Family Integrated Care in Neonatal Unit: A Service Improvement Project

Background: Preterm delivery is associated with an increased risk of anxiety and maternal depression. A recent UK wide survey suggests about one third of parents feel they are not involved in the discussion around the management of their child. A family integrated approach can help overcome some of these challenges.

Objective: This service improvement project was initiated to identify the challenges of involving families in neonatal care and implement changes safely and effectively.

Methods: The nursing colleagues took the initiative and challenged the traditional model of professional led care. A family integrated care working group comprising of professionals from different teams was established. Changes were introduced in a stepwise manner. This included unrestricted access for parents, Parents education sessions, empowering parents to get involved in care, psychological support. Communication among the team was ensured through regular meetings and social media including WhatsApp, twitter. Surveys were done among health professionals and parents to measure outcomes.

Results: Parents now have 24 hr unrestricted access to the neonatal unit. They get a cotside update for their child and present key day to day changes in war round. Regular staff and parent education sessions are being held. Positive impact for parents included a reduction in anxiety, pain, and promotion of breastfeeding. A survey among health professionals identified the need for further research into parental presence during procedures. Further projects include analysis of the impact of preterm delivery on siblings and wider family.

Conclusion: Family integrated care bring positive changes to parental psychological and physical health. This can be a challenge in an intensive care environment. Collaborative leadership can be key to bring changes in a multi-professional team.