Increased parental satisfaction by unrestricted visiting hours and developmentally supportive care in NICUs - results of a German multicenter study.

Autor:	Jannes C; Cologne Center for Ethics, Rights, Economics, and Social Sciences of Health (ceres), University of Cologne; and Research Unit Ethics, Medical Faculty, University of Cologne, Cologne, Germany., Miedaner F; Department of Business Administration and Healthcare Management, University of Cologne, Cologne, Germany., Langhammer K; Department of Neonatology and Pediatric Intensive Care, Children's Hospital, University Clinic Cologne, Cologne, Germany., Enke C; Cologne Center for Ethics, Rights, Economics, and Social Sciences of Health (ceres), University of Cologne; and Research Unit Ethics, Medical Faculty, University of Cologne, Cologne, Germany., Göpel W; Department of Pediatrics, University of Lübeck, Lübeck, Germany., Kribs A; Department of Neonatology and Pediatric Intensive Care, Children's Hospital, University Clinic Cologne, Cologne, Germany., Nitzsche A; Faculty of Human Sciences and Faculty of Medicine, Institute of Medical Sociology, Health Services Research and Rehabilitation Science, University of Cologne, Cologne, Germany., Riedel R; Institute for Medical Economics and Health Services Research, Rheinische Fachhochschule Cologne, Cologne, Germany., Woopen C; Cologne Center for Ethics, Rights, Economics, and Social Sciences of Health (ceres), University of Cologne; and Research Unit Ethics, Medical Faculty, University of Cologne, Cologne, Germany., Kuntz L; Department of Business Administration and Healthcare Management, University of Cologne, Cologne, Germany., Roth B; Department of Business Administration and Healthcare Management, University of Cologne, Cologne, Germany.; Department of Neonatology and Pediatric Intensive Care, Children's Hospital, University Clinic Cologne, Cologne, Germany.
Jazyk:	angličtina
Zdroj:	The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians [J Matern Fetal Neonatal Med] 2020 Jun; Vol. 33 (11), pp. 1874-1880. Date of Electronic Publication: 2018 Dec 20.
DOI:	10.1080/14767058.2018.1532499
Abstrakt:	Purpose: This study aims to provide insights into the impact of organizational family-centered care characteristics at German neonatal intensive care units (NICUs) on the satisfaction of parents of very low birthweight (VLBW) infants. Materials and methods: Using multilevel modeling, this study analyzed whether organizational characteristics of NICUs fostering parent-infant interaction (by way of the existence of a recreation room , possibility of rooming in , existence of unrestricted visiting hours for parents, existence of parental classes , and the connection to parent associations as well as the existence of standards on developmentally supportive care ) increase the satisfaction of parents after the infants' high-intensive care phase within the NICU. Results: Nine hundred and twenty-three VLBW infants from 66 NICUs in Germany born between May and October 2013 were enrolled in this multicenter study. We retrieved 1493 questionnaires completed by 1277 parents. The existence of unrestricted visiting hours (adjusted odds ratio (AOR): 1.967; 95% CI [1.118, 3.459]) and standardized procedures for developmentally supportive care (AOR: 1.775; 95% CI [1.166, 2.704]) were positively associated with parental satisfaction. Conclusions: Fostering the parent-infant interaction through the provision of developmentally supportive care and unrestricted visiting hours for parents whose infants are hospitalized within an NICU significantly contributes to the satisfaction of parents.
Databáze:	MEDLINE
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