Care Coordination in the NICU: Implementing Family-Centered Nursing Care for Optimal Outcomes / Edition 1

by Sara L. Mosher RN, MSN, MHA

Overview

Focuses on nurturing the emotional health of patients and families to ensure improved outcomes

This innovative clinical practice resource for neonatal nurses embodies family-centered care strategies for optimal outcomes through every phase of the NICU experience. While rigorous programs provide the knowledge and skills to care for the physical needs of high-risk mothers and neonates, NICU practitioners often find themselves unprepared to support the emotional health of these patients and their families. Care Coordination in the NICU provides the education, inspiration, and resources to NICU health professionals so they can learn how to be emotionally supportive to their patient’s entire family unit.

The book addresses a variety of challenging patient and family issues that occur in the NICU as they relate to care coordination throughout the process. Each chapter focuses on a particular area of the perinatal/neonatal family journey, and includes current medical research, clinical examples, and recommendations for best practice alongside case studies that depict families experiencing a perinatal challenge. Most valuable of all, each chapter also includes stories directly from the source, the families, who have experienced the fear, isolation, and uncertainly of an NICU experience, and have greatly benefited from the emotional support of caring practitioners.

Key Features:

• Examines the gamut of challenging patient and family issues that occur in the NICU as they relate to care coordination throughout the process
• Helps practitioners to incorporate family-centered care into their daily practices
• Discusses effective listening and communication strategies for families in crisis
• Includes examples of practice improvement strategies to improve clinical outcome and reduce the risk of re-hospitalization
• Provides a Case-Based Learning section depicting real-world scenarios for discussion and problem-solving
• Includes links to abundant resources and educational material
• Contains chapters on palliative care and bereavement and supporting patients with special challenges.

Product Details

ISBN-13:	9780826140043
Publisher:	Springer Publishing Company
Publication date:	08/21/2018
Pages:	225
Product dimensions:	5.90(w) x 8.90(h) x 0.90(d)

About the Author

Sara L. Mosher, MHA, BSN, RN, has been in nursing practice for more than 15 years. Her career has been spent as a nurse in various roles such as neonatal bedside nurse, charge nurse, NICU clinical practice coordinator, critical care neonatal flight nurse, NICU family-support specialist, manager of NICU and pediatric departments, manager of nurse navigation and inpatient case management teams, and clinical nurse manager of population health.

Table of Contents

CONTENTS

Contributors

Foreword by Pat Scheans, DNP, NNP-BC

Preface

Acknowledgments

PART I. CARE COORDINATION AND FAMILY-CENTERED CARE

1. Nursing History, Care Coordination, and Family-Centered Care: An Overview

References

PART II. SUPPORTING PATIENTS IN HIGH-RISK PREGNANCY AND DELIVERY

2. Supporting High-Risk Pregnancy Bed-Rest Patients and Preparing Them for a Potential NICU Baby

Supporting High-Risk Pregnancy Bed-Rest Patients

Preparing for the NICU

Recommendations/Suggestions for Best Practice

Recommended Resources

References

3. Supporting Families During High-Risk Deliveries

Supporting the Patient and Family During the Delivery

Including Family in Neonatal Resuscitation

Caring for Mom and Baby as a Dyad During Emergencies

Recommendations/Suggestions for Best Practice

Recommended Resources

References

4. Supporting Families When Both Mom and Baby Become Ill

Caring for Mom and Baby as a Dyad During Emergencies

Caring for Families When Mom Does Not Survive

Recommendations/Suggestions for Best Practice

Recommended Resources

References

PART III. SUPPORTING PATIENTS AND FAMILIES IN THE NICU

5. NICU Admission

Supporting the Patient and Family During a NICU Admission

Education and Information Sharing

Recommendations/Suggestions for Best Practice

Recommended Resources

References

6. Supporting Families in the NICU

Bridging the Gap for NICU Professionals

Neonatal Intensive Parenting Unit

Siblings in the NICU

Recommendations/Suggestions for Best Practice

Recommended Resources

References

7. Helping Families Make the Hospital a Home

Making the NICU a Nursery

Celebrating Milestones

Hospital Holidays

Recommendations/Suggestions for Best Practice

Recommended Resources

References

8. Helping Families Prepare for Discharge and Life After the NICU

How to Take Over the Care of Their Newborn

How to Manage Follow-Up Appointments

Helping Families Find Connection With Others

Making Discharge a Celebration

Recommendations/Suggestions for Best Practice

Recommended Resources

References

PART IV. SUPPORTING PATIENTS WITH SPECIAL CHALLENGES IN THE NICU

9. How to Support Families Who Are Challenging to Connect With

Caring for Families With Varying Levels of Education and Learning Disabilities

Caring for Families Who Have Very Limited Resources and Support

Addressing the Unique Needs of Teen Parents

Recommendations/Suggestions for Best Practice

Recommended Resources

References

10. Helping Families Balance NICU Life and Home Life

Balancing Older Siblings

Balancing Parenting and Relationships

Returning to Work

Recommendations/Suggestions for Best Practice

Recommended Resources

References

11. Supporting Families Faced With Neonatal Transport

Caring for Families Whose Infant Is Transported Out of a Facility

Building Relationships Between Transferring Units

Caring for Families Whose Infants Are Transported Into a Facility

Recommendations/Suggestions for Best Practice

Recommended Resources

References

12. Supporting Families Who Experience a Postpartum Mood Disorder

Assessing Families for Postpartum Mood Disorders

Providing Layered Levels of Emotional Support to Families

Encouraging Intentional Parental Self-Care Practices

Recommendations/Suggestions for Best Practice

Recommended Resources

References

PART V. SUPPORTING WITH BEREAVEMENT AND PALLIATIVE CARE

13. Bereavement: Supporting Families Experiencing a Loss in the Perinatal Period

Miscarriage

Stillbirth

Neonatal Death

Family Support During Perinatal Loss

Recommendations/Suggestions for Best Practice

Recommended Resources

References

14. Palliative Care and Bereavement Support in the Neonatal Period

Preparing for Palliative Care

Transition From Life to Death

Family Support After Death

Recommendations/Suggestions for Best Practice

Recommended Resources

References

15. Supporting Staff and Self-Care After a Patient Loss

Preparing Staff to Care for Families Who Experience Loss

Self-Care Practices

Honoring Memories of Patients and Their Families

Recommendations/Suggestions for Best Practice

Recommended Resources

References

PART VI. THERAPEUTIC STRATEGIES FOR CAREGIVERS AND PATIENTS

16. Caring for the Caregiver: How to Avoid Burnout

Message From Cheryl Milford

Patient Relationships and Boundaries

Understanding How We Respond to Stress

Vicarious Traumatization, Compassion Fatigue, and Burnout

Self-Care: It Is All About You

Resilience: Protection From Caregiver Mental Health Complications

Conflict Resolution With Coworkers

Support From Administration and Coworkers

Cheryl Milford’s Summary

Recommendations/Suggestions for Best Practice

Recommended Resources

References

Index