Impacts of Integrating Family-Centered Care and Developmental Care Principles on Neonatal Neurodevelopmental Outcomes among High-Risk Neonates
Background: Integrating family-centered care (FCC) and developmental care (DC) principles in neonatal care settings may improve neurodevelopmental outcomes for high-risk neonates. However, the combined impact of FCC and DC has been underexplored. This study aimed to investigate the effects of integr...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2023-10-01
|
| Series: | Children |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2227-9067/10/11/1751 |
| _version_ | 1797459745991294976 |
|---|---|
| author | Nourah Alsadaan Osama Mohamed Elsayed Ramadan Mohammed Alqahtani Mostafa Shaban Nadia Bassuoni Elsharkawy Enas Mahrous Abdelaziz Sayed Ibrahim Ali |
| author_facet | Nourah Alsadaan Osama Mohamed Elsayed Ramadan Mohammed Alqahtani Mostafa Shaban Nadia Bassuoni Elsharkawy Enas Mahrous Abdelaziz Sayed Ibrahim Ali |
| author_sort | Nourah Alsadaan |
| collection | DOAJ |
| description | Background: Integrating family-centered care (FCC) and developmental care (DC) principles in neonatal care settings may improve neurodevelopmental outcomes for high-risk neonates. However, the combined impact of FCC and DC has been underexplored. This study aimed to investigate the effects of integrated FCC and DC on neurodevelopment and length of hospital stay in high-risk neonates. Methods: A quasi-experimental pre–post study was conducted among 200 high-risk neonates (<32 weeks gestation or <1500 g) admitted to neonatal intensive care units (NICU) in Saudi Arabia. The intervention group (<i>n</i> = 100) received integrated FCC and DC for 6 months. The control group (<i>n</i> = 100) received standard care. Neurodevelopment was assessed using the Bayley Scales of Infant Development-III. Length of stay and readmissions were extracted from medical records. Results: The intervention group showed significant improvements in cognitive, motor, and language scores compared to controls (<i>p</i> < 0.05). The intervention group had a 4.3-day reduction in the mean length of stay versus a 1.4-day reduction in controls (<i>p</i> = 0.02). Integrated care independently predicted higher cognitive scores (<i>p</i> = 0.001) and shorter stays (<i>p</i> = 0.006) in regression models. Conclusion: Integrating FCC and DC in neonatal care enhances neurodevelopmental outcomes and reduces hospitalization for high-risk neonates compared to standard care. Implementing relationship-based, developmentally supportive models is critical for optimizing outcomes in this vulnerable population. |
| first_indexed | 2024-03-09T16:55:45Z |
| format | Article |
| id | doaj.art-67e655ed06c5468297224ffbd516a69d |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-09T16:55:45Z |
| publishDate | 2023-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-67e655ed06c5468297224ffbd516a69d2023-11-24T14:35:45ZengMDPI AGChildren2227-90672023-10-011011175110.3390/children10111751Impacts of Integrating Family-Centered Care and Developmental Care Principles on Neonatal Neurodevelopmental Outcomes among High-Risk NeonatesNourah Alsadaan0Osama Mohamed Elsayed Ramadan1Mohammed Alqahtani2Mostafa Shaban3Nadia Bassuoni Elsharkawy4Enas Mahrous Abdelaziz5Sayed Ibrahim Ali6College of Nursing, Jouf University, Sakaka 72388, Al Jawf, Saudi ArabiaCollege of Nursing, Jouf University, Sakaka 72388, Al Jawf, Saudi ArabiaCollege of Applied Medical Sciences, Department of Nursing, King Faisal University, Al Hofuf 31982, Al-Ahsa, Saudi ArabiaCollege of Nursing, Jouf University, Sakaka 72388, Al Jawf, Saudi ArabiaCollege of Nursing, Jouf University, Sakaka 72388, Al Jawf, Saudi ArabiaCollege of Nursing, Jouf University, Sakaka 72388, Al Jawf, Saudi ArabiaDepartment of Family and Community Medicine, College of Medicine, King Faisal University, Al Hofuf 31982, Al-Ahsa, Saudi ArabiaBackground: Integrating family-centered care (FCC) and developmental care (DC) principles in neonatal care settings may improve neurodevelopmental outcomes for high-risk neonates. However, the combined impact of FCC and