Effect of Family-centered Care on Improving Parental Satisfaction and Reducing Readmission among Premature Infants: A Randomized Controlled Trial
Introduction: Healthcare quality is usually evaluated through analysing medical outcomes including neonatal readmission and patient and family satisfaction. Parental involvement in neonatal care is considered as one of the most important factors, which directly affects these outcomes. The aim of...
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JCDR Research and Publications Private Limited
2015-01-01
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Series: | Journal of Clinical and Diagnostic Research |
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Online Access: | https://jcdr.net/articles/PDF/5444/10356_CE(Ra)_F(Sh)_PF1(PAK)_PFA(AK)_PFA2(AK)_PF2(PAG).pdf |
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author | Farideh Bastani Tayebe Ali Abadi Hamid Haghani |
author_facet | Farideh Bastani Tayebe Ali Abadi Hamid Haghani |
author_sort | Farideh Bastani |
collection | DOAJ |
description | Introduction: Healthcare quality is usually evaluated through
analysing medical outcomes including neonatal readmission
and patient and family satisfaction. Parental involvement
in neonatal care is considered as one of the most important
factors, which directly affects these outcomes. The aim of the
present study was to determine the effect of family-centered
care including maternal participation, presence, and information
about neonatal care, on maternal satisfaction and neonatal
readmission; the care services were provided by the primiparous
mothers of preterm infants.
Materials and Methods: One hundred and ten primiparous
mothers with preterm infants participated in this clinical trial. All
samples were randomly divided into family-centered care (FCC)
and control groups, through simple random sampling. The
FCC program, which consisted of information about neonatal
care, maternal presence, and participation in the care process,
was implemented in the FCC group, while the control group
was provided with routine care. Data were obtained using
demographic and satisfaction questionnaires and readmission
checklist.
Results: In the FCC group, the mean score of satisfaction
increased after the implementation of the program (22.36 and
59.28 before and after the program, respectively) (p<0.001);
however, this increase in the control group was not significant.
The obtained results regarding the different aspects of
satisfaction indicated that mothers in the FCC group were
more satisfied with maternal presence in the neonatal intensive
care unit (NICU), compared with aspects of information and
participation. In addition, the number of neonatal readmission
was less in the FCC group compared with the control group,
and the mean duration of hospitalization was 6.96 and 12.96
days in the FCC and control groups, respectively (p<0.001).
Conclusion: FCC program seems to be effective in increasing
maternal satisfaction and decreasing neonatal readmission.
Therefore, it seems necessary that healthcare authorities of the
departments of obstetrics and gynecology in Iran provide the
opportunity for the implementation of such programs in clinical
environments, which follow the policy of parental absence and
participation in the intensive care units. |
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institution | Directory Open Access Journal |
issn | 2249-782X 0973-709X |
language | English |
last_indexed | 2024-12-12T09:41:49Z |
publishDate | 2015-01-01 |
publisher | JCDR Research and Publications Private Limited |
record_format | Article |
series | Journal of Clinical and Diagnostic Research |
spelling | doaj.art-a20ca1d5c4da4356bd7fea58e38f43f52022-12-22T00:28:32ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2015-01-0191SC04SC0810.7860/JCDR/2015/10356.5444Effect of Family-centered Care on Improving Parental Satisfaction and Reducing Readmission among Premature Infants: A Randomized Controlled TrialFarideh Bastani0Tayebe Ali Abadi1Hamid Haghani2Associate Professor, Departments of Community Health Nursing and Geriatrics Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.Faculty, Department of Nursing, Neyshabur Science and Research Branch, Islamic Azad University, Neyshabur, Iran.Assistant Professor, Department of Biostatistics, School of Management and Information, Iran University of Medical Sciences, Tehran, Iran.Introduction: Healthcare quality is usually evaluated through analysing medical outcomes including neonatal readmission and patient and family satisfaction. Parental involvement in neonatal care is considered as one of the most important factors, which directly affects these outcomes. The aim of the present study was to determine the effect of family-centered care including maternal participation, presence, and information about neonatal care, on maternal satisfaction and neonatal readmission; the care services were provided by the primiparous mothers of preterm infants. Materials and Methods: One hundred and ten primiparous mothers with preterm infants participated in this clinical trial. All samples were randomly divided into family-centered care (FCC) and control groups, through simple random sampling. The FCC program, which consisted of information about neonatal care, maternal presence, and participation in the care process, was implemented in the FCC group, while the control group was provided with routine care. Data were obtained using demographic and satisfaction questionnaires and readmission checklist. Results: In the FCC group, the mean score of satisfaction increased after the implementation of the program (22.36 and 59.28 before and after the program, respectively) (p<0.001); however, this increase in the control group was not significant. The obtained results regarding the different aspects of satisfaction indicated that mothers in the FCC group were more satisfied with maternal presence in the neonatal intensive care unit (NICU), compared with aspects of information and participation. In addition, the number of neonatal readmission was less in the FCC group compared with the control group, and the mean duration of hospitalization was 6.96 and 12.96 days in the FCC and control groups, respectively (p<0.001). Conclusion: FCC program seems to be effective in increasing maternal satisfaction and decreasing neonatal readmission. Therefore, it seems necessary that healthcare authorities of the departments of obstetrics and gynecology in Iran provide the opportunity for the implementation of such programs in clinical environments, which follow the policy of parental absence and participation in the intensive care units.https://jcdr.net/articles/PDF/5444/10356_CE(Ra)_F(Sh)_PF1(PAK)_PFA(AK)_PFA2(AK)_PF2(PAG).pdfneonatal intensive care unitreadmissionsatisfaction |
spellingShingle | Farideh Bastani Tayebe Ali Abadi Hamid Haghani Effect of Family-centered Care on Improving Parental Satisfaction and Reducing Readmission among Premature Infants: A Randomized Controlled Trial Journal of Clinical and Diagnostic Research neonatal intensive care unit readmission satisfaction |
title | Effect of Family-centered Care on Improving Parental Satisfaction and Reducing Readmission among Premature Infants: A Randomized Controlled Trial |
title_full | Effect of Family-centered Care on Improving Parental Satisfaction and Reducing Readmission among Premature Infants: A Randomized Controlled Trial |
title_fullStr | Effect of Family-centered Care on Improving Parental Satisfaction and Reducing Readmission among Premature Infants: A Randomized Controlled Trial |
title_full_unstemmed | Effect of Family-centered Care on Improving Parental Satisfaction and Reducing Readmission among Premature Infants: A Randomized Controlled Trial |
title_short | Effect of Family-centered Care on Improving Parental Satisfaction and Reducing Readmission among Premature Infants: A Randomized Controlled Trial |
title_sort | effect of family centered care on improving parental satisfaction and reducing readmission among premature infants a randomized controlled trial |
topic | neonatal intensive care unit readmission satisfaction |
url | https://jcdr.net/articles/PDF/5444/10356_CE(Ra)_F(Sh)_PF1(PAK)_PFA(AK)_PFA2(AK)_PF2(PAG).pdf |
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