Family-centered care during acute neonatal transport.

PURPOSE: To evaluate current transport team communication practices and identify areas for improvement from the parents' perspective. We also sought to determine whether parents perceived that they were active participants in the care of their infants during the transport process, consistent with the concepts of providing family-centered care (FCC). SUBJECTS: Purposeful sampling of mothers and fathers (or maternally designated support person if the father was not involved) of 25 infants who were transported for acute care to a level III neonatal intensive care unit (NICU) between October 1, 2012, and September 18, 2013. DESIGN: This quality improvement project used quantitative and qualitative analysis of a parent questionnaire. METHODS: Mothers and fathers (or the support person) of transported infants were invited to complete a questionnaire consisting of yes/no and open-ended questions within the first 2 weeks of their infants' transport to a level III NICU. The questions were related to the communication and information parents received and their ability to participate in the transport process. RESULTS: Twenty-seven parents completed the questionnaire. Responses to yes/no questions identified areas for improvement for the transport team. These included providing parents the opportunity to view an informational video; ensuring that mothers had the opportunity to provide colostrum or breast milk before transport; and providing an explanation to parents about their role as active participants in their infants' care. Responses to the open-ended questions indicated that approximately 40% of parents felt they had received adequate information about their infants' care during the transport and many parents (40%) cited separation from their infants as very concerning and causing distress. More than one-third (40%) of the parents specifically stated that at least 1 parent should accompany the infant during the transport. One father in this sample had been able to accompany his infant to the tertiary center. CONCLUSIONS: The integration of FCC core concepts during an acute neonatal transport is important to parents. The orientation of parents to FCC during the transport process may facilitate communication and help them become active participants in their infants' care.

Assessing for Presenteeism and Interest in "One Body" Stress Reduction Fitness Program in a Healthcare Setting.

BACKGROUND: To assess for evidence of presenteeism and evaluate interest of this workforce to participate in a stress reduction mental and physical fitness program to be called "One Body. OBJECTIVES: (a) explore if presenteeism exists in this population, (b) evaluate if survey participants exhibit an interest in a work place-based stress reduction fitness program. METHODS: Quantitative and exploratory web-based survey design with a convenience sampling. RESULTS: Results demonstrated high validity and reliability for each of the question categories.There is a significant positive correlation between questions used to: Explore: "Presence of presenteeism", r(113) = 0.76, p < .001Evaluate: "Interest in workplace fitness program", r(113) = 0.63, p < .001Strong association between "experience of presenteeism" and "interest in workplace fitness program," r(113) = 0.33, p < .001 CONCLUSIONS: This study will provide guidance regarding development of hypothesis for further study to create "One Body" program. IMPLICATIONS FOR NURSING: Presenteeism can lead to employee distraction, decreased work performance, and decreased productivity. Employees performing below expectations because of presenteeism can adversely affect individual employees, clients, and take economic toll on organizations. Nurse executives should be aware of the concept of presenteeism and explore stress reduction intervention programs to support workplace health.