Effects of single family room architecture on parent-infant closeness and family centered care in neonatal environments : a single-center pre-post study

OBJECTIVE: The aim of this study was to evaluate the effects of a single family room architecture in a neonatal intensive care unit (SFR-NICU) on parents’ presence, parent–infant skin-to-skin contact (SSC) and the quality of family centered care. STUDY DESIGN: Two cohorts of parents of preterm infants were compared: those in the unit before and after the move to SFR-NICU. The parents used daily diaries to report their presence and SSC, and they responded to daily text message questions about the quality of family centered care. RESULTS: Parents spent more time in the SFR-NICU, but no significant change was found in SSC. Parents rated the quality of family centered care highly in both unit architectures, without a change in rating after the move. CONCLUSION: The SFR-NICU increased parents’ presence but not SSC. The change in architecture did not affect parents’ evaluations of the quality of family centered care, which was already highly rated before the move.©The Author(s) 2021. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visithttp://creativecommons.org/licenses/by/4.0/.Open access funding provided by University of Turku (UTU) including Turku University Central Hospital.fi=vertaisarvioitu|en=peerReviewed

Effects of single family room architecture on parent–infant closeness and family centered care in neonatal environments—a single-center pre–post study

Objective: The aim of this study was to evaluate the effects of a single family room architecture in a neonatal intensive care unit (SFR-NICU) on parents' presence, parent-infant skin-to-skin contact (SSC) and the quality of family centered care. Study design: Two cohorts of parents of preterm infants were compared: those in the unit before and after the move to SFR-NICU. The parents used daily diaries to report their presence and SSC, and they responded to daily text message questions about the quality of family centered care. Results: Parents spent more time in the SFR-NICU, but no significant change was found in SSC. Parents rated the quality of family centered care highly in both unit architectures, without a change in rating after the move. Conclusion: The SFR-NICU increased parents' presence but not SSC. The change in architecture did not affect parents' evaluations of the quality of family centered care, which was already highly rated before the move.</p

Tyttöjen ja naisten ympärileikkauksen ehkäisy Suomessa : riskinarviointimalli

Opinnäytetyön aiheena oli tyttöjen ja naisten ympärileikkauksen ehkäisy. Vuosittain miljoonat tytöt ovat vaarassa joutua ympärileikatuksi. Kasvavan maahanmuuton myötä Suomessakin sosiaali- ja terveysalan ammattilaiset kohtaavat yhä useammin riskissä olevia tyttöjä ja naisia. Useiden tutkimusten mukaan ammattihenkilöstöllä esiintyy epävarmuutta sen tunnistamisessa ja puheeksi ottamisessa. Opinnäytetyön tarkoituksena oli kuvata tyttöjen ja naisten ympärileikkauksen riskitekijöitä sekä keinoja puheeksi ottamiseen ja laatia näiden pohjalta riskinarviointimalli. Tyttöjen ja naisten ympärileikkauksen ehkäisevän työn yksinkertaistaminen oli opinnäytetyön tavoitteena. Opinnäytetyö toteutettiin kehittämistyönä, jossa aineiston keruu tapahtui kirjallisuuskatsauksen avulla. Työn tuloksena syntyi riskinarviointimalli, johon koottiin yleisimpiä riskitekijöitä tyttöjen ja naisten ympärileikkaukselle, kuten riskimaita sekä taustatekijöitä. Malliin koottiin myös neuvoja puheeksiottamistilanteeseen. Loppuun lisättiin toimintaohje huolen herätessä. Riskinarviointimalli hyödyttää kaikkia muuttajataustaisten tyttöjen ja naisten parissa työskenteleviä tunnistamaan mahdollisen ympärileikkauksen riskin ja puuttumaan siihen ajoissa. Opinnäytetyö julkistettiin Terveyden ja hyvinvoinnin laitoksen Ajankohtaista seksuaali- ja lisääntymisterveydestä -uutiskirjeessä. Riskinarviointimalli luovutettiin Terveyden ja hyvinvoinnin laitoksen käytettäväksi myös tulevaisuudessa. Lisäksi sitä levitettiin sähköisesti muutamiin vastaanottokeskuksiin ympäri Suomen.The subject of the project was the prevention of female genital mutilation. Every year millions of girls are at risk of being circumcised. As immigration to Finland increases, health care professionals face more and more girls at risk, even in Finland. According to many studies, health professionals feel uncertain when identifying girls at risk and raising the issue with them or with their parents. The purpose of the project was to describe the risk factors of female genital mutilation as well as documenting ways to talk about it. The result, a risk assessment template, was compiled using the collected data. The aim of the project was to facilitate the prevention of female genital mutilation. The study was conducted as a development work. The data of the study was collected as a literature review. The result of the project was the risk assessment template in which the most common risk factors for female genital mutilation were compiled, e.g. risk countries and backgrounds. The risk assessment template also includes advice on raising the topic into discussion. Advice on how to act when reason for concern is found was appended. Everyone working with immigrants can benefit from the risk assessment template. The template helps to identify the possible risk and to prevent female genital mutilation. The Bachelor’s thesis was published in the Sexual and Reproductive Health newsletter of the Finnish National Institute for Health and Welfare. The risk assessment template was also handed over to the Finnish National Institute for Health and Welfare. The template was also sent to some immigrant reception centers across Finland

EFFECTS OF SINGLE FAMILY ROOM ARCHITECTURE ON PARENT– INFANT CLOSENESS AND FAMILY CENTERED CARE IN NEONATAL ENVIRONMENTS : A single center pre–post study

The aim of the study was to evaluate the effects of a neonatal intensive care unit (NICU) moving from a unit with shared patient rooms into a unit with single family rooms (SFRs) on the duration of parent ́s presence and skin to skin contact (SSC) and on the parents’ experiences of the quality of family centered care (FCC). In this pretest-posttest study, the parents of preterm infants were asked to report in daily diaries the time a) in the NICU and b) of SSC with their infant and to evaluate the quality of FCC in two different time points in contrasting NICU environments. The duration of time the parents were present in the NICU increased significantly in the SFR unit but was not reflected in the amount of SSC. In their evaluations of the quality of FCC, the parents offered highly positive experiences, regardless of the unit architecture and no significant differences occurred neither at the total evaluations nor at single question level. In conclusion, the unit architecture increased the parents’ presence in a NICU but not SSC. Being more in the unit with SRFs did not affect the parents' evaluations of the quality of FCC