Support for NICU Parents PQCNC New Initiative

8/20/2019 Support for NICU Parents PQCNC New Initiative

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http://support4nicuparents.org

Next Newborn / Neonatal Initiative

General Meeting

March 1, 2016


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Support for NICU Parents

Alison Stuebe, MD, MSc, FACOG

[email protected]


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Initiative Background

• The NICU experience is a potentially traumaticevent

– 9 to 53% of mothers score above threshold on PTSD

questionnaires – 39-63% of NICU mothers report elevated symptoms of

depression in the first postpartum year

– Fathers are also at increased risk of depression and

PTSD• Parental depression and anxiety are associated

with adverse infant developmental outcomes


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Profit et al (2014).

"Burnout in the NICU

setting and its relation

to safety culture." BMJ

Quality & Safety .


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Profit et al (2014)

BMJ Quality & Safety .


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"In the ideal NICU, psychosocial support of both

NICU parents and staff should be goals equal in

importance to the health and development of

babies."Hynan MT & Hall SL. "Introduction: Psychosocial Program

Standards for NICU Parents." J Perinatol Supplement Dec. 2015.


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Initiative Aim

Goal: Improve psychosocial support at each center

by implementing elements of the National Perinatal

Association’s Interdisciplinary Recommendations.

Key Outcome Measure(s):

• Parental distress within 48 hours of discharge,

indexed by PPD questionnaire such as EPDS

• Staff burnout, indexed by a validated instrumentsuch as the Maslach Burnout Inventory


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Initiative Domains

• Peer Support

• Family-Centered Developmental Care

•

Mental Health Professionals• Palliative and Bereavement Care

• Post-Discharge Support

• Staff Education and Support


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Initiative Reach

Target population

• All parents of infants hospitalized in the NICU

•

All NICU staffTarget facilities

• All hospitals that provide NICU care


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Initiative Impact

• This initiative will address unmet mental

health needs of NICU parents and staff

• Participating centers will collaborate in

implementing consensus recommendations

from a broad coalition of stakeholders

• Psychosocial support will enable parents and

staff to optimize care for medically fragile

infants


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Initiative Challenges / Barriers

• Staff will require additional training / in

services to screen for and address parental

psychosocial wellbeing

• Implementing referral and treatment will

require navigating local behavioral health

resources


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Supporting Materials


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Supporting Materials


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Documents

Support for NICU Parents PQCNC New Initiative