Asynchronous video messaging promotes family involvement and mitigates separation in neonatal care.

Autor:	Kirolos S; Neonatology, Princess Royal Maternity Hospital, Glasgow, UK sandy.kirolos@nhs.net., Sutcliffe L; Neonatology, Royal Hospital for Children, Glasgow, UK., Giatsi Clausen M; School of Health Sciences, Queen Margaret University, Edinburgh, UK., Abernethy C; Neonatology, Princess Royal Maternity Hospital, Glasgow, UK., Shanmugalingam S; Starlight neonatal unit, Barnet Hospital, London, UK., Bauwens N; Neonatology, Aberdeen Maternity Hospital, Aberdeen, UK., Orme J; Neonatology, Simpson Centre for Reproductive Health, Edinburgh, UK., Thomson K; Neonatology, Forth Valley Royal Hospital, Larbert, UK., Grattan R; Neonatology, Forth Valley Royal Hospital, Larbert, UK., Patel N; Neonatology, Royal Hospital for Children, Glasgow, UK.
Jazyk:	angličtina
Zdroj:	Archives of disease in childhood. Fetal and neonatal edition [Arch Dis Child Fetal Neonatal Ed] 2021 Mar; Vol. 106 (2), pp. 172-177. Date of Electronic Publication: 2020 Sep 14.
DOI:	10.1136/archdischild-2020-319353
Abstrakt:	Objective: To evaluate the parent and staff experience of a secure video messaging service as a component of neonatal care. Design: Multicentre evaluation incorporating quantitative and qualitative items. Setting: Level II and level III UK neonatal units. Population: Families of neonatal inpatients and neonatal staff. Intervention: Use of a secure, cloud-based asynchronous video messaging service to send short messages from neonatal staff to families. Evaluation undertaken July-November 2019. Main Outcome Measures: Parental experience, including anxiety, involvement in care, relationships between parents and staff, and breastmilk expression. Results: In pre-implementation surveys (n=41), families reported high levels of stress and anxiety and were receptive to use of the service. In post-implementation surveys (n=42), 88% perceived a benefit of the service on their neonatal experience. Families rated a positive impact of the service on anxiety, sleep, family involvement and relationships with staff. Qualitative responses indicated enhanced emotional closeness, increased involvement in care and a positive effect on breastmilk expression. Seventy-seven post-implementation staff surveys were also collected. Staff rated the service as easy to use, with minimal impact on workload. Seventy-one percent (n=55) felt the service had a positive impact on relationships with families. Staff identified the need to manage parental expectations in relation to the number of videos that could be sent. Conclusions: Asynchronous video messaging improves parental experience, emotional closeness to their baby and builds supportive relationships between families and staff. Asynchronous video supports models of family integrated care and can mitigate family separation, which could be particularly relevant during the COVID-19 pandemic. Competing Interests: Competing interests: NP developed the concept of video messaging and provided clinical input on development of the service. He has no financial or other interest in the service. (© Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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