DC has been underexplored. This study aimed to investigate the effects of integrated FCC and DC on neurodevelopment and length of hospital stay in high-risk neonates. Methods: A quasi-experimental pre–post study was conducted among 200 high-risk neonates (<32 weeks gestation or <1500 g) admitted to neonatal intensive care units (NICU) in Saudi Arabia. The intervention group (<i>n</i> = 100) received integrated FCC and DC for 6 months. The control group (<i>n</i> = 100) received standard care. Neurodevelopment was assessed using the Bayley Scales of Infant Development-III. Length of stay and readmissions were extracted from medical records. Results: The intervention group showed significant improvements in cognitive, motor, and language scores compared to controls (<i>p</i> < 0.05). The intervention group had a 4.3-day reduction in the mean length of stay versus a 1.4-day reduction in controls (<i>p</i> = 0.02). Integrated care independently predicted higher cognitive scores (<i>p</i> = 0.001) and shorter stays (<i>p</i> = 0.006) in regression models. Conclusion: Integrating FCC and DC in neonatal care enhances neurodevelopmental outcomes and reduces hospitalization for high-risk neonates compared to standard care. Implementing relationship-based, developmentally supportive models is critical for optimizing outcomes in this vulnerable population.https://www.mdpi.com/2227-9067/10/11/1751family-centered caredevelopmental careneurodevelopmenthigh-risk neonatespreterm infantsBayley Scales |
| spellingShingle | Nourah Alsadaan Osama Mohamed Elsayed Ramadan Mohammed Alqahtani Mostafa Shaban Nadia Bassuoni Elsharkawy Enas Mahrous Abdelaziz Sayed Ibrahim Ali Impacts of Integrating Family-Centered Care and Developmental Care Principles on Neonatal Neurodevelopmental Outcomes among High-Risk Neonates Children family-centered care developmental care neurodevelopment high-risk neonates preterm infants Bayley Scales |
| title | Impacts of Integrating Family-Centered Care and Developmental Care Principles on Neonatal Neurodevelopmental Outcomes among High-Risk Neonates |
| title_full | Impacts of Integrating Family-Centered Care and Developmental Care Principles on Neonatal Neurodevelopmental Outcomes among High-Risk Neonates |
| title_fullStr | Impacts of Integrating Family-Centered Care and Developmental Care Principles on Neonatal Neurodevelopmental Outcomes among High-Risk Neonates |
| title_full_unstemmed | Impacts of Integrating Family-Centered Care and Developmental Care Principles on Neonatal Neurodevelopmental Outcomes among High-Risk Neonates |
| title_short | Impacts of Integrating Family-Centered Care and Developmental Care Principles on Neonatal Neurodevelopmental Outcomes among High-Risk Neonates |
| title_sort | impacts of integrating family centered care and developmental care principles on neonatal neurodevelopmental outcomes among high risk neonates |
| topic | family-centered care developmental care neurodevelopment high-risk neonates preterm infants Bayley Scales |
| url | https://www.mdpi.com/2227-9067/10/11/1751 |
| work_keys_str_mv | AT nourahalsadaan impactsofintegratingfamilycenteredcareanddevelopmentalcareprinciplesonneonatalneurodevelopmentaloutcomesamonghighriskneonates AT osamamohamedelsayedramadan impactsofintegratingfamilycenteredcareanddevelopmentalcareprinciplesonneonatalneurodevelopmentaloutcomesamonghighriskneonates AT mohammedalqahtani impactsofintegratingfamilycenteredcareanddevelopmentalcareprinciplesonneonatalneurodevelopmentaloutcomesamonghighriskneonates AT mostafashaban impactsofintegratingfamilycenteredcareanddevelopmentalcareprinciplesonneonatalneurodevelopmentaloutcomesamonghighriskneonates AT nadiabassuonielsharkawy impactsofintegratingfamilycenteredcareanddevelopmentalcareprinciplesonneonatalneurodevelopmentaloutcomesamonghighriskneonates AT enasmahrousabdelaziz impactsofintegratingfamilycenteredcareanddevelopmentalcareprinciplesonneonatalneurodevelopmentaloutcomesamonghighriskneonates AT sayedibrahimali impactsofintegratingfamilycenteredcareanddevelopmentalcareprinciplesonneonatalneurodevelopmentaloutcomesamonghighriskneonates |