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Family-centered care has become integral to the provision of
quality neonatal intensive care. Mounting evidence indicates
that providing psychosocial support and promoting optimal
family involvement in both decision-making and the care of
hospitalized newborns improves outcomes. However, practices
that reflect the core principles of family-centered care have
not been described fully in the literature or implemented
consistently and evaluated within newborn intensive
care.
Three centers within the Vermont Oxford Network NIC/Q 2002
collaborative worked together with experts and families to
develop an innovative web-based resource to assist individual
care providers and family advisors to provide comprehensive
family-centered care to infants and families. The primary aim
was to create a family-centered care map that would enhance
the ability of the health care team to partner with families
to coordinate and deliver care in a holistic manner to meet
the developmental, physical and psychosocial needs of NICU
patients and their families.
The FCC map is divided into 7 individual phases that an
infant may experience if admitted to the NICU: preadmission
inborn/outborn, acute, golden hours, growing stronger,
breathing feeding growing, transition to home and post
discharge. The map also includes separate phases for
bereavement and transfer.
Each phases centers around Potentially better practices or
PBPs. PBPs are ideas for improvement that are supported by
evidence, logic and practical experience.
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