A comparative study of mothers of infants hospitalized in an open ward neonatal intensive care unit and a combined pod and single-family room design
Abstract Background The well-being of mothers of infants requiring Neonatal Intensive Care Unit (NICU) hospitalization may be affected by the architectural design of the unit. A few recent studies suggest there may be some drawbacks of single-family rooms (SFRs) for infants and their mothers, such a...
Main Authors: | , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
BMC
2020-01-01
|
Series: | BMC Pediatrics |
Subjects: | |
Online Access: | https://doi.org/10.1186/s12887-020-1929-1 |
id |
doaj-02870c58e754417785b018d05503e4d6 |
---|---|
record_format |
Article |
spelling |
doaj-02870c58e754417785b018d05503e4d62021-01-31T16:04:34ZengBMCBMC Pediatrics1471-24312020-01-012011910.1186/s12887-020-1929-1A comparative study of mothers of infants hospitalized in an open ward neonatal intensive care unit and a combined pod and single-family room designNancy Feeley0Stephanie Robins1Christine Genest2Robyn Stremler3Phyllis Zelkowitz4Lyne Charbonneau5Centre for Nursing Research, Jewish General HospitalInstitute of Community and Family Psychiatry, Jewish General HospitalFaculty of Nursing, University of MontrealLawrence S. Bloomberg Faculty of Nursing, University of TorontoDepartment of Psychiatry, Jewish General Hospital Senior Investigator, Lady Davis Institute for Medical ResearchNeonatology, Jewish General HospitalAbstract Background The well-being of mothers of infants requiring Neonatal Intensive Care Unit (NICU) hospitalization may be affected by the architectural design of the unit. A few recent studies suggest there may be some drawbacks of single-family rooms (SFRs) for infants and their mothers, such as isolation of mothers and reduced exposure to auditory stimulation for infants. Purpose To compare NICU-stress, symptoms of depression, perceptions of nurse-parent support and family-centered care, sleep disturbances, breastfeeding self-efficacy and readiness for discharge in mothers of infants cared for in an open ward (OW) to those cared for in a unit that includes both pods and SFRs. Methods A pre-post quasi-experimental study was conducted in a Canadian level 3 unit before and after transitioning to a new unit of 6-bed pods and SFRs. OW data were collected in 2014 and pod/SFR data 1 year after the transition in 2017 to 2018. Mothers of infants hospitalized for at least 2 weeks completed questionnaires about stress, depressive symptoms, support, family-centered care, and sleep disturbances. In the week prior to discharge, they responded to breastfeeding self-efficacy and readiness for discharge questionnaires. They described their presence in the NICU at enrollment and again prior to discharge. Results Pod/SFR mothers reported significantly less NICU-stress compared to OW mothers. OW mothers had greater sights and sounds stress and felt more restricted in their parental role. Pod/SFR mothers reported greater respect from staff. Controlling for maternal education, pod/SFR mothers perceived their infant’s readiness for discharge to be greater than OW mothers. There were no significant differences between groups in depressive symptoms, nurse-parent support, sleep disturbances, and breastfeeding self-efficacy. At enrollment and again in the weeks preceding discharge, pod/SFR mothers were present significantly more hours per week than OW mothers, controlling for maternal education. Conclusions Further study of small pods is indicated as these units may be less stressful for parents, and enhance family-centered care, as well as maternal presence, compared to OWs.https://doi.org/10.1186/s12887-020-1929-1Neonatal intensive careDesignMothersStressDepressionFamily-centered care |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Nancy Feeley Stephanie Robins Christine Genest Robyn Stremler Phyllis Zelkowitz Lyne Charbonneau |
spellingShingle |
Nancy Feeley Stephanie Robins Christine Genest Robyn Stremler Phyllis Zelkowitz Lyne Charbonneau A comparative study of mothers of infants hospitalized in an open ward neonatal intensive care unit and a combined pod and single-family room design BMC Pediatrics Neonatal intensive care Design Mothers Stress Depression Family-centered care |
author_facet |
Nancy Feeley Stephanie Robins Christine Genest Robyn Stremler Phyllis Zelkowitz Lyne Charbonneau |
author_sort |
Nancy Feeley |
title |
A comparative study of mothers of infants hospitalized in an open ward neonatal intensive care unit and a combined pod and single-family room design |
title_short |
A comparative study of mothers of infants hospitalized in an open ward neonatal intensive care unit and a combined pod and single-family room design |
title_full |
