Familial involvement in infant cares in the setting of language discordant nurse-family pairings
摘要
To determine if Neonatal Intensive Care Unit (NICU) specific language card use increased infant care activity involvement among Spanish-preferred families.
Study designMultisite NICU pilot pre-post intervention (implementation of infant care activity language card) assessing Spanish-preferred family involvement. Chart review was conducted 8 months before and after card implementation (12/2021-11/2023). Outcomes were analyzed using bi-variate analyses and mixed effect models.
ResultOf the 989 infants, 5.9% were Spanish-preferred, 91.4% English-preferred, and 2.5% non-English-non-Spanish preferred. Prior to language card implementation, Spanish-preferred families had significantly lower odds of participating in care activities compared to English-preferred families (e.g., overall participation OR 0.64 [95% CI 0.43–0.96]). Following implementation, Spanish-preferred families had significantly higher odds of overall care participation (OR 2.27 [95% CI 1.51–3.41]) and improved odds across all activities.
ConclusionLanguage cards are associated with increased Spanish-preferred family involvement in infant care activities in the NICU.