Improving family centered care in the NICU
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Poppy Kekana, RN, RM; Carin Maree, PhD, M Cur, RN, RM; Christa van der Walt, PhD, MCur, MEd, RN, RM, RCN, RNA, RNE
- Sigma Affiliation
- Non-member
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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)
Type | Poster |
Acquisition | Proxy-submission |
Review Type | Faculty/Mentor Approved: Sigma Academy Participant Presentation |
Format | Text-based Document |
Evidence Level | N/A |
Research Approach | Qualitative Research |
Keywords | Maternal Child Nursing; Nurse Leader; Neuro-developmental care; Quality Improvement |
CINAHL Subject(s) | 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 |
Name | Tau Lambda Conference 2015 |
Host | Tau Lambda Chapter of Sigma Theta Tau International Honor Society of Nursing |
Location | Sunnyside Park Hotel, Johannesburg, South Africa |
Date | 2015 |
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