Family integrated care: Supporting parents as primary caregivers in the neonatal intensive care unit
Open Access
- 18 June 2021
- journal article
- review article
- Published by Wiley in Pediatric Investigation
- Vol. 5 (2), 148-154
- https://doi.org/10.1002/ped4.12277
Abstract
Family integrated care (FICare) is a collaborative model of neonatal care which aims to address the negative impacts of the neonatal intensive care unit (NICU) environment by involving parents as equal partners, minimizing separation, and supporting parent-infant closeness. FICare incorporates psychological, educational, communication, and environmental strategies to support parents to cope with the NICU environment and to prepare them to be able to emotionally, cognitively, and physically care for their infant. FICare has been associated with improved infant feeding, growth, and parent wellbeing and self-efficacy; important mediators for long-term improved infant neurodevelopmental and behavioural outcomes. FICare implementation requires multi-disciplinary commitment, staff motivation, and sufficient time for preparation and readiness for change as professionals relinquish power and control to instead develop collaborative partnerships with parents. Successful FICare implementation and culture change have been applied by neonatal teams internationally, using practical approaches suited to their local environments. Strategies such as parent and staff meetings and relational communication help to break down barriers to change by providing space for the co-creation of knowledge, the negotiation of caregiving roles and the development of trusting relationships. The COVID-19 pandemic highlighted the vulnerability within programs supporting parental presence in neonatal units and the profound impacts of parent-infant separation. New technologies and digital innovations can help to mitigate these challenges, and support renewed efforts to embed FICare philosophy and practice in neonatal care during the COVID-19 recovery and beyond.Keywords
This publication has 39 references indexed in Scilit:
- Relational Communications Strategies to Support Family-Centered Neonatal Intensive CareThe Journal of Perinatal & Neonatal Nursing, 2016
- A systems view of mother–infant face-to-face communication.Developmental Psychology, 2016
- Kangaroo Mother Care and Neonatal Outcomes: A Meta-analysisPEDIATRICS, 2016
- Evaluation of the Family Integrated Care model of neonatal intensive care: a cluster randomized controlled trial in Canada and AustraliaBMC Pediatrics, 2015
- Early developmental intervention programmes provided post hospital discharge to prevent motor and cognitive impairment in preterm infantsEmergencias, 2015
- Neonatal Pain and Developmental Outcomes in Children Born PretermThe Clinical Journal of Pain, 2015
- Attachment and early brain development – neuroprotective interventions in infant–caregiver therapyTranslational Developmental Psychiatry, 2015
- Nurses' Perspectives on the Close Collaboration with Parents Training Program in the NICUMCN: The American Journal of Maternal/Child Nursing, 2014
- Parent behaviors moderate the relationship between neonatal pain and internalizing behaviors at 18 months corrected age in children born very prematurelyPain, 2013
- A pilot cohort analytic study of Family Integrated Care in a Canadian neonatal intensive care unitBMC Pregnancy and Childbirth, 2013