NURSING NICU Practices for Parental Holding

NURSING NICU Practices for

Parental Holding

This is a research study looking at practices for parental holding of babies while in the NICU. An information sheet is presented below. If you consent to participation, please answer the following questions to the best of your ability. The survey should take less than 5 minutes.

The following questions are about your location, unit, and role in the NICU.

Information sheet for waived documentation of consent

IRB# 00026276

TITLE: National Nursing Survey of Parental Holding Practices in NICUs in the United States

PRINCIPAL INVESTIGATOR: Brian Scottoline, MD, PhD. [(503) 494-2186]

CO-INVESTIGATORS: Emily Garavatti, MD [(503) 494-2634] Taralyn Calder, MSN, RN, RNC-NIC [(503) 494-8122]

WHY IS THIS STUDY BEING DONE?:

You have been invited to be in this research study because you are a member in the Vermont Oxford Network or the National Association of Neonatal Nurses. . The purpose of this study is to explore parental holding practices in neonatal intensive care units (NICUs) across the United States and territories.

Data collected from you in this study will not be used and/or shared for future research.

WHAT PROCEDURES ARE INVOLVED IN THIS STUDY?:

The following study should take approximately 5 minutes of your time. The survey will ask about your role and experience working in the NICU, and about parental holding practices in your unit. No identifying information will be collected, and your response will be anonymous.

If you have any questions, concerns, or complaints regarding this study now or in the future, or if you think you may have been injured or harmed by the study, contact Brian Scottoline at (503) 494-2186.

WHO WILL SEE MY PERSONAL INFORMATION?

No personal identifying information will be collected.

WHAT RISKS CAN I EXPECT FROM TAKING PART IN THIS STUDY?:

Although we have made every effort to protect your identity, there is a minimal risk of loss of confidentiality.

WHAT ARE THE BENEFITS OF TAKING PART IN THIS STUDY?:

You will not benefit from being in this study. However, by serving as a subject, you may help us learn how to benefit patients in the future.

WHAT ARE THE ALTERNATIVES TO TAKING PART IN THIS STUDY?:

You may choose not to be in this study.

WILL I RECEIVE RESULTS FROM THIS STUDY?

The results of this research will not be made available to you because the research is still in an early phase and the reliability of the results is unknown.

WHO WILL SEE MY PERSONAL INFORMATION?:

In this study we are not receiving any identifiable information about you so there is little chance of breach of confidentiality.

WILL ANY OF MY INFORMATION OR SAMPLES FROM THIS STUDY BE USED FOR ANY COMMERCIAL PROFIT? Information about you or obtained from you in this research may be used for commercial purposes, such as making a discovery that could, in the future, be patented or licensed to a company, which could result in a possible financial benefit to that company, OHSU, and its researchers. There are no plans to pay you if this happens. You will not have any property rights or ownership or financial interest in or arising from products or data that may result from your participation in this study. Further, you will have no responsibility or liability for any use that may be made of your samples or information.

WHERE CAN I GET MORE INFORMATION?:

This research is being overseen by an Institutional Review Board (“IRB”). You may talk to the IRB at (503) 494-7887 or irb@ohsu.edu if:

• Your questions, concerns, or complaints are not being answered by the research team.

• You want to talk to someone besides the research team.

• You have questions about your rights as a research subject.

• You want to get more information or provide input about this research.

You may also submit a report to the OHSU Integrity Hotline online at https://secure.ethicspoint.com/domain/media/en/gui/18915/index.html or by calling toll-free (877) 733-8313 (anonymous and available 24 hours a day, 7 days a week).

DO I HAVE TO TAKE PART IN THIS STUDY?

You do not have to join this or any research study. If you do join, and later change your mind, you may quit at any time.

The participation of OHSU students or employees in OHSU research is completely voluntary and you are free to choose not to serve as a research subject in this protocol for any reason. If you do elect to participate in this study, you may withdraw from the study at any time without affecting your relationship with OHSU, the investigator, the investigator’s department, or your grade in any course. If you would like to report a concern with regard to participation of OHSU students or employees in OHSU research, please call the OHSU Integrity Hotline at 1-877-733-8313 (toll free and anonymous).

HOW DO I TELL YOU IF I WANT TO TAKE PART IN THIS STUDY?

