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The impact of parental presence restrictions on Canadian parents in the NICU during COVID-19: a national survey

The impact of parental presence restrictions on Canadian parents in the NICU during COVID-19: a national survey
The impact of parental presence restrictions on Canadian parents in the NICU during COVID-19: a national survey
The purpose of this research was to explore parental perspectives on the impact of parent restrictions imposed in response to the COVID-19 pandemic across Canadian Neonatal Intensive Care Units (NICUs). A co-designed online survey was conducted targeting parents (n = 235) of infants admitted to a Canadian NICU from March 1, 2020, until March 5, 2021. Parents completed the survey from 38 Canadian NICUs. Large variation in the severity of policies regarding parental presence was reported. Most respondents (68.9%) were classified as experiencing high restrictions, with one or no support people allowed in the NICU, and felt that policies were less easy to understand, felt less valued and respected, and found it more challenging to access medicine or health care. Parents reported gaps in care related to self-care, accessibility, and mental health outcomes. There is significant variation in parental restrictions implemented across Canadian NICUs. National guidelines are needed to support consistent and equitable care practices.
family nursing, family-centered care, hospital policy, neonatal intensive care unit, parent perspective, COVID-19, Canada, Pandemics, Parents/psychology, Intensive Care Units, Neonatal, Humans, Infant, Newborn
1074-8407
18-27
Campbell-Yeo, Marsha
fd416bfc-eef1-401e-8652-c049fb65e42a
Dol, Justine
a1ba7653-3a47-439e-b9a4-904c400c80c3
McCulloch, Holly
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Hughes, Brianna
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Hundert, Amos
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Bacchini, Fabiana
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Whitehead, Leah
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Afifi, Jehier
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Alcock, Lynsey
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Bishop, Tanya
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Dorling, Jon
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Earle, Rebecca
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Elliott Rose, Annette
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Inglis, Darlene
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Leighton, Carye
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MacRae, Gail
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Melanson, Andrea
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Simpson, C. David
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Smit, Michael
f82c3671-fead-453f-9db9-2e9c06fa055c
Campbell-Yeo, Marsha
fd416bfc-eef1-401e-8652-c049fb65e42a
Dol, Justine
a1ba7653-3a47-439e-b9a4-904c400c80c3
McCulloch, Holly
9089dcea-37cb-442f-bcb3-de81be45ea17
Hughes, Brianna
9cb78c48-fdb2-4302-a633-bd4e6c0622a5
Hundert, Amos
8091a3ef-52a7-404d-9d48-b35a70d45678
Bacchini, Fabiana
f7669d57-b20a-4c8b-b533-97e154277b96
Whitehead, Leah
3ab3442b-e223-4e55-bcb4-07898569d501
Afifi, Jehier
5806e139-a9b0-4322-a5b0-545aa0f7d9c6
Alcock, Lynsey
b0f1bab1-2c35-48ef-acf1-5822c1d9d788
Bishop, Tanya
66262b7c-2a63-42e0-a75c-c0245f850169
Dorling, Jon
e55dcb9a-a798-41a1-8753-9e9ff8aab630
Earle, Rebecca
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Elliott Rose, Annette
23b481ae-efff-4d4c-aa9d-1f0b936367d8
Inglis, Darlene
ebafbffc-1b74-4f4c-8c61-d38fad3f014a
Leighton, Carye
7a4424d1-d5e9-4392-947c-ae957b565978
MacRae, Gail
17a7639e-66b9-452a-81bf-c1e6671f5298
Melanson, Andrea
dffaf20f-0166-4434-9af2-26761cda47f4
Simpson, C. David
d2ff4afd-669d-4f9c-8bc4-4b55a6f63054
Smit, Michael
f82c3671-fead-453f-9db9-2e9c06fa055c

Campbell-Yeo, Marsha, Dol, Justine, McCulloch, Holly, Hughes, Brianna, Hundert, Amos, Bacchini, Fabiana, Whitehead, Leah, Afifi, Jehier, Alcock, Lynsey, Bishop, Tanya, Dorling, Jon, Earle, Rebecca, Elliott Rose, Annette, Inglis, Darlene, Leighton, Carye, MacRae, Gail, Melanson, Andrea, Simpson, C. David and Smit, Michael (2023) The impact of parental presence restrictions on Canadian parents in the NICU during COVID-19: a national survey. Journal of Family Nursing, 29 (1), 18-27. (doi:10.1177/10748407221114326).

Record type: Article

Abstract

The purpose of this research was to explore parental perspectives on the impact of parent restrictions imposed in response to the COVID-19 pandemic across Canadian Neonatal Intensive Care Units (NICUs). A co-designed online survey was conducted targeting parents (n = 235) of infants admitted to a Canadian NICU from March 1, 2020, until March 5, 2021. Parents completed the survey from 38 Canadian NICUs. Large variation in the severity of policies regarding parental presence was reported. Most respondents (68.9%) were classified as experiencing high restrictions, with one or no support people allowed in the NICU, and felt that policies were less easy to understand, felt less valued and respected, and found it more challenging to access medicine or health care. Parents reported gaps in care related to self-care, accessibility, and mental health outcomes. There is significant variation in parental restrictions implemented across Canadian NICUs. National guidelines are needed to support consistent and equitable care practices.

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More information

e-pub ahead of print date: 1 August 2022
Published date: 1 February 2023
Additional Information: Funding Information: the author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: All phases of this study were supported by Nova Scotia COVID-19 Health Research Coalition.
Keywords: family nursing, family-centered care, hospital policy, neonatal intensive care unit, parent perspective, COVID-19, Canada, Pandemics, Parents/psychology, Intensive Care Units, Neonatal, Humans, Infant, Newborn

Identifiers

Local EPrints ID: 485172
URI: http://eprints.soton.ac.uk/id/eprint/485172
ISSN: 1074-8407
PURE UUID: 193604c4-acbf-4898-8d75-c74a93ca97ea
ORCID for Jon Dorling: ORCID iD orcid.org/0000-0002-1691-3221

Catalogue record

Date deposited: 30 Nov 2023 17:53
Last modified: 18 Mar 2024 04:17

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Contributors

Author: Marsha Campbell-Yeo
Author: Justine Dol
Author: Holly McCulloch
Author: Brianna Hughes
Author: Amos Hundert
Author: Fabiana Bacchini
Author: Leah Whitehead
Author: Jehier Afifi
Author: Lynsey Alcock
Author: Tanya Bishop
Author: Jon Dorling ORCID iD
Author: Rebecca Earle
Author: Annette Elliott Rose
Author: Darlene Inglis
Author: Carye Leighton
Author: Gail MacRae
Author: Andrea Melanson
Author: C. David Simpson
Author: Michael Smit

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