2.50
Hdl Handle:
http://hdl.handle.net/10755/621181
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Level of Evidence:
N/A
Research Approach:
Qualitative Research
Title:
Improving Family Centered Care in the NICU
Author(s):
Kekana, Poppy; Maree, Carin; Van der Walt, Christa
Lead Author STTI Affiliation:
Non-member
Author Details:
Poppy Kekana, RN, RM; Carin Maree, PhD, M Cur, RN, RM; Christa van der Walt, PhD, MCur, MEd, RN, RM, RCN, RNA, RNE
Abstract:

The purpose of the project was aimed to improve bonding between parents and their preterm babies through early and continuing communication between mothers and babies, keeping parents informed about their child’s conditions and involving mothers in the basic care of their babies.

This quality improvement project forms part of the deliverables of the first African cohort of Maternal Child Health Nursing Leadership Academy (MCHNLA). It focuses on improving family-centered care in a neonatal ICU of an academic referral institution admitting pre-term and sick infants. Due to various factors such as high tech environment, overcrowding, sick mothers and sick babies, there was often delayed first contact between the families and the babies. This often leads to lack of bonding and attachment, which are crucial for short term and long term positive outcomes for the babies and the families, and prevention of outcomes such as neglect and abandonment.

A survey was conducted by using questionnaires to obtain baseline data of the perceived care by the parents and staff. A quality improvement initiative was then developed through nominal group technique with the healthcare providers in the NICU. The initiative was implemented and the survey was repeated one year later.

The quality improvement initiative contributed to the family-centered care in the unit. The level of perceived care was higher after the initiative with many more family-centred care activities being implemented during routine care.  This is expected to enhance bonding, attachment and positive outcomes for families and is a contribution to maternal and child health.

The mentee’s leadership skills improved during the project as she applied it during the compilation of a multi-disciplinary team, sharing her vision, modeling the way, sometimes challenging the process and expressing the small wins during the process.

Contribution: Sigma Theta Tau International: Maternal and Child Health Nurse Leadership Academy in Africa (MCHNLA Africa); the Nursing Foundation; and the Neonatal Nurses Association of Southern Africa (NNASA) 

Keywords:
Maternal Child Nursing; Nurse Leader; Neuro-developmental care; Quality Improvement
CINAHL Headings:
Maternal-Child Health; Maternal-Child Nursing; Maternal-Child Nursing--South Africa; Maternal-Child Health--South Africa; Intensive Care Units, Neonatal; Intensive Care Units, Neonatal--South Africa; Neonatal Nursing; Neonatal Nursing--South Africa; Family Centered Care; Family Centered Care--South Africa; Leadership; Parent-Infant Bonding; Infant, Premature
Repository Posting Date:
10-Jan-2017
Date of Publication:
10-Jan-2017
Conference Date:
2015
Conference Name:
Tau Lambda Conference 2015
Conference Host:
Tau Lambda Chapter of Sigma Theta Tau International
Conference Location:
Sunnyside Park Hotel, Johannesburg, South Africa
Sponsors:
Johnson & Johnson

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.evidence.levelN/Aen
dc.research.approachQualitative Researchen
dc.titleImproving Family Centered Care in the NICUen_US
dc.contributor.authorKekana, Poppyen
dc.contributor.authorMaree, Carinen
dc.contributor.authorVan der Walt, Christaen
dc.contributor.departmentNon-memberen
dc.author.detailsPoppy Kekana, RN, RM; Carin Maree, PhD, M Cur, RN, RM; Christa van der Walt, PhD, MCur, MEd, RN, RM, RCN, RNA, RNEen
dc.identifier.urihttp://hdl.handle.net/10755/621181-
dc.description.abstract<p>The purpose of the project was aimed to improve bonding between parents and their preterm babies through early and continuing communication between mothers and babies, keeping parents informed about their child’s conditions and involving mothers in the basic care of their babies.</p> <p>This quality improvement project forms part of the deliverables of the first African cohort of Maternal Child Health Nursing Leadership Academy (MCHNLA). It focuses on improving family-centered care in a neonatal ICU of an academic referral institution admitting pre-term and sick infants. Due to various factors such as high tech environment, overcrowding, sick mothers and sick babies, there was often delayed first contact between the families and the babies. This often leads to lack of bonding and attachment, which are crucial for short term and long term positive outcomes for the babies and the families, and prevention of outcomes such as neglect and abandonment.</p> <p>A survey was conducted by using questionnaires to obtain baseline data of the perceived care by the parents and staff. A quality improvement initiative was then developed through nominal group technique with the healthcare providers in the NICU. The initiative was implemented and the survey was repeated one year later.</p> <p>The quality improvement initiative contributed to the family-centered care in the unit. The level of perceived care was higher after the initiative with many more family-centred care activities being implemented during routine care.  This is expected to enhance bonding, attachment and positive outcomes for families and is a contribution to maternal and child health.</p> <p>The mentee’s leadership skills improved during the project as she applied it during the compilation of a multi-disciplinary team, sharing her vision, modeling the way, sometimes challenging the process and expressing the small wins during the process.</p> <p>Contribution: Sigma Theta Tau International: Maternal and Child Health Nurse Leadership Academy in Africa (MCHNLA Africa); the Nursing Foundation; and the Neonatal Nurses Association of Southern Africa (NNASA) </p>en
dc.subjectMaternal Child Nursingen
dc.subjectNurse Leaderen
dc.subjectNeuro-developmental careen
dc.subjectQuality Improvementen
dc.subject.cinahlMaternal-Child Healthen
dc.subject.cinahlMaternal-Child Nursingen
dc.subject.cinahlMaternal-Child Nursing--South Africaen
dc.subject.cinahlMaternal-Child Health--South Africaen
dc.subject.cinahlIntensive Care Units, Neonatalen
dc.subject.cinahlIntensive Care Units, Neonatal--South Africaen
dc.subject.cinahlNeonatal Nursingen
dc.subject.cinahlNeonatal Nursing--South Africaen
dc.subject.cinahlFamily Centered Careen
dc.subject.cinahlFamily Centered Care--South Africaen
dc.subject.cinahlLeadershipen
dc.subject.cinahlParent-Infant Bondingen
dc.subject.cinahlInfant, Prematureen
dc.date.available2017-01-10T19:14:04Z-
dc.date.issued2017-01-10-
dc.date.accessioned2017-01-10T19:14:04Z-
dc.conference.date2015en
dc.conference.nameTau Lambda Conference 2015en
dc.conference.hostTau Lambda Chapter of Sigma Theta Tau Internationalen
dc.conference.locationSunnyside Park Hotel, Johannesburg, South Africaen
dc.description.sponsorshipJohnson & Johnsonen
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