Virtual Family-Centered Rounds in the Neonatal Intensive Care Unit: A Randomized Controlled Pilot Trial.
Virtual Family-Centered Rounds in the Neonatal Intensive Care Unit: A Randomized Controlled Pilot Trial.
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DOI：
10.1016/j.acap.2021.03.007
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发表时间：
2021-09
影响因子：
3.1
通讯作者：
Hoffman KR
中科院分区：
文献类型：
--
作者：
Rosenthal JL;Sauers-Ford HS;Williams J;Ranu J;Tancredi DJ;Hoffman KR
评估新生儿重症监护病房虚拟家庭查房（FCR）干预的可行性、覆盖范围和潜在影响。我们进行了一项随机对照试验，干预组与对照组的分配比例为2：1。干预组新生儿的护理人员被邀请参加虚拟FCR加标准护理。我们确定了五个可行性目标。我们分析了新生儿和产妇的特征的干预使用。探索性结局包括FCR护理人员出勤率、住院时间、出院时母乳喂养、护理人员经验和医疗错误。我们进行了描述性分析，以计算比例，平均值和95%置信区间（CI）的比率。我们纳入了74名干预受试者和36名对照受试者。根据点估计值，五个可行性目标中的三个得到满足。招募和干预措施吸收目标未实现。在干预组受试者中，47例（63.5%，95% CI 51.5-74.4%）新生儿招募了护理人员。干预组中36例（48.6%，95%CI 36.8-60.6%）新生儿的护理人员使用了干预措施，实现了评估技术问题、负担和数据收集的可行性目标。在尝试的虚拟遭遇中，95.0%（95% CI 91.5-97.3%）没有技术问题。调查应答率为87.5%（95%CI 78.2-93.8%）。干预组新生儿的FCR护理者出勤率是对照组受试者的3.36倍（95%CI 2.66-4.23）。在新生儿受试者中比较虚拟FCR与标准护理的随机试验是可行的，并有可能改善患者和护理者的结局。
To measure the feasibility, reach, and potential impact of a virtual family-centered rounds (FCR) intervention in the neonatal intensive care unit. We conducted a randomized controlled pilot trial with a 2:1 intervention-to-control arm allocation ratio. Caregivers of intervention arm neonates were invited to participate in virtual FCR plus standard of care. We specified five feasibility objectives. We profiled intervention usage by neonatal and maternal characteristics. Exploratory outcomes included FCR caregiver attendance, length of stay, breast milk feeding at discharge, caregiver experience, and medical errors. We performed descriptive analyses to calculate proportions, means, and rates with 95% confidence intervals (CI). We included 74 intervention and 36 control subjects. Three of the five feasibility objectives were met based on the point estimates. The recruitment and intervention uptake objectives were not achieved. Among intervention arm subjects, recruitment of a caregiver occurred for 47 (63.5%, 95% CI 51.5–74.4%) neonates. Caregiver use of the intervention occurred for 36 (48.6%, 95% CI 36.8–60.6%) neonates in the intervention arm. Feasibility objectives assessing technical issues, burden, and data collection were achieved. Among the attempted virtual encounters, 95.0% (95% CI 91.5–97.3%) had no technical issues. The survey response rate was 87.5% (95% CI 78.2–93.8%). Intervention arm neonates had 3.36 (95% CI 2.66–4.23) times the FCR caregiver attendance rate of subjects in the control arm. A randomized trial to compare virtual FCR to standard of care in neonatal subjects is feasible and has potential to improve patient and caregiver outcomes.
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影响因子：
3
作者：
Curley, C;McEachern, JE;Speroff, T
通讯作者：
Speroff, T
影响因子：
2.7
作者：
Kaushal, R
通讯作者：
Kaushal, R
影响因子：
8
作者：
Landry, Marc-Antoine;Lafrenaye, Sylvie;Cyr, Claude
通讯作者：
Cyr, Claude
影响因子：
2.9
作者：
Mahoney, Ashley Darcy;White, Robert D.;Ahmad, Kaashif A.
通讯作者：
Ahmad, Kaashif A.
影响因子：
7.4
作者：
Ostervang, Christina;Vestergaard, Lene Vedel;Danbjorg, Dorthe Boe
通讯作者：
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