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Parent-Infant Closeness, Parents' Participation, and Nursing Support in Single-Family Room and Open Bay NICUs

Tandberg, Bente Silnes, MNSc, RN; Frøslie, Kathrine Frey, PhD, MSc; Flacking, Renée, PhD, RN; Grundt, Hege, RN; Lehtonen, Liisa, MD, PhD; Moen, Atle, MD, PhD

The Journal of Perinatal & Neonatal Nursing: October/December 2018 - Volume 32 - Issue 4 - p E22–E32
doi: 10.1097/JPN.0000000000000359
Feature Articles

This was a prospective survey study, comparing parent-infant closeness, parents' perceptions of nursing support, and participation in medical rounds in single-family room (SFR) and an open bay (OB) neonatal intensive care units. Nurses' assessments of provided support were also measured. In total, 115 parents of 64 preterm infants less than 35 weeks' gestational age and 129 nurses participated. Parents recorded the presence and skin-to-skin care. Parents were sent 9 text message questions in random order. Nurses answered corresponding Internet-based questions. SFR mothers were more present, 20 hours daily (median) versus 7 hours (P < .001), initiated skin-to-skin contact (SSC) at 4 versus 12 hours (P = .03), and preformed SSC 180 min/24 h versus 120 min/24 h for mothers in the OB unit (P = .02). SFR fathers were also more present, 8 versus 4 hours (P < .001), initiated SSC at 3 versus 40 hours (P = .004), and performed SSC 67 min/24 h versus 31 min/24 h (P = .05). SFR parents rated participation in medical rounds and emotional support higher than OB parents. Parental trust was rated higher by nurses in the OB unit (P = .02). SFR facilitated parent-infant closeness, parents' participation in medical rounds, and increased support from nurses.

Department of Paediatric and Adolescent Medicine, Drammen Hospital, Vestre Viken Hospital Trust, Drammen, Norway (Drs Tandberg and Moen); Department of Clinical Medicine, University of Bergen, Bergen, Norway (Ms Tandberg); Norwegian Resource Centre for Women's Health (Dr Frøslie) and Department of Neonatology (Dr Moen), Oslo University Hospital Rikshospitalet, Oslo, Norway; School of Education, Health and Social Studies, Dalarna University, Falun, Sweden (Dr Flacking); Department of Pediatrics, Haukeland University Hospital, Bergen, Norway (Ms Grundt); and Turku University Hospital, University of Turku, Turku, Finland (Dr Lehtonen).

Corresponding Author: Bente Silnes Tandberg, MNSc, RN, Department of Paediatric and Adolescent Medicine, Drammen Hospital, Vestre Viken Hospital Trust, Dronninggt 28, Drammen 3004, Norway (

This study was funded by research grants from The Norwegian Council of Nurses and the Norwegian Extra Foundation for Health and Rehabilitation.

Bente Silnes Tandberg conducted the research presented in this article, analyzed the data, and wrote the paper. Kathrine Frey Frøslie, advised about and contributed practically to statistical analysis and participated in discussion of results and interpretations; she also critically read and assisted in formulating the main text. Renée Flacking, contributed to designing and developing the project and actively participated in data analysis and writing of the paper. Hege Grundt, managed inclusion and data collection in Bergen, critically read the main text, and participated in discussion of the results. Liisa Lehtonen, initiated and developed the SCENE multicenter collaboration and the study design and actively contributed to analysis and writing of the paper. Atle Moen took an active part in designing the project, analyzing the data, and writing the paper.

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Disclosure: The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

Each author has indicated that he or she has met the journal's requirements for Authorship.

Submitted for publication: September 29, 2017; accepted for publication: July 14, 2018.

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