Pick, Verena, Halstenberg, Katrin, Demel, Anja, Kirchberger, Valerie, Riedel, Rainer, Schloesser, Rolf, Wollny, Caroline, Woopen, Christiane, Kuntz, Ludwig and Roth, Bernhard (2014). Staff and parents are discriminators for outcomes in neonatal intensive care units. Acta Paediatr., 103 (11). S. E475 - 9. HOBOKEN: WILEY. ISSN 1651-2227

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Abstract

AimWe investigated the associations between staff work characteristics, parents' experiences and a number of medical outcome measures. MethodsThis explorative multicentre study took place in the neonatal intensive care units (NICUs) of five German university hospitals between 2009 and 2011. We assessed staff work characteristics by surveying 126 NICU nurses and 57 physicians and asked 214 parents about their relationships with staff. The outcome variables of 230 premature infants with birth weights of less than 1500g were collected over a period of 18months. We used analysis of variance (ANOVA) and regression analyses for statistical purposes. ResultsWe found differences in outcome measures between the NICUs, particularly parameters of respiratory support, weight gain and length of stay. When we controlled for the NICUs' baseline factors, perceptions of the relationship between staff and parents (empathy, p<0.001; conversation duration and frequency, p<0.05; familiarity, p<0.05) and staff work characteristics (workload, p<0.05) were associated with at least one of these outcome measures. ConclusionStaff and parents were discriminators for neonatal outcomes through perceptions of work characteristics and the relationship between staff and parents, respectively. Respiratory support and nutrition measures were particularly sensitive. This research has prompted a nationwide, multicentre study of 66 NICUs.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Pick, VerenaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Halstenberg, KatrinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Demel, AnjaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kirchberger, ValerieUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Riedel, RainerUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schloesser, RolfUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wollny, CarolineUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Woopen, ChristianeUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kuntz, LudwigUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Roth, BernhardUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-424584
DOI: 10.1111/apa.12762
Journal or Publication Title: Acta Paediatr.
Volume: 103
Number: 11
Page Range: S. E475 - 9
Date: 2014
Publisher: WILEY
Place of Publication: HOBOKEN
ISSN: 1651-2227
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
MORTALITY; INFANTS; CONSULTATION; ASSOCIATION; SAFETYMultiple languages
PediatricsMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/42458

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