A comparative study of mothers of infants hospitalized in an open ward neonatal intensive care unit and a combined pod and single-family room design |
title_fullStr |
A comparative study of mothers of infants hospitalized in an open ward neonatal intensive care unit and a combined pod and single-family room design |
title_full_unstemmed |
A comparative study of mothers of infants hospitalized in an open ward neonatal intensive care unit and a combined pod and single-family room design |
title_sort |
comparative study of mothers of infants hospitalized in an open ward neonatal intensive care unit and a combined pod and single-family room design |
publisher |
BMC |
series |
BMC Pediatrics |
issn |
1471-2431 |
publishDate |
2020-01-01 |
description |
Abstract Background The well-being of mothers of infants requiring Neonatal Intensive Care Unit (NICU) hospitalization may be affected by the architectural design of the unit. A few recent studies suggest there may be some drawbacks of single-family rooms (SFRs) for infants and their mothers, such as isolation of mothers and reduced exposure to auditory stimulation for infants. Purpose To compare NICU-stress, symptoms of depression, perceptions of nurse-parent support and family-centered care, sleep disturbances, breastfeeding self-efficacy and readiness for discharge in mothers of infants cared for in an open ward (OW) to those cared for in a unit that includes both pods and SFRs. Methods A pre-post quasi-experimental study was conducted in a Canadian level 3 unit before and after transitioning to a new unit of 6-bed pods and SFRs. OW data were collected in 2014 and pod/SFR data 1 year after the transition in 2017 to 2018. Mothers of infants hospitalized for at least 2 weeks completed questionnaires about stress, depressive symptoms, support, family-centered care, and sleep disturbances. In the week prior to discharge, they responded to breastfeeding self-efficacy and readiness for discharge questionnaires. They described their presence in the NICU at enrollment and again prior to discharge. Results Pod/SFR mothers reported significantly less NICU-stress compared to OW mothers. OW mothers had greater sights and sounds stress and felt more restricted in their parental role. Pod/SFR mothers reported greater respect from staff. Controlling for maternal education, pod/SFR mothers perceived their infant’s readiness for discharge to be greater than OW mothers. There were no significant differences between groups in depressive symptoms, nurse-parent support, sleep disturbances, and breastfeeding self-efficacy. At enrollment and again in the weeks preceding discharge, pod/SFR mothers were present significantly more hours per week than OW mothers, controlling for maternal education. Conclusions Further study of small pods is indicated as these units may be less stressful for parents, and enhance family-centered care, as well as maternal presence, compared to OWs. |
topic |
Neonatal intensive care Design Mothers Stress Depression Family-centered care |
url |
https://doi.org/10.1186/s12887-020-1929-1 |
work_keys_str_mv |
AT nancyfeeley acomparativestudyofmothersofinfantshospitalizedinanopenwardneonatalintensivecareunitandacombinedpodandsinglefamilyroomdesign AT stephanierobins acomparativestudyofmothersofinfantshospitalizedinanopenwardneonatalintensivecareunitandacombinedpodandsinglefamilyroomdesign AT christinegenest acomparativestudyofmothersofinfantshospitalizedinanopenwardneonatalintensivecareunitandacombinedpodandsinglefamilyroomdesign AT robynstremler acomparativestudyofmothersofinfantshospitalizedinanopenwardneonatalintensivecareunitandacombinedpodandsinglefamilyroomdesign AT phylliszelkowitz acomparativestudyofmothersofinfantshospitalizedinanopenwardneonatalintensivecareunitandacombinedpodandsinglefamilyroomdesign AT lynecharbonneau acomparativestudyofmothersofinfantshospitalizedinanopenwardneonatalintensivecareunitandacombinedpodandsinglefamilyroomdesign AT nancyfeeley comparativestudyofmothersofinfantshospitalizedinanopenwardneonatalintensivecareunitandacombinedpodandsinglefamilyroomdesign AT stephanierobins comparativestudyofmothersofinfantshospitalizedinanopenwardneonatalintensivecareunitandacombinedpodandsinglefamilyroomdesign AT christinegenest comparativestudyofmothersofinfantshospitalizedinanopenwardneonatalintensivecareunitandacombinedpodandsinglefamilyroomdesign AT robynstremler comparativestudyofmothersofinfantshospitalizedinanopenwardneonatalintensivecareunitandacombinedpodandsinglefamilyroomdesign AT phylliszelkowitz comparativestudyofmothersofinfantshospitalizedinanopenwardneonatalintensivecareunitandacombinedpodandsinglefamilyroomdesign AT lynecharbonneau comparativestudyofmothersofinfantshospitalizedinanopenwardneonatalintensivecareunitandacombinedpodandsinglefamilyroomdesign |
_version_ |
1724316802112028672 |