G218(P) Mapping family integrated care practices in neonatal units across the UK – a national survey

Abstract

Aims To establish current practice of Family Integrated Care (FIC) across neonatal units in the UK. Method UK neonatal units were invited by email to complete a survey evaluating elements of current practice, understanding and strategy for FIC. Results Practice of FIC in neonatal units across the UK is varied, and often describes Family Centred Care (FCC). Participants from 78 neonatal units responded of which 86% reported that they deliver some FIC in their units. Perceived advantages included: reduced parental stress (72%), improved breastfeeding (65%), improved neurodevelopmental outcomes (59%) and reduced hospital stay (54%). Several free text responses stated FICs inclusion in the Bliss Baby Charter and BAPM 5 year plan. The majority of respondents provided FIC for all admitted babies (95%), others only to those with expected length of stay over two weeks. Implementation of FIC focused on educational and environmental adaptations. Education included staff training (50%), 1:1 parent training (39%) and parent competency assessments (43%). Environmental adaptations included 24 hour access (98%), kitchen facilities (96%) and free or subsidised parking (94%) for parents. Only 15% of units provided accommodation for all parents to stay overnight or entry passes. 73% of nursing and 43% of medical teams were reported to be supportive. The degree of involvement of families in delivering primary care to their babies was variable between the neonatal units. Attitudes to parental involvement were varied but only 46% of units allowed parents deemed competent to have autonomy in caring for their babies. Conclusion This first national survey on FIC practices across the UK demonstrates that practice of FIC across UK neonatal units is variable and is not implemented as a unified care bundle. Barriers to its implementation include support from medical and nursing teams and funding required for staffing to initiate and implement FIC through staff and parental education. Further data should be collected involving both healthcare professionals and parents to map the extent of FIC across the UK through an epidemiological study, as this current survey is likely to have attracted responses from units already delivering FIC.