Broekema, R. (Roos) (2018) Family Centered Care : A quasi-experimental study on the differences in Family Centered Care delivery and perinatal outcomes of the NICU population between a Single-Family Room and Open Bay NICU design. thesis, Medicine.
Full text available on request.Abstract
Objective - To determine the differences in Family Centered Care (FCC) delivery and perinatal outcomes of the Neonatal Intensive Care Unit (NICU) population between two comparable NICUs, one with a Single-Family Room (SFR) and the other with an Open Bay (OB) design. Methods - A retrospective non-randomized study is carried out to investigate if an SFR design is associated with better perinatal outcomes (perinatal mortality, infections, length of stay (LOS) and satisfaction with care). Comparing all consecutive NICU patients in the period of 2008-2016 in two NICUs, one with an SFR (N=1695) and another with an OB design (N=1382). Moreover, semi-structured interviews were conducted among parents of the OB (N=6) and SFR (N=5) NICU. Results - No significant differences in perinatal mortality between an OB and SFR NICU were found. However, the SFR NICU led to a significant reduction in superficial skin infections (OR=0.383) and clinical sepsis (negative blood culture) (OR=0.319). In addition, we found a significant increase of the LOS in both NICUs. Finally, we found a significant increase in satisfaction after implementing the SFRs. The main advantages of the SFR NICU design reported by mothers included (1) privacy, (2) comfort, (3) fewer alarms, (4) improved bond with nurses, and (5) being more involved in the care of their infant. However, mothers also mentioned an advantage of the OB NICU; being more in contact with other parents. Conclusion - The findings of this study illustrate the importance of FCC which is essential in ensuring parental satisfaction and may promote the health and well-being of children. A possible new NICU design should combine the best of both worlds. We suggest that the differences between the SFR and OB design should be further explored when detailed patient level data is available for future research.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Faculty supervisor: and Scherjon, Prof.dr. S.A. University Medical Center Groningen |
| Supervisor name: | Second supervisor: and Oei, Prof.dr. S.G. and Máxima Medical Center Veldhoven |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 10:42 |
| Last Modified: | 25 Jun 2020 10:42 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/373 |
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