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    Asynchronous video messaging promotes family involvement and mitigates separation in neonatal care

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    Accepted Version (354.1Kb)
    Published Version (284.9Kb)
    Date
    2020-09-14
    Author
    Kirolos, Sandy
    Sutcliffe, Lynsey
    Giatsi Clausen, Maria
    Abernethy, Carolyn
    Shanmugalingam, Shanthi
    Bauwens, Nicole
    Orme, Judith
    Thomson, Kirsty
    Grattan, Rosemary
    Patel, Neil
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    Citation
    Kirolos, S., Sutcliffe, L., Giatsi Clausen, M., Abernethy, C., Shanmugalingam, S., Bauwens, N., Orme, J., Thomson, K., Grattan, R. & Patel, N. (2020) Asynchronous video messaging promotes family involvement and mitigates separation in neonatal care. Archives of Disease in Childhood: Fetal & Neonatal (In Press).
    Abstract
    Objective: To evaluate the parent and staff experience of a secure video messaging service as a component of neonatal care. Design: Multicentre evaluation incorporating quantitative and qualitative items. Setting: Level II and level III UK neonatal units. Population: Families of neonatal inpatients and neonatal staff. Intervention: Use of a secure, cloud-based asynchronous video messaging service to send short messages from neonatal staff to families. Evaluation undertaken July–November 2019. Main outcome measures: Parental experience, including anxiety, involvement in care, relationships between parents and staff, and breastmilk expression. Results: In pre-implementation surveys (n=41), families reported high levels of stress and anxiety and were receptive to use of the service. In post-implementation surveys (n=42), 88% perceived a benefit of the service on their neonatal experience. Families rated a positive impact of the service on anxiety, sleep, family involvement and relationships with staff. Qualitative responses indicated enhanced emotional closeness, increased involvement in care and a positive effect on breastmilk expression. Seventy-seven post-implementation staff surveys were also collected. Staff rated the service as easy to use, with minimal impact on workload. Seventy-one percent (n=55) felt the service had a positive impact on relationships with families. Staff identified the need to manage parental expectations in relation to the number of videos that could be sent. Conclusions: Asynchronous video messaging improves parental experience, emotional closeness to their baby and builds supportive relationships between families and staff. Asynchronous video supports models of family integrated care and can mitigate family separation, which could be particularly relevant during the COVID-19 pandemic.
    URI
    https://eresearch.qmu.ac.uk/handle/20.500.12289/10687
    Official URL
    https://doi.org/10.1136/archdischild-2020-319353
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