ArticleItalian journal of pediatrics2018
Impact of family integrated care on infants' clinical outcomes in two children's hospitals in China: a pre-post intervention study.
Article in Italian journal of pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.
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Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Parental participation in the care of hospitalized neonates in low- and middle-income countries: A systematic review and meta-analysis.Frontiers in pediatrics · 2022Pooled it
- The effect of family integrated care on preparing parents with premature infants hospitalized in the neonatal intensive care unit for discharge.Journal of perinatology : official journal of the California Perinatal Association · 2024Trial
- Lived experiences of healthcare personnel in supporting parents around neonatal death: encounters, challenges and meaning.BMJ paediatrics open · 2026Article
- Implementation of family-centered care in Pediatric Gastroscopy.Pakistan journal of medical sciences · 2026Article
- Implementation of Family Integrated Care in the Neonatal Intensive Care Unit, University Hospitals Sussex, UK.Children (Basel, Switzerland) · 2026Article
- Family-Centered care in the NICU: an integrative literature review.Frontiers in pediatrics · 2026Review
- Optimizing discharge outcomes in very preterm infants by a novel integrated family and rehabilitation care model-a retrospective case-matched study.Frontiers in pediatrics · 2026Article
- Implementation of a partnership involving parents in the care of critically ill children: an integrative review.Acute and critical care · 2025Article
- Family-centered care in neonatal and pediatric critical care units: a scoping review of interventions, barriers, and facilitators.BMC pediatrics · 2025Article
- Experiences and perspectives of parents on their care roles in two Rwandan public neonatal units: a qualitative study.The Pan African medical journal · 2025Article
- Short and mid-term neonatal outcomes in high-risk infants undergoing FICare: a case control study.Pediatric research · 2025Article
- Human milk feeding for moderate and late preterm infants at age 2 months: Insights from a cluster randomized controlled trial 2-month follow-up.PEC innovation · 2024Article
- Family-centred care as a mediator in the relationship between parental nurse support and parental stress in neonatal intensive care units.BMC nursing · 2024Article
- Article
- Editorial: Family-centered care in pediatric and neonatal critical care settings.Frontiers in pediatrics · 2024Article
- Effect of family integrated care on breastfeeding of preterm infants: A scoping review.Nursing open · 2023Article
- A Pilot Study of Family-Integrated Care (FICare) in Critically Ill Preterm and Term Infants in the NICU: FICare Plus.Children (Basel, Switzerland) · 2023Article
- Barriers to, and facilitators of, eHealth utilisation by parents of high-risk newborn infants in the NICU: a scoping review protocol.BMJ open · 2023Article
- Implementing modified family integrated care in a U.S. neonatal intensive care unit: nursing perspectives and effects on parents.Journal of perinatology : official journal of the California Perinatal Association · 2023Article
- Lived experiences with unmet supportive care needs in pediatric cancer: Perspective of Chinese children and their parents.International journal of nursing sciences · 2022Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
backgroundMost Neonatal Intensive Care Units (NICUs) in China have restricted visiting policies for parents. This also implicates that parents are not involved in the care of their infant. Family Integrated Care (FIC), empowering parents in direct care delivery and decisions, is becoming the standard in NICUs in many countries and can improve quality-of-life and health outcomes of preterm infants. The aim of this study was to evaluate the impact of a FIC intervention on the clinical outcomes of preterm infants with Bronchopulmonary Dysplasia (BPD).
methodsA pre-post intervention study was conducted at NICUs in two Chinese children's hospitals. Infants with BPD were included: pre-intervention group (n = 134) from December 2015 to September 2016, post-intervention (FIC) group (n = 115) and their parents from October 2016 to June 2017. NICU nurses were trained between July and September 2016 to deliver the FIC intervention, including parent education and support. Parents had to be present and care for their infant minimal three hours a day. The infants' outcome measures were length-of-stay, breastfeeding, weight gain, respiratory and oxygen support, and parent hospital expenses.
resultsCompared with control group (n = 134), the FIC group (n = 115) had significantly increased breastfeeding rates (83% versus 71%, p = 0.030), breastfeeding time (31 days versus 19 days, p < 0.001), enteral nutrition time (50 days versus 34 days, p < 0.001), weight gain (29 g/day versus 23 g/day, p = 0.002), and significantly lower respiratory support time (16 days versus 25 days, p < 0.001). Oxygen Exposure Time decreased but not significant (39 days versus 41 days p = 0.393). Parents hospital expenses in local Chinese RMB currency was not significant (84 K versus 88 K, p = 0.391).
conclusionThe results of our study suggests that FIC is feasible in two Chinese NICUs and might improve clinical outcomes of preterm infants with BPD. Further research is needed to include all infants admitted to NICUs and should include parent reported outcome measures. Our study may help other NICUs with limited parental access to implement FIC to enhance parental empowerment and involvement in the care of their infant.
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