Journal
ACTA PAEDIATRICA
Volume 102, Issue 12, Pages 1130-1136Publisher
WILEY
DOI: 10.1111/apa.12404
Keywords
Effective communication; Family-centred care; Neonatal intensive care; Parental stress; Parent-nurse intervention
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Funding
- Lundbeck Foundation [FP/30/2009, FP/ 13/2010, FP/55/2011]
- Novonordisk Foundation
- Danish Nurses Organization Research Foundation
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AimTo investigate the effect of the Guided Family-Centred Care intervention, developed by the lead author, on parental stress in a neonatal intensive care unit (NICU). MethodsParents (n=134) of infants born 34weeks gestational age were randomly assigned to a standard care group (n=60) or intervention group (n=74) between April 2011 and August 2012. Guided Family-Centred Care components used were as follows: scheduled nurse-parent dialogues, semi-structured reflection sheets and person-centred communication. Parental stress was assessed at discharge using parent-reported outcomes on the Nurse Parent Support Tool and the Parental Stressor Scale: Neonatal Intensive Care Unit. ResultsThe total stress scores reported by parents did not vary significantly between the intervention and standard groups, with a mean (SD) of 2.70 (0.67) versus 2.84 (0.71), respectively. However, the confidence interval included the prespecified clinical significance level. Subscale and Nurse Parent Support Tool scores did not differ between the groups. Overall, mothers reported more stress than fathers (p<0.001). ConclusionOur study was unable to demonstrate the effect of person-centred communication using the Guided Family-Centred Care intervention. It may be necessary to replicate the design to address the risk of contamination and add instruments sensitive to human interaction.
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