Paeds Vivas · fetal-neonatal-and-perinatal
Family-integrated developmental care in NICU
Viva scenario on implementing family-integrated developmental care, defending the evidence, and managing parental stress and inequity in a tertiary NICU.
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This is a structured oral examining three domains: the definition and components of the FiCare model and how it differs from developmental and family-centred care; the evidence base, with the candidate expected to quote the O'Brien 2018 cluster RCT and the kangaroo-mother-care Cochrane review; and the practical and ethical challenges of equitable implementation, including the single-family-room pitfall and the eight-hour-presence inequity. Probe for a candidate who can teach the concept, defend it with specific numbers, and think critically about equity. [2]
References5ShowHide
- [1]O'Brien K, Bracht M, Macdonell K, et al A pilot cohort analytic study of Family Integrated Care in a Canadian neonatal intensive care unit BMC Pregnancy Childbirth, 2013.PMID 23445639
- [2]O'Brien K, Robson K, Bracht M, et al Effectiveness of Family Integrated Care in neonatal intensive care units on infant and parent outcomes: a multicentre, multinational, cluster-randomised controlled trial Lancet Child Adolesc Health, 2018.PMID 30169298
- [3]Symington A, Pinelli J Developmental care for promoting development and preventing morbidity in preterm infants Cochrane Database Syst Rev, 2006.PMID 16625548
- [4]Conde-Agudelo A, Díaz-Rossello JL Kangaroo mother care to reduce morbidity and mortality in low birthweight infants Cochrane Database Syst Rev, 2016.PMID 27552521
- [5]van Veenendaal NR, van Kempen AAMW, Franck LS, et al. Hospitalising preterm infants in single family rooms versus open bay units: A systematic review and meta-analysis of impact on parents EClinicalMedicine, 2020.PMID 32548575