TY - JOUR
T1 - Parental presence on neonatal intensive care unit clinical bedside rounds: Randomised trial and focus group discussion
AU - Abdel-Latif, Mohamed
AU - Boswell, Danette
AU - Broom, Margaret
AU - Smith, Judith
AU - DAVIS, Deborah
N1 - Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.
PY - 2015
Y1 - 2015
N2 - Background There are limited data to inform the choice between parental presence at clinical bedside rounds (PPCBR) and non-PPCBR in neonatal intensive care units (NICUs). Methods We performed a single-centre, survey-based, crossed-over randomised trial involving parents of all infants who were admitted to NICU and anticipated to stay >11 days. Parents were randomly assigned using a computer-generated stratified block randomisation protocol to start with PPCBR or non-PPCBR and then crossed over to the other arm after a wash-out period. At the conclusion of each arm, parents completed the 'NICU Parental Stressor Scale ' (a validated tool) and a satisfaction survey. After completion of the trial, we surveyed all healthcare providers who participated at least in one PPCBR rounding episode. We also offered all participating parents and healthcare providers the opportunity to partake in a focus group discussion regarding PPCBR. Results A total of 72 parents were enrolled in this study, with 63 parents (87%) partially or fully completing the trial. Of the parents who completed the trial, 95% agreed that parents should be allowed to attend clinical bedside rounds. A total of 39 healthcare providers ' surveys were returned and 35 (90%) agreed that parents should be allowed to attend rounds. Nine healthcare providers and 8 parents participated in an interview or focus group, augmenting our understanding of the ways in which PPCBR was beneficial. Conclusions Parents and healthcare providers strongly support PPCBR. NICUs should develop policies allowing PPCBR while mitigating the downsides and concerns of parents and healthcare providers such as decreased education opportunity and confi dentiality concerns. Trial registration number Australia and New Zealand Clinical Trials Register number, ACTRN12612000506897.
AB - Background There are limited data to inform the choice between parental presence at clinical bedside rounds (PPCBR) and non-PPCBR in neonatal intensive care units (NICUs). Methods We performed a single-centre, survey-based, crossed-over randomised trial involving parents of all infants who were admitted to NICU and anticipated to stay >11 days. Parents were randomly assigned using a computer-generated stratified block randomisation protocol to start with PPCBR or non-PPCBR and then crossed over to the other arm after a wash-out period. At the conclusion of each arm, parents completed the 'NICU Parental Stressor Scale ' (a validated tool) and a satisfaction survey. After completion of the trial, we surveyed all healthcare providers who participated at least in one PPCBR rounding episode. We also offered all participating parents and healthcare providers the opportunity to partake in a focus group discussion regarding PPCBR. Results A total of 72 parents were enrolled in this study, with 63 parents (87%) partially or fully completing the trial. Of the parents who completed the trial, 95% agreed that parents should be allowed to attend clinical bedside rounds. A total of 39 healthcare providers ' surveys were returned and 35 (90%) agreed that parents should be allowed to attend rounds. Nine healthcare providers and 8 parents participated in an interview or focus group, augmenting our understanding of the ways in which PPCBR was beneficial. Conclusions Parents and healthcare providers strongly support PPCBR. NICUs should develop policies allowing PPCBR while mitigating the downsides and concerns of parents and healthcare providers such as decreased education opportunity and confi dentiality concerns. Trial registration number Australia and New Zealand Clinical Trials Register number, ACTRN12612000506897.
KW - Communication
KW - Confidentiality
KW - Cross-Over Studies
KW - Focus Groups
KW - Humans
KW - Infant, Newborn
KW - Intensive Care Units, Neonatal
KW - Medical Staff, Hospital/psychology
KW - Parents/psychology
KW - Professional-Family Relations
KW - Stress, Psychological
UR - http://www.scopus.com/inward/record.url?scp=84927653690&partnerID=8YFLogxK
UR - http://www.mendeley.com/research/parental-presence-neonatal-intensive-care-unit-clinical-bedside-rounds-randomised-trial-focus-group
U2 - 10.1136/archdischild-2014-306724
DO - 10.1136/archdischild-2014-306724
M3 - Article
C2 - 25711125
SN - 1359-2998
VL - 100
SP - 203
EP - 209
JO - Archives of Disease in Childhood. Fetal and Neonatal Edition
JF - Archives of Disease in Childhood. Fetal and Neonatal Edition
IS - 3
ER -