The impact of family-centered care interventions on neonatal and parental outcomes in a Turkish hospital |
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| Institution: | 1. Faculty of Health Science, Nursing Department, Istinye University, Topkap? Kampüsü, Maltepe Mah, Teyyareci Sami Sk., No.3 Zeytinburnu, Istanbul 34010, Turkey;2. Cyprus Science University, Girne, Cyprus;1. School of Nursing and Centre for Health Care Transformation, Queensland University of Technology, Kelvin Grove, QLD, Australia;2. Faculty of Health and Sports Sciences, University of Agder, Grimstad, Norway;3. Royal Brisbane and Women''s Hospital, Herston, QLD, Australia;4. MRI-UQ, Mater Health, South Brisbane, QLD, Australia;5. Mater Health, South Brisbane, QLD, Australia;1. Cancer and Palliative Care Outcomes Centre, Centre for Healthcare Transformation, Queensland University of Technology, X block, 66 Musk Avenue, Kelvin Grove, 4059, Australia;2. School of Nursing, Faculty of Health, N block, Queensland University of Technology, Kelvin Grove, 4059, Australia;3. Cancer Nurses Society of Australia, 165 Sovereign Hill Drive, Gabbadah Western Australia, 6041, Australia;4. Centre for Children''s Health Research, Children''s Health Queensland Hospital and Health Services, South Brisbane, 4101, Australia;1. School of Nursing and Midwifery, Griffith University, Gold Coast, Queensland, Australia;2. Menzies Health Institute Queensland, Griffith University, Gold Coast, Queensland, Australia;3. Department of Emergency Medicine, Gold Coast Hospital and Health Service, Gold Coast, Queensland, Australia;4. Griffith Criminology Institute, Griffith University, Gold Coast, Queensland, Australia;5. Justice Health Unit, Centre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, Parkville, Victoria, Australia;6. Centre for Adolescent Health, Murdoch Children''s Research Institute, Parkville, Victoria, Australia;7. School of Population and Global Health, The University of Western Australia, Perth, Western Australia, Australia;8. National Drug Research Institute, Curtin University, Perth, Western Australia, Australia;9. Institute of Nursing Studies, University of Applied Sciences, Utrecht, The Netherlands;10. Emergency Department, University Medical Center Utrecht, Utrecht, The Netherlands;1. School of Nursing and Midwifery, Monash University, Frankston 3199, Victoria, Australia;2. Department of Hepatobiliary Cancer, National Clinical Research Center for Cancer, Tianjin Medical University Cancer Institute and Hospital, Tianjin 300060, China;3. School of Nursing, Capital Medical University, Beijing 100069, China;5. Princess Alexandra Hospital, Metro South Health, Queensland Health, Queensland 4102, Australia;6. Menzies Health Institute Queensland, Griffith University, Queensland 4222, Australia;1. School of Nursing and Midwifery, Western Sydney University, Locked Bag 1797, Penrith NSW 2751, Australia;2. Australian Centre for Integration of Oral Health (ACIOH), School of Nursing and Midwifery, Western Sydney University, Ingham Institute for Applied Medical Research, Locked Bag 7103, Liverpool NSW 2170, Australia;3. Faculty of Medicine and Health, School of Dentistry, The University of Sydney, NSW 2006, Australia;4. Centre for Applied Nursing Research (CANR), Sydney South West Area Health Services, Locked Bag 7103, Liverpool BC NSW 1871, Australia;1. School of Nursing, Queensland University of Technology, N338, Kelvin Grove Campus, Brisbane, Queensland, 4059, Australia;2. Susan Wakil School of Nursing & Midwifery, Faculty of Medicine and Health, University of Sydney, Western Avenue, Camperdown, Sydney, NSW, 2006, Australia;3. Health Science Center, University of Tennessee, 920 Madison, Memphis, TN, 38163, United States of America;4. School of Medicine, The University of Notre Dame, 128-140, Broadway, Chippendale, NSW, 2007, Australia |
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| Abstract: | AimThis study aimed to improve nurses’ attitudes towards parental engagement and to examine the impact of implementing nursing interventions related to family-centred care on neonatal and parental outcomes in a university hospital in Turkey.MethodsA quasi-experimental, nonequivalent, and post-test research design was used. Using convenience sampling, the study was completed with 128 preterm infants and their parents, including 64 in the experimental group and 64 in the control group at a neonatal intensive care unit of a university hospital. The control group data were collected from medical records and parents before practising family-centred nursing interventions developed for the experimental group. In addition, nurses were given a four hour training session aimed to improve their attitudes towards parental participation in care, with the nurses’ attitudes measured before, immediately after, and one month after the training. The experimental group data were collected from medical records and parents after 10 nursing interventions based on family-centred care supported by managers began to be implemented by trained nurses in the neonatal intensive care unit. The Parent-Preterm Infant Characteristics Form, Maternal Attachment Inventory, Empowerment of Parents in the Intensive Care-Neonatology (EMPATHIC-N), and Parental Engagement Attitude Scale were used for the data collection.FindingsWhile nurses’ scores of attitudes toward parental participation obtained immediately after and one month after the training were higher than those before the training, the scores one month after were lower compared to those immediately after. The results indicated that discharge weight gain of infants in the experimental group were significantly higher than those in the control group and that there was no significant difference between the groups in length of stay at neonatal intensive care unit. The maternal attachment and satisfaction scores of the parents in the experimental group were significantly higher than those in the control group.ConclusionImplementing family-centred nursing care interventions, developed based on unit needs and supported by managers, with trained neonatal intensive care nurses positively impacted parent-infant attachment, parent satisfaction, and infant weight gain. |
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| Keywords: | Family-centred care |
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