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Background <p>Parental presence at bedside is a critical component of family-centered care for infants admitted to Neonatal Intensive Care Units (NICUs) and their caregivers, allowing for engagement with baby as well as education from the care team.</p> Local problem <p>Many families face barriers to physical presence, including transportation, childcare responsibilities, work, and illness, among others.</p> Interventions <p>Telehealth can be an avenue for parents to be engaged while not directly at bedside. This project details efforts to launch virtual visits in a Level III NICU, including challenges and lessons learned, across 4 PDSA cycles.</p> Methods <p>We measured the percentage of families on the NICU who attended 4 or more cares sessions per week. We obtained survey responses and open-ended feedback about the implementation from staff and patients.</p> Results <p>Family engagement rates were higher during active PDSA cycles at trending significance level. Most providers and parents rated the intervention as highly feasible and satisfying. Attendance in cares sessions improved across the QI project, especially for families with public insurance.</p> Conclusions <p>We found that telehealth visits were able to lessen the disparities in cares participation rates between families with private insurance and families with public insurance.</p>

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A quality improvement initiative to increase family engagement and reduce disparities in visitation via telehealth in a level III neonatal intensive care unit

  • 期刊论文

  • 发表日期：

    2026年1月5日

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  • Jessalyn Kelleher,
  • Danielle Cooke,
  • Jacob B. W. Holzman,
  • Alejandra Santisteban,
  • Kendra Huber,
  • Lani Bowler,
  • James Barry,
  • Sorabh Singhal,
  • Jack Dempsey,
  • Allison G. Dempsey

摘要

Background

Parental presence at bedside is a critical component of family-centered care for infants admitted to Neonatal Intensive Care Units (NICUs) and their caregivers, allowing for engagement with baby as well as education from the care team.

Local problem

Many families face barriers to physical presence, including transportation, childcare responsibilities, work, and illness, among others.

Interventions

Telehealth can be an avenue for parents to be engaged while not directly at bedside. This project details efforts to launch virtual visits in a Level III NICU, including challenges and lessons learned, across 4 PDSA cycles.

Methods

We measured the percentage of families on the NICU who attended 4 or more cares sessions per week. We obtained survey responses and open-ended feedback about the implementation from staff and patients.

Results

Family engagement rates were higher during active PDSA cycles at trending significance level. Most providers and parents rated the intervention as highly feasible and satisfying. Attendance in cares sessions improved across the QI project, especially for families with public insurance.

Conclusions

We found that telehealth visits were able to lessen the disparities in cares participation rates between families with private insurance and families with public insurance.