Farideh Bastani1, Tayebe Ali Abadi2, Hamid Haghani3. 1. Associate Professor, Departments of Community Health Nursing and Geriatrics Nursing, School of Management and Information, Iran University of Medical Sciences , Tehran, Iran . 2. Faculty, Department of Nursing, Neyshabur Science and Research Branch, Islamic Azad University , Neyshabur, Iran . 3. Assistant Professor, Department of Biostatistics, School of Management and Information, Iran University of Medical Sciences , Tehran, Iran .
Abstract
INTRODUCTION:Healthcare quality is usually evaluated through analysing medical outcomes including neonatal readmission and patient and family satisfaction. Parental involvement in neonatal care is considered as one of the most important factors, which directly affects these outcomes. The aim of the present study was to determine the effect of family-centered care including maternal participation, presence, and information about neonatal care, on maternal satisfaction and neonatal readmission; the care services were provided by the primiparous mothers of preterm infants. MATERIALS AND METHODS: One hundred and ten primiparous mothers with preterm infants participated in this clinical trial. All samples were randomly divided into family-centered care (FCC) and control groups, through simple random sampling. The FCC program, which consisted of information about neonatal care, maternal presence, and participation in the care process, was implemented in the FCC group, while the control group was provided with routine care. Data were obtained using demographic and satisfaction questionnaires and readmission checklist. RESULTS: In the FCC group, the mean score of satisfaction increased after the implementation of the program (22.36 and 59.28 before and after the program, respectively) (p<0.001); however, this increase in the control group was not significant. The obtained results regarding the different aspects of satisfaction indicated that mothers in the FCC group were more satisfied with maternal presence in the neonatal intensive care unit (NICU), compared with aspects of information and participation. In addition, the number of neonatal readmission was less in the FCC group compared with the control group, and the mean duration of hospitalization was 6.96 and 12.96 days in the FCC and control groups, respectively (p<0.001). CONCLUSION:FCC program seems to be effective in increasing maternal satisfaction and decreasing neonatal readmission. Therefore, it seems necessary that healthcare authorities of the departments of obstetrics and gynecology in Iran provide the opportunity for the implementation of such programs in clinical environments, which follow the policy of parental absence and participation in the intensive care units.
RCT Entities:
INTRODUCTION: Healthcare quality is usually evaluated through analysing medical outcomes including neonatal readmission and patient and family satisfaction. Parental involvement in neonatal care is considered as one of the most important factors, which directly affects these outcomes. The aim of the present study was to determine the effect of family-centered care including maternal participation, presence, and information about neonatal care, on maternal satisfaction and neonatal readmission; the care services were provided by the primiparous mothers of preterm infants. MATERIALS AND METHODS: One hundred and ten primiparous mothers with preterm infants participated in this clinical trial. All samples were randomly divided into family-centered care (FCC) and control groups, through simple random sampling. The FCC program, which consisted of information about neonatal care, maternal presence, and participation in the care process, was implemented in the FCC group, while the control group was provided with routine care. Data were obtained using demographic and satisfaction questionnaires and readmission checklist. RESULTS: In the FCC group, the mean score of satisfaction increased after the implementation of the program (22.36 and 59.28 before and after the program, respectively) (p<0.001); however, this increase in the control group was not significant. The obtained results regarding the different aspects of satisfaction indicated that mothers in the FCC group were more satisfied with maternal presence in the neonatal intensive care unit (NICU), compared with aspects of information and participation. In addition, the number of neonatal readmission was less in the FCC group compared with the control group, and the mean duration of hospitalization was 6.96 and 12.96 days in the FCC and control groups, respectively (p<0.001). CONCLUSION: FCC program seems to be effective in increasing maternal satisfaction and decreasing neonatal readmission. Therefore, it seems necessary that healthcare authorities of the departments of obstetrics and gynecology in Iran provide the opportunity for the implementation of such programs in clinical environments, which follow the policy of parental absence and participation in the intensive care units.
Entities:
Keywords:
Neonatal intensive care unit; Readmission; Satisfaction
Authors: Carmen Herrera-Espiñeira; Maria del Mar Rodríguez del Aguila; Mercedes Rodríguez del Castillo; Antonia Fernández Valdivia; Isabel Reyes Sánchez Journal: Health Policy Date: 2008-06-11 Impact factor: 2.980
Authors: Jenny C Ingram; Jane E Powell; Peter S Blair; David Pontin; Maggie Redshaw; Sarah Manns; Lucy Beasant; Heather Burden; Debbie Johnson; Claire Rose; Peter J Fleming Journal: BMJ Open Date: 2016-03-10 Impact factor: 2.692
Authors: Daren K Heyland; Judy Davidson; Yoanna Skrobik; Amanda Roze des Ordons; Lauren J Van Scoy; Andrew G Day; Virginia Vandall-Walker; Andrea P Marshall Journal: Trials Date: 2018-01-04 Impact factor: 2.279
Authors: Nabila Zaka; Emma C Alexander; Logan Manikam; Irena C F Norman; Melika Akhbari; Sarah Moxon; Pavani Kalluri Ram; Georgina Murphy; Mike English; Susan Niermeyer; Luwei Pearson Journal: Implement Sci Date: 2018-01-25 Impact factor: 7.327