Evidence map›Paper›PMID 36203512›Full record

ArticlePediatric investigation2022

An international study on implementation and facilitators and barriers for parent-infant closeness in neonatal units.

Nicole R van Veenendaal, Nanon H M Labrie, Silke Mader, Anne A M W van Kempen, Sophie R D van der Schoor, Johannes B van Goudoever, CROWN Study Group

Abstract read
In one paragraph

Article in Pediatric investigation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  11. Parents' Experiences With an Early Behavioral Intervention, H-HOPE, in the NICU and at Home: A Qualitative Study.Advances in neonatal care : official journal of the National Association of Neonatal Nurses · 2025
    Article
  12. Parents' Experiences With Couplet Care Following Caesarean Section in an Integrated Neonatal and Maternity Unit.Advances in neonatal care : official journal of the National Association of Neonatal Nurses · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Nicole R van VeenendaalDepartment of Pediatrics and Neonatology OLVG Amsterdam The Netherlands.ORCID https://orcid.org/0000-0003-0222-8132
Nanon H M LabrieDepartment of Pediatrics and Neonatology OLVG Amsterdam The Netherlands.ORCID https://orcid.org/0000-0002-5483-0152
Silke MaderEuropean Foundation for Care of Newborn Infants Munich Germany.
Anne A M W van KempenDepartment of Pediatrics and Neonatology OLVG Amsterdam The Netherlands.ORCID https://orcid.org/0000-0003-3959-7353
Sophie R D van der SchoorDepartment of Pediatrics and Neonatology OLVG Amsterdam The Netherlands.ORCID https://orcid.org/0000-0001-7366-798X
Johannes B van GoudoeverAmsterdam UMC, location Vrije Universiteit and location University of Amsterdam Department of Pediatrics, Emma Children's Hospital Amsterdam The Netherlands.ORCID https://orcid.org/0000-0003-3960-1703
CROWN Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Importance: Parent-infant closeness and active parent participation in neonatal care are important for parent and infant health. Objective: To give an overview of current neonatal settings and gain an in-depth understanding of facilitators and barriers to parent-infant closeness, zero-separation, in 19 countries. Methods: Neonatal intensive care unit (NICU) professionals, representing 45 NICUs from a range of geographic regions in Europe and Canada, were purposefully selected and interviewed June-December 2018. Thematic analysis was conducted to identify, analyze and report patterns (themes) for parent-infant closeness across the entire series of interviews. Results: Parent-infant separation during infant and/or maternity care is very common (42/45 units, 93%), despite the implementation of family integrated care (FICare) practices, including parent participation in medical rounds (17/45, 38%), structured education sessions for parents (16/45, 36%) and structured training for healthcare professionals (22/45, 49%). NICU professionals encountered four main themes with facilitators and barriers for parent-infant closeness on and between the hospital, unit, staff, and family level: Interpretation: Implementing parent-infant closeness in the NICU is still challenging for healthcare professionals. Further optimization in neonatal care towards zero-separation and parent-infant closeness can be achieved by enforcing the 'four Cs for Closeness':

Indexed as

Couplet‐careFamily centered careFamily integrated careNeonatalogyParent‐collaborationParent‐infant closenessZero‐separation

Identifiers

PMID36203512
PMCPMC9523817

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.