Architectural design, facilities and family participation in neonatal units in Spain: A multicentre study.

Autor: Solís-García G; Neonatology Division, Hospital Universitario 12 de Octubre, Madrid, Spain., Cambra-Rufino L; Departamento de Construcción y Tecnología Arquitectónicas, Escuela Técnica Superior de Arquitectura de la Universidad Politécnica de Madrid, Madrid, Spain., Piris Borregas S; Neonatology Division, Hospital Universitario 12 de Octubre, Madrid, Spain.; i+12 Biomedical Institute, Hospital Universitario 12 de Octubre, Madrid, Spain., Carrasco Pérez A; Neonatology Division, Hospital Universitario 12 de Octubre, Madrid, Spain., López Maestro M; Neonatology Division, Hospital Universitario 12 de Octubre, Madrid, Spain., De la Cruz Bértolo J; i+12 Biomedical Institute, Hospital Universitario 12 de Octubre, Madrid, Spain., Moral Pumarega MT; Neonatology Division, Hospital Universitario 12 de Octubre, Madrid, Spain., Pallás Alonso CR; Neonatology Division, Hospital Universitario 12 de Octubre, Madrid, Spain.; i+12 Biomedical Institute, Hospital Universitario 12 de Octubre, Madrid, Spain.
Jazyk: angličtina
Zdroj: Acta paediatrica (Oslo, Norway : 1992) [Acta Paediatr] 2024 Apr; Vol. 113 (4), pp. 716-721. Date of Electronic Publication: 2024 Jan 07.
DOI: 10.1111/apa.17085
Abstrakt: Aim: The architecture of neonatal units plays a key role in developmental strategies and preterm outcomes. The aim was to evaluate the design of Spanish neonatal units and its impact on the participation of parents in neonatal care.
Methods: A web-based survey was sent to all level III Spanish neonatal units, including questions about hospital data, architectural design, facilities and family participation.
Results: The study included 63 units. Most units (87%) had part or all the intensive care patients located in open bay units, while 54% had at least one individual patient cubicle. Single family rooms, defined as those including enough space and furniture for family members to stay with the infant without restrictions, were available in 8 units (13%). Eighteen units (29%) had a structured programme of family education. Units with single family rooms were more likely to have parental participation in rounds (p < 0.01), safety protocols (p = 0.02), oxygen management (p < 0.01) and nasogastric tube feeding (p = 0.02), as well as to allow siblings to participate in kangaroo care (p < 0.01).
Conclusion: Widely variable architectural designs and policies were found in Spanish neonatal units. The presence of single family rooms may have impacted the participation of parents in neonatal care.
(© 2024 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
Externí odkaz: