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Eight principles for newborn care in neonatal units: Findings from a national survey
Author(s) -
Lopez-Maestro Maria,
De la Cruz Javier,
PerapochLopez Josep,
GimenoNavarro Ana,
VazquezRoman Sara,
AlonsoDiaz Clara,
MuñozAmat Bárbara,
MoralesBetancourt Catalina,
SorianoRamos María,
PallasAlonso Carmen
Publication year - 2020
Publication title -
acta paediatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/apa.15121
Subject(s) - medicine , breastfeeding , neonatal intensive care unit , odds ratio , unit (ring theory) , pediatrics , family medicine , psychology , mathematics education , pathology
Aim To assess, at national level, the implementation of eight principles for infant‐ and family‐centred developmental care (IFCDC) in neonatal units. A European expert group established eight ‘Principles of care’ in 2018 that define neurodevelopmental and family‐centred care. Methods The implementation of each principle was assessed by a survey sent to level‐III Spanish units. A principle was considered to be implemented if all answers to the principle‐associated questions were positive. Results The response rate was 84.5% (65/77). No unit had implemented eight principles. Principle 1 (free parental access) was implemented in 21.5% of the centres; Principle 2 (psychological support) 40%; Principle 3 (pain management) 7.7%; Principle 4 (environmental influences) 29%; Principle 5 (postural support) 84.6%; Principle 6 (kangaroo‐care) 67.7%; Principle 7 (breastfeeding) 23% and Principle 8 (sleep protection) in 46%. In units attending ≥50 very low birth weight (VLBW) infants, four or more principles had been implemented in 31% vs 13% <50 VLBW neonates (odds ratio 3.0 CI 95% 0.9‐10.1, P .07). Conclusion The principle with the highest implementation was related to newborn body positioning. Pain management was the principle with lowest implementation. More principles for IFCDC tend to be implemented in units providing care for a higher number of VLBW infants.