Breaking down barriers: enabling care-by-parent in neonatal intensive care units in China
- 129 Downloads
Denying parents access to their infant in the Neonatal Intensive Care Unit (NICU) is a standard practice in most hospitals across China. Visitation is not usually permitted or may be strictly limited, and NICU care for most neonates is provided by health-care professionals with little participation of the parents. An exception to this rule is the level 2 “Room-In” ward in Qilu Children’s Hospital, Shandong University, where parents have 24-hour access to their infants and participate in providing care.
This retrospective cohort study compared the outcomes of infants who were admitted to the NICU and remained there throughout their stay (NICU-NICU group, n=428), admitted to the NICU and then transferred to the Room-In ward (NICU-RIn group, n=1018), or admitted straight to the Room-In ward (RIn only group, n=629).
There were no significant differences in the rates of nosocomial infection, bronchopulmonary dysplasia, intraventricular hemorrhage, and retinopathy of prematurity between the NICU-NICU and NICU-RIn groups. The rate of necrotizing enterocolitis was significantly lower in the NICU-RIn group (P=0.04), while weight gain and duration of hospital stay were significantly higher (both P<0.001). Rates of adverse outcomes were lower in RIn-only infants due to their low severity of illness on admission.
Allowing parents access to their infant in the NICU is feasible and safe in China, and may result in improvements in infant outcomes. Further studies are required to generate stronger evidence that can inform changes to neonatal care in China.
Key wordscare-by-parent family-centered care infant newborn neonatal intensive care unit parental involvement
Unable to display preview. Download preview PDF.
We would like to thank the staff of the Canadian Neonatal Network Coordinating Centre, Toronto, Canada, for their assistance with the database and developing a data collection procedure. We would also like to thank the medical team in the Neonatology Department, Qilu Children’s Hospital Shandong University, Jinan, China for data collection.
- 6.Melnyk BM, Feinstein NF, Alpert-Gillis L, Fairbanks E, Crean HF, Sinkin RA, et al. Reducing premature infants’ length of stay and improving parents’ mental health outcomes with the Creating Opportunities for Parent Empowerment (COPE) neonatal intensive care unit program: a randomized, controlled trial. Pediatrics 2006;118:e1414–e1427.CrossRefPubMedGoogle Scholar
- 26.Wang J, Guo QL, Zhao ZZ, Yang Y. Effects of parental participation nursing model on premature infants. Nurs J Chin PLA 2013;30:20–23. [In Chinese]Google Scholar
- 27.He PP, Xu LH, Shen N, Lou JH. Parents’ perception of familycentered nursing care. Zhonghua Hu Li Za Zhi 2005;40:885. [In Chinese]Google Scholar
- 28.Zhang X, Feng SJ, Han DR, Wu XH, Chen JL. The level and influencing factors of development supporting care among NICU nurses. Zhonghua Hu Li Za Zhi 2009;47:828–829. [In Chinese]Google Scholar
- 29.UNICEF. The Baby-Friendly Hospital Initiative [Online source]. 2015. Avaliable from: http://www.unicef.org/programme/breastfeeding/baby.htm. (accessed March 30, 2015)Google Scholar
- 32.Melnyk BM, Alpert-Gillis L, Feinstein NF, Fairbanks E, Schultz-Czarniak J, Hust D, et al. Improving cognitive development of low-birth-weight premature infants with the COPE program: a pilot study of the benefit of early NICU intervention with mothers. Res Nurs Health 2001;24:373–389.CrossRefPubMedGoogle Scholar