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Parental presence on neonatal intensive care unit clinical bedside rounds: randomised trial and focus group discussion

Mohamed, Abdel-Latif; Boswell, Danette; Broom, Margaret; Smith, Judith; Davis, Deborah

Description

BACKGROUND There are limited data to inform the choice between parental presence at clinical bedside rounds (PPCBR) and non-PPCBR in neonatal intensive care units (NICUs). METHODS We performed a single-centre, survey-based, crossed-over randomised trial involving parents of all infants who were admitted to NICU and anticipated to stay >11 days. Parents were randomly assigned using a computer-generated stratified block randomisation protocol to start with PPCBR or non-PPCBR and then crossed over...[Show more]

dc.contributor.authorMohamed, Abdel-Latif
dc.contributor.authorBoswell, Danette
dc.contributor.authorBroom, Margaret
dc.contributor.authorSmith, Judith
dc.contributor.authorDavis, Deborah
dc.date.accessioned2015-07-03T04:42:20Z
dc.date.available2015-07-03T04:42:20Z
dc.identifier.issn1359-2998
dc.identifier.urihttp://hdl.handle.net/1885/14188
dc.description.abstractBACKGROUND There are limited data to inform the choice between parental presence at clinical bedside rounds (PPCBR) and non-PPCBR in neonatal intensive care units (NICUs). METHODS We performed a single-centre, survey-based, crossed-over randomised trial involving parents of all infants who were admitted to NICU and anticipated to stay >11 days. Parents were randomly assigned using a computer-generated stratified block randomisation protocol to start with PPCBR or non-PPCBR and then crossed over to the other arm after a wash-out period. At the conclusion of each arm, parents completed the 'NICU Parental Stressor Scale' (a validated tool) and a satisfaction survey. After completion of the trial, we surveyed all healthcare providers who participated at least in one PPCBR rounding episode. We also offered all participating parents and healthcare providers the opportunity to partake in a focus group discussion regarding PPCBR. RESULTS A total of 72 parents were enrolled in this study, with 63 parents (87%) partially or fully completing the trial. Of the parents who completed the trial, 95% agreed that parents should be allowed to attend clinical bedside rounds. A total of 39 healthcare providers' surveys were returned and 35 (90%) agreed that parents should be allowed to attend rounds. Nine healthcare providers and 8 parents participated in an interview or focus group, augmenting our understanding of the ways in which PPCBR was beneficial. CONCLUSIONS Parents and healthcare providers strongly support PPCBR. NICUs should develop policies allowing PPCBR while mitigating the downsides and concerns of parents and healthcare providers such as decreased education opportunity and confidentiality concerns. TRIAL REGISTRATION NUMBER Australia and New Zealand Clinical Trials Register number, ACTRN12612000506897.
dc.description.sponsorshipThis study was funded, in part, by a grant from The Canberra Hospital Private Practice Fund, Canberra, Australia.
dc.format7 pages
dc.publisherBMJ Publishing Group
dc.rights© The Authors. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/ licenses/by-nc/4.0/
dc.sourceArchives of Disease in Childhood - Fetal and Neonatal Edition
dc.subjectcommunication
dc.subjectconfidentiality
dc.subjectcross-over studies
dc.subjectfocus groups
dc.subjecthumans
dc.subjectinfant, newborn
dc.subjectmedical staff, hospital
dc.subjectparents
dc.subjectstress, psychological
dc.subjectintensive care units, neonatal
dc.subjectprofessional-family relations
dc.titleParental presence on neonatal intensive care unit clinical bedside rounds: randomised trial and focus group discussion
dc.typeJournal article
local.identifier.citationvolume100
dcterms.dateAccepted2015-01-26
dc.date.issued2015-02-23
local.identifier.absfor111403 - Paediatrics
local.identifier.ariespublicationu4425841xPUB73
local.publisher.urlhttp://fn.bmj.com/
local.type.statusPublished Version
local.contributor.affiliationMohamed, Abdel-Latif, School of Clinical Medicine, The Australian National University
local.identifier.essn1468-2052
local.bibliographicCitation.issue3
local.bibliographicCitation.startpageF203
local.bibliographicCitation.lastpageF209
local.identifier.doi10.1136/archdischild-2014-306724
dc.date.updated2015-12-08T07:53:09Z
local.identifier.scopusID2-s2.0-84927653690
CollectionsANU Research Publications

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