Publications by authors named "Audrey Reynaud"
Objectives: We aimed to evaluate (1) fathers' perceptions and care involvement for their very premature infants and their views of the hospitalization period based on parental reports and (2) their evolution over time.
Methods: We used an online parental survey to assess answers from parents of very preterm infants who were successfully discharged from French neonatal units. We analysed answers from February 2014 to January 2019 to an anonymous internet-based survey from the GREEN committee of the French Neonatal Society.
Importance: Surveys based on hypothetical situations suggest that health-care providers agree that disclosure of errors and adverse events to patients and families is a professional obligation but do not always disclose them. Disclosure rates and reasons for the choice have not previously been studied.
Objective: To measure the proportion of errors disclosed by neonatal intensive care unit (NICU) professionals to parents and identify motives for and barriers to disclosure.
Parents with a sick child in a neonatal intensive care unit (NICU) usually experience stress, anxiety, and vulnerability. These precarious feelings can affect early parent-child interactions and have consequences for the child's neurodevelopment. Parents who have had a sick child in an NICU (veteran parents) can offer helpful interventions for these vulnerable families.
View Article and Find Full Text PDFAim: Neonatal unit design may affect the neurodevelopment of hospitalised neonates and the well-being of parents and healthcare staff (HCS). We aimed to provide recommendations regarding the minimum area required for a hospital room for a single neonate and their family.
Methods: We searched PubMed and Web of Science for relevant articles published from 1 January 2011 to 1 May 2021 by using the keywords NICU and facility design.
Article Synopsis
- * The trial involved randomly assigning 12 NICUs in France to participate in a 4-month safety program that included education on root-cause analysis and best care practices, monitoring adverse events over 65,830 patient-days.
- * Results indicated a significant reduction in adverse events from 33.9 to 22.6 per 1000 patient-days, suggesting that such educational interventions could greatly enhance care for critically ill neonates.
Article Synopsis
- Infants born before 25 weeks gestational age in France have very low survival rates (0% to 31%), prompting concerns over regional care practices and mixed communication among parents.
- A recent investigation reveals that while 81% of neonatologists advocate for more active care to improve survival, some still prefer comfort care for very premature infants.
- Key barriers to better outcomes include lack of expertise, resources, and guidelines, highlighting the need for improved regional coordination, enhanced teamwork, and more parental involvement in care strategies.*
Background: Parents of term and preterm infants hospitalised at birth experience a stressful situation. They are considered as primary caregivers in neonatal units and are encouraged to participate in their child's care.
Objectives: The aim of our study was to analyse the feelings of parents participating for the first time in caregiving for their baby admitted at birth in a neonatal unit in France and to compare the feelings reported by parents of term and preterm infants.
Article Synopsis
- This research aims to assess the effectiveness of a multiprofessional education program in reducing adverse events (AE) in neonatal intensive care units (NICUs), recognizing the significance of patient safety.
- The study employs a stepped-wedge cluster randomized controlled trial design over 20 months, involving 12 NICUs in France where different education interventions will be implemented in a sequential manner.
- The expected outcome is a reduction of AEs from 60 to 50 per 1000 patient-days, with AE rates serving as the primary metric for evaluating the intervention's success.
Aim: The families of hospitalised preterm infants risk depression and post-traumatic stress and the preterm infants risk re-hospitalisation. The French neonatal society's aim was to review the literature on how the transition from hospital to home could limit these risks and to produce a position paper.
Methods: A systematic literature review was performed covering 1 January 2000 to 1 January 2018, and multidisciplinary experts examined the scientific evidence.