Abstract
Objective
Developmental family-centered care is evolving as an essential intensive care practice component for newborns and families. Research supports developmental care and the resulting positive outcomes for infants and families.
Study design
An interprofessional and parent committee utilized a systematic review and consensus process to evaluate the evidence for intensive care practice. Infant- and family-centered developmental care was described, practice components identified, and evidence-based standards and competencies articulated.
Results
Consensus process results included articulation of Standards, Competencies and Recommended Best Practices for Infant and Family Centered Developmental Care (IFCDC), including components of systems thinking, positioning and touch, sleep and arousal, skin-to-skin contact, reduction of pain and stress for infants and families, and feeding.
Conclusions
Successful IFCDC-recommended practices provide opportunities to integrate the family with the interprofessional team, standardize practice, and improve outcomes.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 print issues and online access
$259.00 per year
only $21.58 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
Similar content being viewed by others
References
Spence K. Historical trends in neonatal nursing: developmental care and NIDCAP. J Perinat Neonatal Nurs. 2016;30:273–6.
Lee C. Bonding. Pediatrics Rev. 2003;24:289–90.
Als H. Newborn indivdiualized developmental care and assessment program (NIDCAP): new frontier for neonatal and perinatal medicine. J Neonatal-Perinat Med. 2009;2:135–47.
Als H. Toward a synactive theory of development: promise for the assessment and support of infant individuality. Infant Ment Health J. 1982;3:229–43.
White RD, Smith JA, Shepley MM, the Committee to Establish Recommended Standards for Newborn ICU Design. Recommended standards for newborn ICU design, eighth edition. J Perinatol. 2013;33(Suppl 1):S2–16.
Roudebush JR, Kaufman J, Johnson BH, Abraham MR, Clayton SP. Patient- and family-centered perinatal care: partnerships with childbearing women and families. J Perinat Neonatal Nurs. 2006;20:201–9.
Johnson BH. Promoting patient- and family-centered care through personal stories. Academic Med: J Assoc Am Med Coll. 2016;91:297–300.
Hall S, Hynan M, Phillips R, Press J, Kenner C, DJ R. Development of program standards for psychosocial support of parents of infants admitted to a neonatal intensive care unit: a national interdisciplinary consensus model. Newborn Infant Nurs Rev. 2015;15:24–7.
Douglas PS, Hill PS, Brodribb W. The unsettled baby: how complexity science helps. Arch Dis Child. 2011;96:793–7.
Caffrey L, Wolfe C, McKevitt C. Embedding research in health systems: lessons from complexity theory. Health Res Policy Syst. 2016;14:54.
Plsek PE, Greenhalph T. The challenge of complexity in health care. Complex Sci, BMJ. 2001;323:625–8.
Wilson T, Holt T, Greenhalgh T. Complexity science: complexity and clinical care. BMJ 2001;323:685–8.
McCance T, McCormack B, Dewing J. An exploration of person-centredness in practice. OJIN. 2011;16:1.
Small D, Small R. Patients first! Engaging the hearts and minds of nurses with a patient-centered practice model. OJIN 2011;16(2, Manuscript 2):109–20.
O’Brien K, Robson K, Bracht M, Cruz M, Lui K, Alvaro R, et al. Effectiveness of family integrated care in neonatal intensive care units on infant and parent outcomes: a multicentre, multinational, cluster-randomised controlled trial. Lancet Child Adolesc Health. 2018;2:245–54.
Melnyk BM, Fineout-Overholt E. Evidenced-based practice in nursing & healthcare: a guide to best practice. 2nd ed. Philadelphia, PA: Wolters Kluwer|Lippincott Williams & Wilkins; 2011.
Centre for Evidence-Based Medicine (CEBM). Oxford centre for evidence-based medicine-levels of evidence. 2009. https://www.cebm.net/2009/06/oxford-centre-evidence-based-medicine-levels-evidence-march-2009/.
McCormack B, J D, McCance T. Developing person-centred care: addressing contextual challenges through practice development. OJIN 2011;16(2, Manuscript 3):1–12.
Englander R. Toward a common taxonomy of competency domains for the health professions and competencies for physicians. Academic Med. 2013;88:1088–94.
Interprofessional Education Collaborative (IPEC). Core competencies for interprofessional collaborative practice: 2016 update. Report. Wasgington, DC: Interprofessional Education Collaborative; 2016.
Heifetz R. Leadership without easy answer. Cambridge, MA: Harvard University Press; 1994.
Roue JM, Kuhn P, Lopez Maestro M, Maastrup RA, Mitanchez D, Westrup B, et al. Eight principles for patient-centred and family-centred care for newborns in the neonatal intensive care unit. Arch Dis Child Fetal Neonatal Ed. 2017;102:F364–8.
Acknowledgements
The Consensus Committee on Infant and Family Centered Developmental Care authors wrote, reviewed, revised, and consulted on the submission of this paper. The committee wishes to thank Diane Maroney who allowed using the concept of “imagine…” statements written by parents, and parents for sharing their thoughts.
Funding
The committee wishes to thank Pampers for an educational grant that in part supported this work. This paper is published as part of a supplement sponsored by Philips.
Author information
Authors and Affiliations
Consortia
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest. The Consensus Committee members do not have financial, or nonfinancial, relationships with industry that are relevant to this topic.
Additional information
Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
The list of co-authors, consultants and external reviewers appears in the appendix at the end of the paper.
Appendix
Appendix
Members of the Infant and Family Centered Developmental Care Consensus Committee served as co-authors on this paper.
Joan C. Arvedson
Rosemarie Bigsby
Robert Cicco
Becky Hatfield
Michael T. Hynan
Kathleen J. S. Kolberg
Jan McElroy
Jacqueline McGrath
Raylene Phillips
Erin Ross
Amy Salisbury
Karen Smith
Jane K. Sweeney
Gravens Founders and Honorary Coordinators:
Stanley Graven and Mavis Graven
Gravens Founder & Coordinating Chair
National and International Consultants:
Graciela Basso
Madge Buus-Frank
JaNeen Cross
Dale Garton
Beverley Johnson
Welma Lubbe
Kaye Spence
Juzer Tyebkhan
Inga Warren
Björn Westrup
Denise Zayack
Subject Matter Expert Reviewers, at the request of the Consensus Committee:
Pamela Dodrill
Sue Hall
Denise Harrison
Renée Shellhaas
Judy Smith
Diane Versaw-Barnes
Dorothy Vittner
Marlene Walden
Robert D. White
Rights and permissions
About this article
Cite this article
Browne, J.V., Jaeger, C.B., Kenner, C. et al. Executive summary: standards, competencies, and recommended best practices for infant- and family-centered developmental care in the intensive care unit. J Perinatol 40 (Suppl 1), 5–10 (2020). https://doi.org/10.1038/s41372-020-0767-1
Published:
Issue Date:
DOI: https://doi.org/10.1038/s41372-020-0767-1
This article is cited by
-
Improving attitudes toward trauma-informed care in the neonatal intensive care unit through comprehensive multi-disciplinary education
Journal of Perinatology (2024)
-
How NICU design and infant and family-centered developmental care act synergistically to support babies and families
Journal of Perinatology (2023)
-
Neuroprotective therapies in the NICU in preterm infants: present and future (Neonatal Neurocritical Care Series)
Pediatric Research (2023)
-
Parents’ pandemic NICU experience in the United States: a qualitative study
BMC Pediatrics (2021)