The health care system is making 'too much noise' to provide family-centred care in neonatal intensive care units: Perspectives of health care providers and hospital administrators

Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses
Karen M BenziesRenée Misfeldt

Abstract

To describe the perspectives of health care providers and hospital administrators on their experiences of providing care for infants in Level II neonatal intensive care units and their families. We conducted 36 qualitative interviews with neonatal health care providers and hospital administrators and analysed data using a descriptive interpretive approach. 10 Level II Neonatal Intensive Care Units in a single, integrated health care system in one Canadian province. Three major themes emerged: (1) providing family-centred care, (2) working amidst health care system challenges, and (3) recommending improvements to the health care system. The overarching theme was that the health care system was making 'too much noise' for health care providers and hospital administrators to provide family-centred care in ways that would benefit infants and their families. Recommended improvements included: refining staffing models, enhancing professional development, providing tools to deliver consistent care, recognising parental capacity to be involved in care, strengthening continuity of care, supporting families to be with their infant, and designing family-friendly environments. When implementing family-centred care initiatives, health care ...Continue Reading

Citations

Jul 2, 2020·International Journal of Technology Assessment in Health Care·Michael J DiStefano, Carleigh B Krubiner
Jul 14, 2019·Journal of Pediatric Nursing·Jila MirlashariFatemeh Khoshkhou
Jun 7, 2021·Journal of Perinatology : Official Journal of the California Perinatal Association·Jennifer J MillerRenee D Boss
Jun 13, 2021·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Rahel NaefSandra Eggenberger
Jun 24, 2021·Revista brasileira de enfermagem·Marcelli Cristine VocciCassiana Mendes Bertoncello Fontes
Jun 29, 2021·Pediatric Investigation·Chandra WaddingtonUNKNOWN International Steering Committee for Family Integrated Care

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