Please complete the following survey if you consent to participation in the study. If you would not like to participate in the study, please close the browser.

What level NICU do you work in? If you work in multiple NICUs, please indicate the highest level NICU you work in and answer all questions with that NICU in mind.*

Please refer to AAP definitions of levels of NICU care - https://publications.aap.org/pediatrics/article/130/3/587/30212/Levels-of-Neonatal-Care

What state or US territory is the NICU you work in located?*

Select

Please describe what other location

Please describe your role in the NICU

How many beds are in your NICU?

Please describe what other nursing ratios your unit has.

What is your Gender Identity: (select ALL that apply)*

Cisgender (your sex assigned at birth is the same as your gender)

Transgender (your sex assigned at birth is not the same as your gender)

Feminine/Woman/Girl

Masculine/Man/Boy

Nonbinary/genderqueer

Agender

Not listed above: (please specify)

Prefer not to state

Please specify your gender identify

Please describe your racial background

The following questions are about your unit's general approach to parental holding.

Parental holding can include skin-to-skin, chest-to-chest, cradled in parent's arms, or laid flat in a nest on parent's lap. Please select the response that best represents your unit's general approach to parental holding during various medical interventions.

Always = consistently offered to all patients receiving that medical intervention

sometimes= occasionally offered

rarely= maybe offered in select circumstances,

never= not offered unless end of life care.

If none of these answers are fitting, you may select "unsure" or select to given written response

Does your unit allow parents to hold an intubated baby who is supported on conventional ventilator?*

Why does your unit not allow holding while supported on a conventional ventilator?

please comment on if your unit allows parents to hold a baby who is intubated on a conventional ventilator

Does your unit allow parents hold an intubated baby who is supported on a high frequency ventilator?*

Why does your unit not allow holding while supported on a high frequency ventilator ventilator?

please comment on if your unit allows parents to hold on high frequency ventilators

Does your unit have a protocol or guideline for holding on high frequency ventilator?

yes

unsure

Are parents allowed to hold a baby on high frequency jet ventilators?

yes

my unit does not have high frequency jet ventilation

Are parents allowed to hold a baby on high frequency osscilator ventilators?

yes

my unit does not have high frequency osscilator ventilators

Are parents allowed to hold a baby on high frequency percussive ventilators?

yes

my unit does not have high frequency percussive ventilators

Are parents allowed to hold a baby on high frequency positive pressure ventilators?

yes

my unit does not have high frequency positive pressure ventilators

Does your unit have respiratory therapists specifically assigned to the NICU?*

yes

unsure

Why are parents not allowed to hold a baby on EEG?

please comment on if your unit allows parents to hold a baby on EEG

Does your unit allow parents to hold an infant with an umbilical arterial catheter?*

Why are parents not allows to hold a baby with an umbilical arterial catheter?

please comment on if your unit allows parents to hold a baby with an umbilical arterial catheter

Does your unit allow parents to hold an infant with an umbilical venous catheter?*

Why are parents not allowed to hold a baby with an umbilical venous catheter?

please comment on if your unit allows parents to hold a baby with a umbilical venous catheter

Does your unit allow holding of babies with peripherally inserted central catheters (PICCs) or other types of central lines?*

Why are parents not allowed to hold a baby with peripherally inserted central catheters?

please comment on if your unit allows parents to hold a baby with a central line in place

Why are parents not allowed to hold a baby with chest tubes in place?

please comment on if your unit allows parents to hold a baby with chest tubes in place

Why are parents not allowed to hold a baby following sternotomy?

please comment on if your unit allows parents to hold a baby following a sternotomy

Does your unit allow parents to hold during therapeutic hypothermia for neonatal encephalopathy?*

please comment on if your unit allows parents to hold during therapeutic hypothermia.

Please describe what equipment your unit uses for cooling

Does your unit have a protocol or guideline for holding during therapeutic hypothermia?*

yes

unsure

please describe who determines if holding is appropriate?

Does your unit have exclusionary criteria for holding?*

yes

unsure

What are the exclusionary criteria?

Please describe other reasons parents not allowed to hold during cooling

Are you interested in a protocol for parent holding during therapeutic hypothermia?*

yes

maybe

Please provide any feedback you have (note: please do not include any identifiable patient information)

Send me a copy of my responses

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