Objective <p>Despite evidence demonstrating the positive impact of family-centered care (FCC) in the neonatal intensive care unit (NICU), FCC is not standard of care. This multi-center, quality improvement initiative aimed to increase the percentage of NICUs with FCC committees and Family Partnership Councils (FPCs).</p> Study design <p>Participating NICUs were divided into small groups for collaborative mentoring. A key driver diagram and Pareto charts evaluated barriers to FCC and directed interventions. The primary outcome measure was development of an FCC committee and/or FPC. Process measures were views of bi-monthly educational webinars, evaluated using Statistical Process Control charts.</p> Result <p>Across 22 NICUs, the percentage with FCC committees and FPCs increased from 18% to 59% and 18% to 45%, respectively. Average webinar views increased from 28 to 182 views/webinar with clear signal on XmR chart.</p> Conclusion <p>A collaborative mentoring model and focused education achieved the goal of increasing NICU FCC committees and FPCs.</p>

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Improving Commitment to Family-Centered Care in the NICU: A Multicenter Collaborative Quality Improvement Project

  • Malathi Balasundaram,
  • Henry C. Lee,
  • Laura C. Hedli,
  • Kerri Z. Machut,
  • Dharshi Sivakumar,
  • Morgan Kowalski,
  • Rafael Mendelsohn,
  • Keira Sorrells,
  • Colby Day

摘要

Objective

Despite evidence demonstrating the positive impact of family-centered care (FCC) in the neonatal intensive care unit (NICU), FCC is not standard of care. This multi-center, quality improvement initiative aimed to increase the percentage of NICUs with FCC committees and Family Partnership Councils (FPCs).

Study design

Participating NICUs were divided into small groups for collaborative mentoring. A key driver diagram and Pareto charts evaluated barriers to FCC and directed interventions. The primary outcome measure was development of an FCC committee and/or FPC. Process measures were views of bi-monthly educational webinars, evaluated using Statistical Process Control charts.

Result

Across 22 NICUs, the percentage with FCC committees and FPCs increased from 18% to 59% and 18% to 45%, respectively. Average webinar views increased from 28 to 182 views/webinar with clear signal on XmR chart.

Conclusion

A collaborative mentoring model and focused education achieved the goal of increasing NICU FCC committees and FPCs.