The POPPY Study: Developing a Model of Family-Centred Care for Neonatal Units

被引:36
作者
Staniszewska, Sophie [1 ]
Brett, Jo [1 ]
Redshaw, Maggie [2 ]
Hamilton, Karen [2 ]
Newburn, Mary
Jones, Nicola [3 ]
Taylor, Lesley
机构
[1] Univ Warwick, RCN Res Inst, Sch Hlth & Social Studies, Coventry CV4 7AL, W Midlands, England
[2] Univ Oxford, Natl Perinatal Epidemiol Unit, Oxford OX1 2JD, England
[3] Warwickshire Preterm Support Grp, Warwick, England
关键词
family-centred care; neonatal; premature; infant; parents' experiences; evidence-based practice; LOW-BIRTH-WEIGHT; PRETERM INFANTS; CREATING OPPORTUNITIES; INTERVENTION PROGRAM; PARENT EMPOWERMENT; PREMATURE-INFANTS; CHILDREN; SUPPORT; IMPLEMENTATION; OUTCOMES;
D O I
10.1111/j.1741-6787.2012.00253.x
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Background: The concept of family-centred care in neonatal practice has become increasingly recognised internationally. The underlying philosophy puts parents and the family at the centre of health care and promotes individualised, flexible care. Aims: To develop the first international model of family-centred care based on strong parental collaboration in the synthesis of robust research evidence to generate the philosophy, principles, model, and indicators for implementation. Methods and Synthesis: Seven key steps were followed to develop the POPPY model of care collaboratively with parents. Step 1 drew on the POPPY systematic review to identify effective interventions. Step 2 drew on the POPPY qualitative study to identify good parent experiences. Step 3 identified the philosophy and principles of the POPPY model of care. Step 4 identified the key stages of the POPPY model of care. Step 5 populated the POPPY model of care with data from steps 1 and 2. Step 6 developed the indicators of family-centred care; and Step 7 undertook some initial testing with parents and practitioners. Results: Seven key stages of the parents journey through their neonatal unit experience were identified and formed the architecture of the POPPY model of care. These include: before admission to the unit, admission, early days, growing and developing, transfers between units and between levels of care, preparing for discharge, and transition to home and at home. A philosophy, a set of principles to underpin the model, and a set of indicators to guide implementation in neonatal units were developed. Conclusion: The POPPY model of family-centred care provides the first robust, collaboratively developed, parent-centred model, which can be implemented to deliver high quality care to parents of preterm infants. Implications: Implementing the POPPY model could help neonatal units to develop parent-focused services which better meet parents needs for information, communication and support, key elements of family-centred care.
引用
收藏
页码:243 / 255
页数:13
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