|Impacts of the Design of A Neonatal Intensive Care Unit (Single-Family Room Care and Open-ward Care) on Clinical and Environmental Outcomes|
|Farin Soleimani1, Fatemeh Fallah Rostami2, Jamileh Mokhtari Nouri3, Nikta Hatamizadeh1, Firoozeh Sajedi1, Mehdi Norouzi4|
|1Pediatric Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
2Pediatric Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Deputy of Research and Technology, Ministry of Health and Medical Education, Tehran, Iran
3Management department, Nursing Faculty, Baqiyatallah University of Medical Sciences,Tehran, Iran
4Substance Abuse and Dependence Research Center,University of Social Welfare and Rehabilitation Sciences,Tehran ,Iran
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Keywords : Open-ward care unit, Parents" perspective, Preterm infants, Single-family room
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Objectives: Preterm birth has been increasing over the last two decades,thus leading to higher admissions of preterm infants to the neonatal intensive care units (NICU).The design of the NICUs may have consequences for the health of infants, parents and staff. It has gone through numerous changes in the recent years with the single-family room (SFR) being one of these changes. The purpose of this study was to investigate the effects of using SFRs in the NICUs on environmental (outcomes related to the NICU environmental features) and clinical outcomes of the infants.
Materials and Methods: This paper is a systematic review study based on English language papers on using SFRs in the NICUs published during 2012-17. The papers were collected by searching the keywords “neonatal intensive care unit, single-family room, preterm infants, parents’ perspective, staff’s perspective, infant outcomes, and open-ward care unit” in the databases of ISI, Scopus, PubMed, Science Direct,Google Scholar, Magiran, and Ovid database.
Results: Findings show that using SFRs improves clinical and environmental outcomes and that the staff and parents have a positive attitude toward this method.
Conclusion: Besides, it costs the same as or even in some models less than the open-ward method and is considered a cost-effective method. Although a consensus may not be achieved on some issues such as maternal stress, language and motor development, intellectual maturation and to some extent nurses’ satisfaction, in general, using the SFR in the NICUs improve clinical and environmental outcomes and the staff and parents have a positive attitude towards this method.
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