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Parental Autonomy in the Care of Premature Newborns and the Experience of a Neonatal Team: Observational Prospective Study.
Piris-Borregas, Salvador; Bellón-Vaquerizo, Beatriz; Velasco-Echeburúa, Leticia; Niño-Díaz, Lidia; Sánchez-Aparicio, Susana; López-Maestro, María; Pallás-Alonso, Carmen Rosa.
Afiliación
  • Piris-Borregas S; Department of Neonatology, Instituto de Investigación Biomédica, 12 de Octubre University Hospital, Avenida de Córdoba s/n, Madrid, 28041, Spain, 34 91390195.
  • Bellón-Vaquerizo B; Department of Neonatology, Instituto de Investigación Biomédica, 12 de Octubre University Hospital, Avenida de Córdoba s/n, Madrid, 28041, Spain, 34 91390195.
  • Velasco-Echeburúa L; Department of Neonatology, Instituto de Investigación Biomédica, 12 de Octubre University Hospital, Avenida de Córdoba s/n, Madrid, 28041, Spain, 34 91390195.
  • Niño-Díaz L; Department of Neonatology, Instituto de Investigación Biomédica, 12 de Octubre University Hospital, Avenida de Córdoba s/n, Madrid, 28041, Spain, 34 91390195.
  • Sánchez-Aparicio S; Department of Neonatology, Instituto de Investigación Biomédica, 12 de Octubre University Hospital, Avenida de Córdoba s/n, Madrid, 28041, Spain, 34 91390195.
  • López-Maestro M; Department of Neonatology, Instituto de Investigación Biomédica, 12 de Octubre University Hospital, Avenida de Córdoba s/n, Madrid, 28041, Spain, 34 91390195.
  • Pallás-Alonso CR; Department of Neonatology, Instituto de Investigación Biomédica, 12 de Octubre University Hospital, Avenida de Córdoba s/n, Madrid, 28041, Spain, 34 91390195.
JMIR Pediatr Parent ; 7: e55411, 2024 Aug 30.
Article en En | MEDLINE | ID: mdl-39230336
ABSTRACT

Background:

The European Foundation for the Care of Newborn Infants (EFCNI) has promoted the importance of parental involvement in the care of children.

Objective:

The study aimed to examine how the time required by parents to achieve autonomy in the care of their very low-birth weight newborn infants was modified during the implementation of a training program.

Methods:

This was an observational prospective study in the context of a quality improvement initiative. The Cuídame (meaning "Take Care of Me" in English) program was aimed at achieving parental autonomy. It was implemented over 2 periods period 1, from September 1, 2020, to June 15, 2021; and period 2, from July 15, 2021, to May 31, 2022. The days required by parents to achieve autonomy in several areas of care were collected from the electronic health system.

Results:

A total of 54 and 43 families with newborn infants were recruited in periods 1 and 2, respectively. Less time was required to acheive autonomy in period 2 for participation in clinical rounds (median 10.5, IQR 5-20 vs 7, IQR 4-10.5 d; P<.001), feeding (median 53.5, IQR 34-68 vs 44.5, IQR 37-62 d; P=.049), and observation of neurobehavior (median 18, IQR 9-33 vs 11, IQR 7-16 d; P=.049). More time was required to achieve autonomy for kangaroo mother care (median 14, IQR 7-23 vs 21, IQR 10-31 d; P=.02), diaper change (median 9.5, IQR 4-20 vs 14.5, IQR 9-32 d; P=.04), and infection prevention (median 1, IQR 1-2 vs 6, IQR 3-12; P<.001).

Conclusions:

Parents required less time to achieve autonomy for participation in clinical rounds, feeding, and observation of neurobehavior during the implementation of the training program. Nevertheless, they required more time to achieve autonomy for kangaroo mother care, diaper change, and infection prevention.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: JMIR Pediatr Parent Año: 2024 Tipo del documento: Article Pais de publicación: Canadá
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: JMIR Pediatr Parent Año: 2024 Tipo del documento: Article Pais de publicación: Canadá