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Improved nurse–parent communication in neonatal intensive care unit: evaluation and adjustment of an implementation strategy

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  • Janne Weis
  • Vibeke Zoffmann
  • Ingrid Egerod

Abstract

Aims and objectives To evaluate and adjust systematic implementation of guided family‐centred care in a neonatal intensive care unit. Background Family‐centred care is valued in neonatal intensive care units internationally, but innovative strategies are needed to realise the principles. Guided family‐centred care was developed to facilitate person‐centred communication by bridging the gap between theory and practice in family‐centred care. Main mechanisms of guided family‐centred care are structured dialogue, reflection and person‐centred communication. Design Qualitative and quantitative data were used to monitor participatory implementation of a systematic approach to training and certification of nurses delivering guided family‐centred care. Methods Systematic implementation of guided family‐centred care included workshops, supervised delivery and certification. Evaluation and adjustment of nurse adherence to guided family‐centred care was conducted by monitoring (1) knowledge, (2) delivery, (3) practice uptake and (4) certification. Results Implementation was improved by the development of a strategic framework and by adjusting the framework according to the real‐life context of a busy neonatal care unit. Promoting practice uptake was initially underestimated, but nurse guided family‐centred care training was improved by increasing the visibility of the study in the unit, demonstrating intervention progress to the nurses and assuring a sense of ownership among nurse leaders and nonguided‐family‐centred‐care‐trained nurses. Conclusions An adjusted framework for guided family‐centred care implementation was successful in overcoming barriers and promoting facilitators. Relevance to clinical practice Insights gained from our pioneering work might help nurses in a similar context to reach their goals of improving family‐centred care.

Suggested Citation

  • Janne Weis & Vibeke Zoffmann & Ingrid Egerod, 2014. "Improved nurse–parent communication in neonatal intensive care unit: evaluation and adjustment of an implementation strategy," Journal of Clinical Nursing, John Wiley & Sons, vol. 23(23-24), pages 3478-3489, December.
    • Handle: RePEc:wly:jocnur:v:23:y:2014:i:23-24:p:3478-3489
    DOI: 10.1111/jocn.12599
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    1. Flacking, Renée & Ewald, Uwe & Nyqvist, Kerstin Hedberg & Starrin, Bengt, 2006. "Trustful bonds: A key to "becoming a mother" and to reciprocal breastfeeding. Stories of mothers of very preterm infants at a neonatal unit," Social Science & Medicine, Elsevier, vol. 62(1), pages 70-80, January.
    2. Lupton, Deborah & Fenwick, Jennifer, 2001. "'They've forgotten that I'm the mum': constructing and practising motherhood in special care nurseries," Social Science & Medicine, Elsevier, vol. 53(8), pages 1011-1021, October.
    3. Parle, Michael & Maguire, Peter & Heaven, Cathy, 1997. "The development of a training model to improve health professionals' skills, self-efficacy and outcome expectancies when communicating with cancer patients," Social Science & Medicine, Elsevier, vol. 44(2), pages 231-240, January.
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    1. Anne Brødsgaard & Jette Thise Pedersen & Palle Larsen & Janne Weis, 2019. "Parents' and nurses' experiences of partnership in neonatal intensive care units: A qualitative review and meta‐synthesis," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(17-18), pages 3117-3139, September.

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