Recommendations on the environment for hospitalised newborn infants from the French neonatal society: rationale, methods and first recommendation on neonatal intensive care unit design

Acta Paediatrica
Pierre KuhnGREEN study group from the French Neonatal Society

Abstract

Hospitalised newborn infants may be stressed due to inappropriate sensory stimuli and early separation from their families, that can negatively impact their neurodevelopment. The French Group of Reflection and Evaluation of the Environment of Newborns (GREEN) issues guidelines based on environmental neonatology and family-centred care. The first recommendation focuses on private family rooms versus large shared rooms. These guidelines are based on a systematic evaluation of the literature providing different grades of evidence. Internal and external reviews by multidisciplinary experts examined the scientific evidence of all recommendations. The literature search was performed for the period January 1, 2000 to January 1, 2016 with the keywords 'single room' or 'private room' and 'neonatal intensive care unit'. A total of 25 studies were retained. Most studies reported a positive impact of private rooms on the health of newborn infants and satisfaction of families. Private rooms could lead to sensory deprivation if there is low parental involvement with limited presence and to reduced interaction among caregivers. We recommend that neonatal units should mostly have private rooms. With this architectural design, we recommend supp...Continue Reading

Associated Clinical Trials

Dec 11, 2020·Prof. Olivier BAUD, MD-PhD

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Citations

May 29, 2019·Critical Care Nursing Quarterly·Fredrika SundbergBerit Lindahl
Nov 28, 2019·Acta Paediatrica·Patrick PladysUNKNOWN Group for Reflections on and Evaluation of the Neonatal Environment of the French Neonatal Society
Aug 30, 2019·European Journal of Pediatrics·Laurent RenesmeP Kuhn
Jan 20, 2020·Acta Paediatrica·Claire Zores-KoenigUNKNOWN Group of Reflection and  Evaluation of the Environment of Newborns study group of the French Neonatology Society
May 13, 2020·Nursing in Critical Care·Fredrika SundbergIngemar Kåreholt
Feb 23, 2021·The European Journal of Neuroscience·Meggane MelchiorPierrick Poisbeau
Mar 14, 2021·Journal of Perinatology : Official Journal of the California Perinatal Association·Marilyn AitaNancy Feeley

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