Ten Years of Neonatal Intensive Care Adaption to the Infants’ Needs: Implementation of a Family-Centered Care Model with Single-Family Rooms in Norway
Abstract
:1. Introduction
2. Milestones
3. A Minimal Handling Strategy
4. From Open Bay to Single-Family Room
5. Moving into the SFR Unit
6. Evaluation and Adjustment
6.1. More Individualized Infant and Family Care
6.2. Psychological Well-Being for Parents
6.3. Change in Roles
6.4. Follow up and Outpatients’ Care
7. Vision for the Future—Where Do We Go from Here?
8. Limitations
9. Conclusions
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
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Steps | Description |
---|---|
1. Assessment of the problem | A growing understanding of how the maternal separation negatively impacts the preterm infant’s brain and attachment to the parents. Founded in NICU management Establishment of an interprofessional steering group |
2. Literature review | Decision on the Single-Family Room unit framework and common set of unit values |
3. Development of an implementation strategy | PDSA cycle as a QI framework Development of comprehensive material for staff education Development of procedures for skin-to-skin contact and parental involvement |
4. Education of the NICU staff | Repetitive theoretical lectures during 2011 Practical training in communication Practical training in kangaroo admissions together with the maternity ward |
5. Implementation of new schemas/tools and guidelines | Systematic use of procedures and tools Daily supervision, reports, and discussions during medical rounds on quality indicators |
6. Monitoring of quality improvement data | The Norwegian quality registry for infants |
7. Continually improvement | Revision of procedures Changes in medical rounds The unit psychologist participates routinely in the parents–neonatologist meetings |
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Lyngstad, L.T.; Le Marechal, F.; Ekeberg, B.L.; Hochnowski, K.; Hval, M.; Tandberg, B.S. Ten Years of Neonatal Intensive Care Adaption to the Infants’ Needs: Implementation of a Family-Centered Care Model with Single-Family Rooms in Norway. Int. J. Environ. Res. Public Health 2022, 19, 5917. https://doi.org/10.3390/ijerph19105917
Lyngstad LT, Le Marechal F, Ekeberg BL, Hochnowski K, Hval M, Tandberg BS. Ten Years of Neonatal Intensive Care Adaption to the Infants’ Needs: Implementation of a Family-Centered Care Model with Single-Family Rooms in Norway. International Journal of Environmental Research and Public Health. 2022; 19(10):5917. https://doi.org/10.3390/ijerph19105917
Chicago/Turabian StyleLyngstad, Lene Tandle, Flore Le Marechal, Birgitte Lenes Ekeberg, Krzysztof Hochnowski, Mariann Hval, and Bente Silnes Tandberg. 2022. "Ten Years of Neonatal Intensive Care Adaption to the Infants’ Needs: Implementation of a Family-Centered Care Model with Single-Family Rooms in Norway" International Journal of Environmental Research and Public Health 19, no. 10: 5917. https://doi.org/10.3390/ijerph19105917