Frontiers in Pediatrics (Jun 2024)
Practice recommendations regarding parental presence in NICUs during pandemics caused by respiratory pathogens like COVID-19
- Marsha Campbell-Yeo,
- Marsha Campbell-Yeo,
- Fabiana Bacchini,
- Lynsey Alcock,
- Souvik Mitra,
- Morgan MacNeil,
- Morgan MacNeil,
- Amy Mireault,
- Marc Beltempo,
- Tanya Bishop,
- Douglas M. Campbell,
- Addie Chilcott,
- Jeannette L. Comeau,
- Jeannette L. Comeau,
- Justine Dol,
- Amy Grant,
- Jonathon Gubbay,
- Brianna Hughes,
- Brianna Hughes,
- Amos Hundert,
- Darlene Inglis,
- Alanna Lakoff,
- Yasmin Lalani,
- Yasmin Lalani,
- Thuy Mai Luu,
- Jenna Morton,
- Jenna Morton,
- Michael Narvey,
- Karel O’Brien,
- Karel O’Brien,
- Paula Robeson,
- Michelle Science,
- Michelle Science,
- Prakesh Shah,
- Prakesh Shah,
- Leah Whitehead,
- Leah Whitehead
Affiliations
- Marsha Campbell-Yeo
- Faculty of Health, School of Nursing, Dalhousie University, Halifax, NS, Canada
- Marsha Campbell-Yeo
- Department of Pediatrics, IWK Health, Halifax, NS, Canada
- Fabiana Bacchini
- Canadian Premature Babies Foundation, Toronto, ON, Canada
- Lynsey Alcock
- Department of Pediatrics, IWK Health, Halifax, NS, Canada
- Souvik Mitra
- Department of Pediatrics, University of British Columbia, Vancouver, BC, Canada
- Morgan MacNeil
- Faculty of Health, School of Nursing, Dalhousie University, Halifax, NS, Canada
- Morgan MacNeil
- Department of Pediatrics, IWK Health, Halifax, NS, Canada
- Amy Mireault
- Department of Pediatrics, IWK Health, Halifax, NS, Canada
- Marc Beltempo
- Montreal Children’s Hospital, McGill University Health Centre, Montreal, QC, Canada
- Tanya Bishop
- Department of Pediatrics, IWK Health, Halifax, NS, Canada
- Douglas M. Campbell
- Department of Pediatrics, St. Michael’s Hospital, Toronto, ON, Canada
- Addie Chilcott
- Niagara Region Public Health, Niagara, ON, Canada
- Jeannette L. Comeau
- Department of Pediatrics, IWK Health, Halifax, NS, Canada
- Jeannette L. Comeau
- Faculty of Medicine, Dalhousie University, Halifax, NS, Canada
- Justine Dol
- Department of Pediatrics, IWK Health, Halifax, NS, Canada
- Amy Grant
- Maritime SPOR SUPPORT Unit, Nova Scotia Health, Halifax, NS, Canada
- Jonathon Gubbay
- 0Department of Laboratory Medicine & Pathobiology, University of Toronto, Toronto, ON, Canada
- Brianna Hughes
- Faculty of Health, School of Nursing, Dalhousie University, Halifax, NS, Canada
- Brianna Hughes
- 1Department of Nursing, University of Prince Edward Island, Charlottetown, PE, Canada
- Amos Hundert
- Department of Pediatrics, IWK Health, Halifax, NS, Canada
- Darlene Inglis
- Department of Pediatrics, IWK Health, Halifax, NS, Canada
- Alanna Lakoff
- 2Loyalist College, Belleville, ON, Canada
- Yasmin Lalani
- Canadian Premature Babies Foundation, Toronto, ON, Canada
- Yasmin Lalani
- 3Humber River Health, Toronto, ON, Canada
- Thuy Mai Luu
- 4Département de Pédiatrie, Centre Hospitalier Universitaire Sainte-Justine, Montréal, QC, Canada
- Jenna Morton
- Canadian Premature Babies Foundation, Toronto, ON, Canada
- Jenna Morton
- 5Pickle Planet, Moncton, NB, Canada
- Michael Narvey
- 6Department of Pediatrics, Children’s Hospital Research Institute of Manitoba, Winnipeg, MB, Canada
- Karel O’Brien
- 7Department of Pediatrics, Mount Sinai Hospital, Toronto, ON, Canada
- Karel O’Brien
- 8Department of Department of Paediatrics, University of Toronto, Toronto, ON, Canada
- Paula Robeson
- 9Children’s Healthcare Canada, Ottawa, ON, Canada
- Michelle Science
- 7Department of Pediatrics, Mount Sinai Hospital, Toronto, ON, Canada
- Michelle Science
- 0Department of Paediatrics, SickKids Hospital, Toronto, ON, Canada
- Prakesh Shah
- 7Department of Pediatrics, Mount Sinai Hospital, Toronto, ON, Canada
- Prakesh Shah
- 8Department of Department of Paediatrics, University of Toronto, Toronto, ON, Canada
- Leah Whitehead
- Department of Pediatrics, IWK Health, Halifax, NS, Canada
- Leah Whitehead
- Canadian Premature Babies Foundation, Toronto, ON, Canada
- DOI
- https://doi.org/10.3389/fped.2024.1390209
- Journal volume & issue
-
Vol. 12
Abstract
AimTo co-create parental presence practice recommendations across Canadian NICUs during pandemics caused by respiratory pathogens such as COVID-19.MethodsRecommendations were developed through evidence, context, Delphi and Values and Preferences methods. For Delphi 1 and 2, participants rated 50 items and 20 items respectively on a scale from 1 (very low importance) to 5 (very high). To determine consensus, evidence and context of benefits and harms were presented and discussed within the Values and Preference framework for the top-ranked items. An agreement of 80% or more was deemed consensus.ResultsAfter two Delphi rounds (n = 59 participants), 13 recommendations with the highest rated importance were identified. Consensus recommendations included 6 strong recommendations (parents as essential caregivers, providing skin-to-skin contact, direct or mothers' own expressed milk feeding, attending medical rounds, mental health and psychosocial services access, and inclusion of parent partners in pandemic response planning) and 7 conditional recommendations (providing hands-on care tasks, providing touch, two parents present at the same time, food and drink access, use of communication devices, and in-person access to medical rounds and mental health and psychosocial services).ConclusionThese recommendations can guide institutions in developing strategies for parental presence during pandemics caused by respiratory pathogens like COVID-19
Keywords
- COVID-19
- neonatal care
- parental presence
- practice recommendations
- participatory research (PR)
- pandemic planning
