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Machut KZ, Gilbart C, Murthy K, et al. Parental Perspectives on Neonatologist Continuity of Care. Adv Neonatal Care. 2021;21(6):E162-E170doi: 10.1097/ANC.0000000000000895.
Machut, K. Z., Gilbart, C., Murthy, K., & Michelson, K. N. (2021). Parental Perspectives on Neonatologist Continuity of Care. Advances in neonatal care : official journal of the National Association of Neonatal Nurses, 21(6), E162-E170. https://doi.org/10.1097/ANC.0000000000000895
Machut, Kerri Z, et al. "Parental Perspectives on Neonatologist Continuity of Care." Advances in neonatal care : official journal of the National Association of Neonatal Nurses vol. 21,6 (2021): E162-E170. doi: https://doi.org/10.1097/ANC.0000000000000895
Machut KZ, Gilbart C, Murthy K, Michelson KN. Parental Perspectives on Neonatologist Continuity of Care. Adv Neonatal Care. 2021 Dec 01;21(6):E162-E170. doi: 10.1097/ANC.0000000000000895. PMID: 34138794; PMCID: PMC8632986.
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Adv Neonatal Care. 2021 Dec 01;21(6):E162-E170. doi: 10.1097/ANC.0000000000000895.

Parental Perspectives on Neonatologist Continuity of Care.

Advances in neonatal care : official journal of the National Association of Neonatal Nurses

Kerri Z Machut, Christie Gilbart, Karna Murthy, Kelly N Michelson

Affiliations

  1. Feinberg School of Medicine, Northwestern University, Chicago, Illinois (Drs Machut, Murthy, and Michelson); Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois (Drs Machut, Gilbart, Murthy, and Michelson); and Children's Hospitals Neonatal Consortium, Dover, Delaware (Dr Murthy).

PMID: 34138794 PMCID: PMC8632986 DOI: 10.1097/ANC.0000000000000895

Abstract

BACKGROUND: Continuity of care (COC) is highly regarded; however, data about benefits are mixed. Little is known about components, parental views, or the value COC may provide to neonatal intensive care unit (NICU) infants and families.

PURPOSE: To describe parents' perspectives on definitions, reasons they value, and suggested improvements regarding COC provided by neonatologists.

METHODS: We performed a qualitative study of in-person, semistructured interviews with parents of NICU infants hospitalized for 28 days or more. We analyzed interview transcripts using content analysis, identifying codes of parental experiences, expressed value, and improvement ideas related to neonatologist COC, and categorizing emerging themes.

RESULTS: Fifteen families (15 mothers and 2 fathers) described 4 themes about COC: (1) longitudinal neonatologists: gaining experience with infants and building relationships with parents over time; (2) background knowledge: knowing infants' clinical history and current condition; (3) care plans: establishing patient-centered goals and management plans; and (4) communication: demonstrating consistent communication and messaging. Parents described benefits of COC as decreasing knowledge gaps, advancing clinical progress, and decreasing parental stress. Suggested improvement strategies included optimizing staffing and sign-out/transition processes, utilizing clinical guidelines, and enhancing communication. Using parent input and existing literature, we developed a definition and conceptual framework of COC.

IMPLICATIONS FOR PRACTICE: NICUs should promote practices that enhance COC. Parental suggestions can help direct improvement efforts.

IMPLICATIONS FOR RESEARCH: Our COC definition and conceptual framework can guide development of research and quality improvement projects. Future studies should investigate nursing perspectives on NICU COC and the impact of COC on infant and family outcomes.

Copyright © 2021 by The National Association of Neonatal Nurses.

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