Family integrated care: Supporting parents as primary caregivers in the neonatal intensive care unit
ABSTRACT Family integrated care (FICare) is a collaborative model of neonatal care which aims to address the negative impacts of the neonatal intensive care unit (NICU) environment by involving parents as equal partners, minimizing separation, and supporting parent‐infant closeness. FICare incorpora...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2021-06-01
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| Series: | Pediatric Investigation |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/ped4.12277 |
| _version_ | 1818865381377310720 |
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| author | Chandra Waddington Nicole R. vanVeenendaal Karel O’Brien Neil Patel for the International Steering Committee for Family Integrated Care |
| author_facet | Chandra Waddington Nicole R. vanVeenendaal Karel O’Brien Neil Patel for the International Steering Committee for Family Integrated Care |
| author_sort | Chandra Waddington |
| collection | DOAJ |
| description | ABSTRACT Family integrated care (FICare) is a collaborative model of neonatal care which aims to address the negative impacts of the neonatal intensive care unit (NICU) environment by involving parents as equal partners, minimizing separation, and supporting parent‐infant closeness. FICare incorporates psychological, educational, communication, and environmental strategies to support parents to cope with the NICU environment and to prepare them to be able to emotionally, cognitively, and physically care for their infant. FICare has been associated with improved infant feeding, growth, and parent wellbeing and self‐efficacy; important mediators for long‐term improved infant neurodevelopmental and behavioural outcomes. FICare implementation requires multi‐disciplinary commitment, staff motivation, and sufficient time for preparation and readiness for change as professionals relinquish power and control to instead develop collaborative partnerships with parents. Successful FICare implementation and culture change have been applied by neonatal teams internationally, using practical approaches suited to their local environments. Strategies such as parent and staff meetings and relational communication help to break down barriers to change by providing space for the co‐creation of knowledge, the negotiation of caregiving roles and the development of trusting relationships. The COVID‐19 pandemic highlighted the vulnerability within programs supporting parental presence in neonatal units and the profound impacts of parent‐infant separation. New technologies and digital innovations can help to mitigate these challenges, and support renewed efforts to embed FICare philosophy and practice in neonatal care during the COVID‐19 recovery and beyond. |
| first_indexed | 2024-12-19T10:46:39Z |
| format | Article |
| id | doaj.art-10e2e056227d499abef8eccb127b5043 |
| institution | Directory Open Access Journal |
| issn | 2574-2272 |
| language | English |
| last_indexed | 2024-12-19T10:46:39Z |
| publishDate | 2021-06-01 |
| publisher | Wiley |
| record_format | Article |
| series | Pediatric Investigation |
| spelling | doaj.art-10e2e056227d499abef8eccb127b50432022-12-21T20:25:14ZengWileyPediatric Investigation2574-22722021-06-015214815410.1002/ped4.12277Family integrated care: Supporting parents as primary caregivers in the neonatal intensive care unitChandra Waddington0Nicole R. vanVeenendaal1Karel O’Brien2Neil Patel3for the International Steering Committee for Family Integrated CareFaculty of Nursing University of Toronto CanadaOLVG Amsterdam the NetherlandsMount Sinai Hospital Toronto CanadaRoyal Hospital for Children Glasgow UKABSTRACT Family integrated care (FICare) is a collaborative model of neonatal care which aims to address the negative impacts of the neonatal intensive care unit (NICU) environment by involving parents as equal partners, minimizing separation, and supporting parent‐infant closeness. FICare incorporates psychological, educational, communication, and environmental strategies to support parents to cope with the NICU environment and to prepare them to be able to emotionally, cognitively, and physically care for their infant. FICare has been associated with improved infant feeding, growth, and parent wellbeing and self‐efficacy; important mediators for long‐term improved infant neurodevelopmental and behavioural outcomes. FICare implementation requires multi‐disciplinary commitment, staff motivation, and sufficient time for preparation and readiness for change as professionals relinquish power and control to instead develop collaborative partnerships with parents. Successful FICare implementation and culture change have been applied by neonatal teams internationally, using practical approaches suited to their local environments. Strategies such as parent and staff meetings and relational communication help to break down barriers to change by providing space for the co‐creation of knowledge, the negotiation of caregiving roles and the development of trusting relationships. The COVID‐19 pandemic highlighted the vulnerability within programs supporting parental presence in neonatal units and the profound impacts of parent‐infant separation. New technologies and digital innovations can help to mitigate these challenges, and support renewed efforts to embed FICare philosophy and practice in neonatal care during the COVID‐19 recovery and beyond.https://doi.org/10.1002/ped4.12277Family integrated careNeonatal intensive careParent‐childCaregivers |
| spellingShingle | Chandra Waddington Nicole R. vanVeenendaal Karel O’Brien Neil Patel for the International Steering Committee for Family Integrated Care Family integrated care: Supporting parents as primary caregivers in the neonatal intensive care unit Pediatric Investigation Family integrated care Neonatal intensive care Parent‐child Caregivers |
| title | Family integrated care: Supporting parents as primary caregivers in the neonatal intensive care unit |
| title_full | Family integrated care: Supporting parents as primary caregivers in the neonatal intensive care unit |
| title_fullStr | Family integrated care: Supporting parents as primary caregivers in the neonatal intensive care unit |
| title_full_unstemmed | Family integrated care: Supporting parents as primary caregivers in the neonatal intensive care unit |
| title_short | Family integrated care: Supporting parents as primary caregivers in the neonatal intensive care unit |
| title_sort | family integrated care supporting parents as primary caregivers in the neonatal intensive care unit |
| topic | Family integrated care Neonatal intensive care Parent‐child Caregivers |
| url | https://doi.org/10.1002/ped4.12277 |
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