Evidence map›Paper›PMID 40731275›Full record

ArticleBMC pediatrics2025

Implementation and effectiveness of Teleneonatology for neonatal intensive care unit consultations in the Netherlands: a hybrid type III implementation pilot.

Josephine Hl Wagenaar, Julia Broos, Ron Ht van Beek, Henrike Pas, Martijn Suurveld, Anne Jacobs, Fredrik Bodell, Sylvia A Obermann-Borst, Florian Cassel, Maaike S Kleinsmann and 3 more

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Article in BMC pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Article
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

13 authors.

Josephine Hl WagenaarDepartment of Neonatal and Pediatric Intensive Care, division of neonatology, Erasmus Medical Center Sophia Children's Hospital Rotterdam, Room Sk 2210, Dr Molewaterplein 40, Rotterdam, GD, 3015, The Netherlands.
Julia BroosFaculty of Industrial Design Engineering, Department of Design Organization and Strategy, TU Delft, Delft, The Netherlands.
Ron Ht van BeekDepartment of Pediatrics, Amphia Hospital, Breda, The Netherlands.
Henrike PasDepartment of Neonatal and Pediatric Intensive Care, division of neonatology, Erasmus Medical Center Sophia Children's Hospital Rotterdam, Room Sk 2210, Dr Molewaterplein 40, Rotterdam, GD, 3015, The Netherlands.
Martijn SuurveldDepartment of Neonatal and Pediatric Intensive Care, division of neonatology, Erasmus Medical Center Sophia Children's Hospital Rotterdam, Room Sk 2210, Dr Molewaterplein 40, Rotterdam, GD, 3015, The Netherlands.
Anne JacobsDepartment of Pediatrics, Amphia Hospital, Breda, The Netherlands.
Fredrik BodellFaculty of Industrial Design Engineering, Department of Design Organization and Strategy, TU Delft, Delft, The Netherlands.
Sylvia A Obermann-BorstCare4Neo, neonatal parent- and patient advocacy organization, Rotterdam, The Netherlands.
Florian CasselDepartment of Neonatal and Pediatric Intensive Care, division of neonatology, Erasmus Medical Center Sophia Children's Hospital Rotterdam, Room Sk 2210, Dr Molewaterplein 40, Rotterdam, GD, 3015, The Netherlands.
Maaike S KleinsmannFaculty of Industrial Design Engineering, Department of Design Organization and Strategy, TU Delft, Delft, The Netherlands.
Saba Hinrichs-KrapelsFaculty of Technology Policy and Management, Institute for Health Systems Science, TU Delft, Delft, The Netherlands.
Irwin Km ReissDepartment of Neonatal and Pediatric Intensive Care, division of neonatology, Erasmus Medical Center Sophia Children's Hospital Rotterdam, Room Sk 2210, Dr Molewaterplein 40, Rotterdam, GD, 3015, The Netherlands.
H Rob TaalDepartment of Neonatal and Pediatric Intensive Care, division of neonatology, Erasmus Medical Center Sophia Children's Hospital Rotterdam, Room Sk 2210, Dr Molewaterplein 40, Rotterdam, GD, 3015, The Netherlands. h.taal@erasmusmc.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundReal-time audiovisual communication between healthcare providers (HCP) at different hospitals (TeleNeonatology) can improve neonatal outcomes, address capacity challenges, and reduce emotional burden on parents. Despite its potential, TeleNeonatology has yet to be widely implemented in routine clinical care, partly due to non-optimal integration into care pathways and working routines. To provide insights for further adoption, this study presents the evaluation of a pilot in the Netherlands.

methodsA prospective hybrid type III effectiveness-implementation study was conducted in 2024. During the pilot, a TeleNeo program facilitated both acute and elective communication between Erasmus MC NICU-level IV and Amphia NICU-level II. The TeleNeo program was developed and continuously improved during the pilot using co-creation with HCP and parents to enable embedding in care pathways and working routines. A mixed-methods approach was used for evaluation. The primary outcome was a validated 21-item usability questionnaire with five-points Likert Scale questions for parents (n = 50) and HCP (n = 85). Implementation determinants were evaluated with semi-structured interviews and surveys. Effectiveness was measured via parent reported experiences, and clinical outcomes length-of-stay and transfer rate.

resultsTwelve months of implementation led to 99 consultations for 50 patients and families, including 33 acute patients, possibly in need of an acute transfer. Evaluation showed high feasibility and adoption. Usability was high among parents (n = 26, median score 5 [interquartile rage: 4–5]) and HCP (n = 48, median score 5 [interquartile range 4–5]). Parents valued rapid expert availability, involvement in transfer decisions, and experienced shared care between the NICUs. HCP observed quick and approachable communication, quicker medical decisions, improved quality of care, and smoother transitions between NICUs. Nurses were able to be more pro-active. In 18% (6/33) of acute cases transfers were perceived to be prevented. HCP highlighted TeleNeo’s influence on the local teams’ autonomy, communication styles, and financial aspects as important barriers in interviews (n = 12) and questionnaires (n = 65).

conclusionsPilot implementation showed high feasibility of our TeleNeo program, enabling shared care at the optimal location for our patients. Our findings will guide a robust strategy for implementation in the Southwest of the Netherlands, enhancing neonatal care, parental satisfaction and nursing experience.

Indexed as

Intensive Care Units, NeonatalRemote ConsultationFemaleHumansInfant, NewbornLength of StayMaleNetherlandsParentsPilot ProjectsProspective StudiesCo-creationDigital healthImplementation scienceInfantNeonatal intensive care unitNeonatologyTelemedicine

Identifiers

PMID40731275
PMCPMC12306027

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LicenceCC BY-NC-ND
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Registered trials

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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.