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Original Articles

Increased parental satisfaction by unrestricted visiting hours and developmentally supportive care in NICUs – results of a German multicenter study

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Pages 1874-1880 | Received 15 May 2018, Accepted 02 Oct 2018, Published online: 20 Dec 2018
 

Abstract

Purpose: This study aims to provide insights into the impact of organizational family-centered care characteristics at German neonatal intensive care units (NICUs) on the satisfaction of parents of very low birthweight (VLBW) infants.

Materials and methods: Using multilevel modeling, this study analyzed whether organizational characteristics of NICUs fostering parent–infant interaction (by way of the existence of a recreation room, possibility of rooming in, existence of unrestricted visiting hours for parents, existence of parental classes, and the connection to parent associations as well as the existence of standards on developmentally supportive care) increase the satisfaction of parents after the infants’ high-intensive care phase within the NICU.

Results: Nine hundred and twenty-three VLBW infants from 66 NICUs in Germany born between May and October 2013 were enrolled in this multicenter study. We retrieved 1493 questionnaires completed by 1277 parents. The existence of unrestricted visiting hours (adjusted odds ratio (AOR): 1.967; 95% CI [1.118, 3.459]) and standardized procedures for developmentally supportive care (AOR: 1.775; 95% CI [1.166, 2.704]) were positively associated with parental satisfaction.

Conclusions: Fostering the parent–infant interaction through the provision of developmentally supportive care and unrestricted visiting hours for parents whose infants are hospitalized within an NICU significantly contributes to the satisfaction of parents.

Acknowledgements

We are indebted to the participating infants, their parents and to the medical and nursing teams in the participating NICUs.

Disclosure statement

The authors report no conflict of interest.

Additional information

Funding

The study was funded by the German Federal Ministry of Education and Research [grant number 01GY1152].

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