses working with families in the program performed less hands-on care and spent more time educating and supporting parents.

IMPLICATIONS FOR PRACTICE

FICare may change current NICU practice through integrating and accepting parents as active members of the infant's care team. In addition, nurse's roles may transition from bedside carer to care coordinator, educating and supporting parents during their journey through the NICU.

IMPLICATIONS FOR RESEARCH

Further research is needed to assess the long-term impact of FICare on neonates, parents, and staff.

Authors+Show Affiliations

Department of Neonatology, Centenary Hospital for Women and Children, Australian Capital Territory, Australia (Drs Broom and Kecskes and Ms Carlisle); Australian Catholic University, Dickson, Australian Capital Territory, Australia (Dr Broom); Australian National University, Medical School, Canberra, Australian Capital Territory (Prof Kecskes and Dr Carlisle); and Monash University, Melbourne, Victoria, Australia (Ms Parsons).No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29083997

Citation

Broom, Margaret, et al. "Exploring Parental and Staff Perceptions of the Family-Integrated Care Model: a Qualitative Focus Group Study." Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses, vol. 17, no. 6, 2017, pp. E12-E19.
Broom M, Parsons G, Carlisle H, et al. Exploring Parental and Staff Perceptions of the Family-Integrated Care Model: A Qualitative Focus Group Study. Adv Neonatal Care. 2017;17(6):E12-E19.
Broom, M., Parsons, G., Carlisle, H., Kecskes, Z., & Thibeau, S. (2017). Exploring Parental and Staff Perceptions of the Family-Integrated Care Model: A Qualitative Focus Group Study. Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses, 17(6), E12-E19. https://doi.org/10.1097/ANC.0000000000000443
Broom M, et al. Exploring Parental and Staff Perceptions of the Family-Integrated Care Model: a Qualitative Focus Group Study. Adv Neonatal Care. 2017;17(6):E12-E19. PubMed PMID: 29083997.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Exploring Parental and Staff Perceptions of the Family-Integrated Care Model: A Qualitative Focus Group Study. AU - Broom,Margaret, AU - Parsons,Georgia, AU - Carlisle,Hazel, AU - Kecskes,Zsuzsoka, AU - Thibeau,Shelley, PY - 2017/10/31/pubmed PY - 2018/2/2/medline PY - 2017/10/31/entrez SP - E12 EP - E19 JF - Advances in neonatal care : official journal of the National Association of Neonatal Nurses JO - Adv Neonatal Care VL - 17 IS - 6 N2 - BACKGROUND: Family-integrated care (FICare) is an innovative model of care developed at Mount Sinai Hospital, Canada, to better integrate parents into the team caring for their infant in the neonatal intensive care unit (NICU). The effects of FICare on neonatal outcomes and parental anxiety were assessed in an international multicenter randomized trial. As an Australian regional level 3 NICU that was randomized to the intervention group, we aimed to explore parent and staff perceptions of the FICare program in our dual occupancy NICU. SUBJECTS AND DESIGN: This qualitative study took place in a level 3 NICU with 5 parent participants and 8 staff participants, using a post implementation review design. METHODS: Parents and staff perceptions of FICare were explored through focus group methodology. Thematic content analysis was done on focus group transcripts. RESULTS: Parents and staff perceived the FICare program to have had a positive impact on parental confidence and role attainment and thought that FICare improved parent-to-parent and parent-to-staff communication. Staff reported that nurses working with families in the program performed less hands-on care and spent more time educating and supporting parents. IMPLICATIONS FOR PRACTICE: FICare may change current NICU practice through integrating and accepting parents as active members of the infant's care team. In addition, nurse's roles may transition from bedside carer to care coordinator, educating and supporting parents during their journey through the NICU. IMPLICATIONS FOR RESEARCH: Further research is needed to assess the long-term impact of FICare on neonates, parents, and staff. SN - 1536-0911 UR - https://www.unboundmedicine.com/medline/citation/29083997/Exploring_Parental_and_Staff_Perceptions_of_the_Family_Integrated_Care_Model:_A_Qualitative_Focus_Group_Study_ L2 - http://dx.doi.org/10.1097/ANC.0000000000000443 DB - PRIME DP - Unbound Medicine ER -