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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Main Authors: Farideh Bastani, Tayebe Ali Abadi, Hamid Haghani
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2015-01-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
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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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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