How to hold an effective NICU family meeting: capturing parent perspectives to build a more robust framework

J Perinatol. 2021 Sep;41(9):2217-2224. doi: 10.1038/s41372-021-01051-4. Epub 2021 Apr 21.

Abstract

Objective: To record the content and parental perceptions of family meetings in a Neonatal Intensive Care Unit (NICU) to improve existing frameworks for facilitating these meetings.

Study design: A prospective, mixed-methods study. NICU family meetings were audio-recorded, transcribed, and analyzed by an iteratively derived coding framework until thematic saturation. We used descriptive statistics of parental post-meeting assessments.

Results: Qualitative analysis of 21 meetings identified both Communication Facilitators and Barriers. Facilitators included use of visual-aids and participation of social workers to clarify information for parents. Barriers included staff rarely eliciting parental comprehension (3 meetings) or concerns (5) before providing new information, resulting in 39% of parents reporting they didn't ask questions they wanted to ask. In 33% of meetings an important participant was absent.

Conclusions: This novel qualitative and quantitative dataset of NICU family meetings highlights areas for improving communication. Attention to these components may improve parental perceptions of family meetings.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Communication
  • Humans
  • Infant, Newborn
  • Intensive Care Units, Neonatal*
  • Parents*
  • Prospective Studies
  • Social Workers

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