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Family Integrated Care is designed to eliminate the barriers between parents and their infants in the NICU by involving parents of premature infants in their care. Parents are integrated into both the healthcare team and the care of their infant. Through this approach, parents are informed about how they can contribute to their infant's overall development, including neurological and sensory development, motor and behavioral progress, as well as practices such as touch, bonding, skin-to-skin contact, breastfeeding, and increasing breast milk production. They are also educated on general hygiene and care tasks such as diaper changing and body cleaning. This model places importance on the protection and enhancement of both the physical and psychological well-being of the parent and the infant. During this process, parents move beyond being mere "visitors" in the unit to becoming active "participants" and members of the care team. Family integrated care aims to support parents in becoming the primary caregivers for their infants, both during hospitalization and after discharge. This model not only provides education and counseling but also supports the family's comprehensive involvement in the infant's care.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Mother Integrated Care Group | Experimental | Mothers whose infants are admitted to the NICU will be contacted within the first 72 hours. Pre-test data (Information Form, Maternal Attachment Scale, and Parental Stressor Scale: Neonatal Intensive Care Unit) will be collected, and education will be planned through a face-to-face interview. After meeting with the mother and administering the pre-test, the training date will be scheduled together with the researchers. The training, which consists of four steps, is planned to be conducted with a two-day interval between each session. The practices will be demonstrated on mannequins and supported by a PowerPoint presentation and visual materials. A booklet prepared specifically for the mothers will also be distributed. After the training steps are completed, mothers will be encouraged to participate in their infant's care in cooperation with the NICU team. One day before discharge and one week after discharge, questionnaire forms will be administered via WhatsApp. |
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| Control group | No Intervention | Mothers in this group will receive standard unit care and education. Data collection procedures will be the same as those used in the intervention group. The mother will be contacted within the first 72 hours of admission to the unit, and pre-test data will be collected. One day before discharge and one week after discharge, questionnaire forms will be administered via WhatsApp. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Mother Integrated Care | Behavioral | In order to empower mothers whose premature infants have been hospitalized in the neonatal intensive care unit (NICU) for at least three days, a four-step neonatal care training program will be provided. Through the empowerment of the mother, the empowerment of the family will also be supported. The family will no longer be considered as visitors but will be involved in the infant's care in the NICU as parents. Data collection forms will be completed before the training begins, one day prior to discharge, and one week after discharge. |
| Measure | Description | Time Frame |
|---|---|---|
| Parental Stress in the Neonatal Intensive Care Unit | The Parental Stressor Scale: Neonatal Intensive Care Unit (PSS:NICU) will be used to assess the level of parental perception of stressors arising from the physical and psychosocial environment of the intensive care unit. The scale consists of 34 items across three dimensions: Sights and Sounds, Infant Appearance and Behavior, and Parental Role Alteration. Higher scores on the scale indicate higher levels of parental stress (minimum: 0, maximum: 170). | The mother will be asked to complete the scale form within the first 72 hours of admission to the unit, one day before discharge, and one week after discharge. |
| Maternal Attachment | The Maternal Attachment Scale consists of 26 items. The total score can range from 26 to 104. A higher score indicates a higher level of maternal attachment. | The mother will be asked to complete the scale form within the first 72 hours of admission to the unit, one day before discharge, and one week after discharge. |
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Inclusion Criteria:
Exclusion Criteria:
Withdrawal Criteria:
It will be conducted with mothers who have premature infants in the neonatal intensive care unit (NICU).
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| Name | Affiliation | Role |
|---|---|---|
| EMEL AVÇİN, Doctor | Adiyaman University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Yalova University | Yalova | 77200 | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D047928 | Premature Birth |
| D000079102 | Empowerment |
| ID | Term |
|---|---|
| D007752 | Obstetric Labor, Premature |
| D007744 | Obstetric Labor Complications |
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
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This is a randomized controlled trial (RCT) designed to evaluate the effectiveness of an intervention.
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| D000091642 | Urogenital Diseases |
| D012919 | Social Behavior |
| D001519 | Behavior |