Poonam Joshi, Meena Joshi, Aakansha Sharma, Anu Sachdeva, Rajesh Sagar, Ashok Kumar Deorari
This quality improvement initiative was undertaken in a tertiary care neonatal intensive care unit (NICU) to improve communication between the HCP and parents related to the sick neonates admitted in NICU as measured by increase in parental satisfaction score from base line (34.5%) to 80% in 3 months time. A team was formulated to evaluate the reasons for low parental satisfaction resulting from communication between HCP and the parents of sick neonates and to further plan strategies for improving the same. Multiple PDSA cycles were implemented. The results of the all PDSA cycles were discussed amongst team members. Satisfaction of parents related to communication with HCP increased to more than 80% in 3 months time followed by increase up to 90% in sustenance phase. Multiple simple feasible interventions led to improvement in communication between the HCP and parents as evident by increase in satisfaction score (40.8 ± 4.3 vs. 40.8 ± 4.3 vs. 91.3 ± 4.8, p < 0.001). There was significant improvement in the satisfaction scores of the mothers on communication related to sick neonate in NICU at the end of intervention phase as well as in the sustenance phase. Multiple simple doable and feasible interventions had led to the improvement in communication between the HCP and parents hence improving the satisfaction of parents related to their communication with HCP.
Alderson P, Hawthorne J, Killen M. Parents’ experiences of sharing neonatal information and decisions: Consent, cost and risk. Soc Sci Med. 2006; 62: 1319–29.
Yee W, Ross S. Communicating with parents of high-risk infants in neonatal intensive care. Paediatr Child Health. 2006 May; 11(5): 291–294.
Institute of Medicine (US) Committee on Understanding Premature Birth and Assuring Healthy Outcomes. Behrman RE, Butler AS, eds. Preterm birth: Causes, consequences, and prevention. Washington: National Academies Press (US), 2007. http://dx.doi.org/10.17226/11622.
Fishering R, Broeder JL, Donze A. A qualitative study: NICU nurses as NICU parents. Adv Neonatal Care 2016;16(1):74–86. http://dx.doi. org/110.1097/anc.0000000000000221 3.
Chourasia N, Surianarayanan P, Adhisivam B, Vishnu Bhat B. NICU admissions and maternal stress levels. Indian J Pediatr 2013;80(5):380–384. http://dx.doi.org/10.1007/s12098-012-0921-7 4.
Bastani F, Abadi TA, Haghani H. Effect of family-centred care on improving parental satisfaction and reducing readmission among premature infants: A randomized controlled trial. J Clin Diagn Res 2015;9(1):SC04–8. http://dx.doi. org/10.7860/jcdr/2015/10356.5444 5.
Blackington SM, Mclauchlan T. Continuous quality improvement in the neonatal intensive care unit: Evaluating parent satisfaction. J Nurs Care Qual 1995;9(4):78–85. http://dx.doi. org/10.1097/00001786-199507000-0001.
Ranchod T, Ballot DE, Martinez AM, Cory BJ, Davies VA, Partridge JC. Parental perception of neonatal intensive care in public sector hospitals in South Africa. S Afr Med J 2004;94(11):913–916.
Kowalski WJ, Leef KH, Mackley A, Spear ML, Paul DA. Communicating with parents of premature infants: Who is the informant? J Perinatol. 2006; 26:44–8.
Abel-Boone H, Dokecki PR, Smith MS. Parent and health care provider communication and decision making in the intensive care nursery. Child Health Care. 1989;18:133–41.
Vijver van de Margret, Evans M. A tool to improve communication in the neonatal unit. BMJ Qual Improv Report 2015;4: doi:10.1136/bmjquality.u203180.w3084. [accessed on June 16, 2017].
Reis MD, Scott SD, Rempel GR. Including parents in the evaluation of clinical microsystems in the neonatal intensive care unit. Adv Neonatal Care 2009; 9:174–179. http://dx.doi.org/110.1097/anc.0b013e3181afab3c.(accessed on July 20, 2017)
V Sankar, P Batra, M Saroha, J Sadiza. Parental satisfaction in the traditional system of neonatal intensive care unit services in a public sector hospital in North India. SAJCH 2017; 11(1): 54–57.
| Periodicity | Biannually |
| Issue-1 | October |
| Issue-2 | April |
| ISSN Print | 2393-8536 |
| ISSN Online | 2393-8544 |
| RNI No. | CHAENG/2014/57978 |
Publisher's policy of the journal at Sherpa UK for the submitted, accepted, and published articles. Click OAPolicy
Plan-S ComplianceTo check compliance, one has to use the Journal Check Tool (JCT). This tool provided by cOAlition S (European funders) for the researchers (fundee) to check the compliance with the journal.
Recommend journal to your libraryYou can recommend the journal being a researcher or faculty member to your library. We will post a copy of the Journal to your library on your behalf at free of cost.
Click here: Recommend Journal
The authors are encouraged to submit the author’s copy (preprint) to appropriate preprint archives e.g. https://arxiv.org and/or on https://indiarxiv.org or institutional repositories (e.g., D Space) before paper acceptance by the editor of Journal. After publications of the paper author(s) should mention the citation information, title and abstract along with DOI number of the publication carefully on the required page of the depository(ies).
Contact:Phone: +91-172-2741000, +91-172-4691800
Email : editor.jmrh@chitkara.edu.in
This work is licensed under a Creative Commons Attribution 4.0 International License.
Articles in Journal of Multidisciplinary Research in Healthcare by Chitkara University Publications are Open Access articles that are published with licensed under a Creative Commons Attribution- CC-BY 4.0 International License. Based on a work at https://jmrh.chitkara.edu.in/. This license permits one to use, remix, tweak and reproduction in any medium, even commercially provided one give credit for the original creation.
View Legal Code of the above-mentioned license, https://creativecommons.org/licenses/by/4.0/legalcode
View Licence Deed here https://creativecommons.org/licenses/by/4.0/
Journal of Multidisciplinary Research in Healthcare by Chitkara University Publications is licensed under a Creative Commons Attribution 4.0 International License.
Based on a work at https://jmrh.chitkara.edu.in/
Chandigarh-Patiala National Highway, Punjab 140 401
Chandigarh Information Center SCO 160-161, Sector 9-C, Chandigarh 160 009
