A Pilot Study of Family-Integrated Care (FICare) in Critically Ill Preterm and Term Infants in the NICU: FICare Plus
Family-integrated care (FICare) is associated with improved developmental outcomes and decreased parental mental health risks in stable preterm infants. However, less is known about its application in critically ill infants who are at greater risk for adverse outcomes. The objective of this study wa...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-08-01
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| Series: | Children |
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| Online Access: | https://www.mdpi.com/2227-9067/10/8/1337 |
| _version_ | 1797585104324788224 |
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| author | Najmus Sehr Ansari Linda S. Franck Christopher Tomlinson Anna Colucci Karel O’Brien |
| author_facet | Najmus Sehr Ansari Linda S. Franck Christopher Tomlinson Anna Colucci Karel O’Brien |
| author_sort | Najmus Sehr Ansari |
| collection | DOAJ |
| description | Family-integrated care (FICare) is associated with improved developmental outcomes and decreased parental mental health risks in stable preterm infants. However, less is known about its application in critically ill infants who are at greater risk for adverse outcomes. The objective of this study was to assess the safety and feasibility of implementation of an augmented FICare program, FICare Plus, in critically ill infants in the first few weeks of life. Resources were specifically developed for staff and parents to support earlier parental engagement in infant care. Infant health outcomes and standardized measures of parental stress, anxiety and parenting self-efficacy were also collected using standardized questionnaires: State -Trait Anxiety Inventory (STAI), Parental Stressor Scale: NICU (PSS: NICU), Perceived Parenting Self-Efficacy Tool and Family Centered Care Survey. The <i>t</i>-test or Wilcoxon rank-sum test were used to compare continuous variables, while the Chi-square or Fisher exact test were used for categorical variables, respectively. In this prospective cohort study, 41 critically ill infants were enrolled: 17 in standard care (SC) and 24 in the FICare Plus group. The tools and procedures developed for FICare Plus successfully supported greater engagement in the care of their infants with no increase in adverse events and no increase in parental stress. Parents in the FICare Plus cohort felt confident to participate in their infant’s care. The staff also found this model of care acceptable and well adopted. Preliminary measures of infant efficacy were similar in both groups. Total anxiety scores were high among all parents at enrollment (87 (67–94) vs. 70.5 (66–86); <i>p</i>-value 0.22). However, the scores prior to discharge were lower in FICare Plus group (78 (71–90) vs. 63 (52–74.5); <i>p</i>-value 0.02). This pilot study showed that it is feasible and safe to implement family-integrated care in critically ill infants. |
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| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-11T00:02:07Z |
| publishDate | 2023-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-4858527b3f2a4ec8b9f89bf96344cd9e2023-11-19T00:39:59ZengMDPI AGChildren2227-90672023-08-01108133710.3390/children10081337A Pilot Study of Family-Integrated Care (FICare) in Critically Ill Preterm and Term Infants in the NICU: FICare PlusNajmus Sehr Ansari0Linda S. Franck1Christopher Tomlinson2Anna Colucci3Karel O’Brien4Department of Pediatrics, University of Toronto, Toronto, ON M5S 1A1, CanadaSchool of Nursing, University of California, San Francisco, CA 94143, USADepartment of Pediatrics, University of Toronto, Toronto, ON M5S 1A1, CanadaDepartment of Pediatrics, Mount Sinai Hospital, Toronto, ON M5G 1X5, CanadaDepartment of Pediatrics, University of Toronto, Toronto, ON M5S 1A1, CanadaFamily-integrated care (FICare) is associated with improved developmental outcomes and decreased parental mental health risks in stable preterm infants. However, less is known about its application in critically ill infants who are at greater risk for adverse outcomes. The objective of this study was to assess the safety and feasibility of implementation of an augmented FICare program, FICare Plus, in critically ill infants in the first few weeks of life. Resources were specifically developed for staff and parents to support earlier parental engagement in infant care. Infant health outcomes and standardized measures of parental stress, anxiety and parenting self-efficacy were also collected using standardized questionnaires: State -Trait Anxiety Inventory (STAI), Parental Stressor Scale: NICU (PSS: NICU), Perceived Parenting Self-Efficacy Tool and Family Centered Care Survey. The <i>t</i>-test or Wilcoxon rank-sum test were used to compare continuous variables, while the Chi-square or Fisher exact test were used for categorical variables, respectively. In this prospective cohort study, 41 critically ill infants were enrolled: 17 in standard care (SC) and 24 in the FICare Plus group. The tools and procedures developed for FICare Plus successfully supported greater engagement in the care of their infants with no increase in adverse events and no increase in parental stress. Parents in the FICare Plus cohort felt confident to participate in their infant’s care. The staff also found this model of care acceptable and well adopted. Preliminary measures of infant efficacy were similar in both groups. Total anxiety scores were high among all parents at enrollment (87 (67–94) vs. 70.5 (66–86); <i>p</i>-value 0.22). However, the scores prior to discharge were lower in FICare Plus group (78 (71–90) vs. 63 (52–74.5); <i>p</i>-value 0.02). This pilot study showed that it is feasible and safe to implement family-integrated care in critically ill infants.https://www.mdpi.com/2227-9067/10/8/1337family-integrated carecritically ill neonatessafetyfeasibility |
| spellingShingle | Najmus Sehr Ansari Linda S. Franck Christopher Tomlinson Anna Colucci Karel O’Brien A Pilot Study of Family-Integrated Care (FICare) in Critically Ill Preterm and Term Infants in the NICU: FICare Plus Children family-integrated care critically ill neonates safety feasibility |
| title | A Pilot Study of Family-Integrated Care (FICare) in Critically Ill Preterm and Term Infants in the NICU: FICare Plus |
| title_full | A Pilot Study of Family-Integrated Care (FICare) in Critically Ill Preterm and Term Infants in the NICU: FICare Plus |
| title_fullStr | A Pilot Study of Family-Integrated Care (FICare) in Critically Ill Preterm and Term Infants in the NICU: FICare Plus |
| title_full_unstemmed | A Pilot Study of Family-Integrated Care (FICare) in Critically Ill Preterm and Term Infants in the NICU: FICare Plus |
| title_short | A Pilot Study of Family-Integrated Care (FICare) in Critically Ill Preterm and Term Infants in the NICU: FICare Plus |
| title_sort | pilot study of family integrated care ficare in critically ill preterm and term infants in the nicu ficare plus |
| topic | family-integrated care critically ill neonates safety feasibility |
| url | https://www.mdpi.com/2227-9067/10/8/1337 |
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