71: NICU Staff Perceptions of Differences Between a Shared Room NICU and a Single Family Room NICU
Bibliographic record
Abstract
In 2011, a new neonatal intensive care unit (NICU) with double-bedded (DB) rooms was opened in a tertiary children's hospital in Canada. The unit moved to a single family room (SFR) NICU 31 months later. Other authors have identified increased nursing concerns regarding safety and communication in SFR NICUs while a family-friendly environment has been cited by parents as important. To compare staff perceptions of work environment, accommodation of health care practice and extent of parental involvement in the DB and SFR NICUs. A sub-study of staff perceptions was conducted as part of a larger prospective observational cohort study of the NICU move from December 2013 to September 2014. Self-report questionnaires were administered over a one month period in the DB NICU, and during a three month interval in the new SFR NICU. The questionnaire covered demographics, perceptions of work environment, health care practice and extent of parental involvement. Questionnaire responses were compared using bivariate analyses including χ2 test. There were 44 completed questionnaires: 26 from the DB NICU, 18 from the SFR NICU. All respondents were female; a majority were nurses (83%). Staff reported better access to equipment and supplies (50% vs 94.4%, P<0.05), better privacy for family interactions (36.0% vs 100%, P<0.001), increased opportunity for bonding and breastfeeding (19.2% vs 100%, P<0.001) and better ability to control ambient lighting (34.6% vs 100%, P<0.001) in the SFR NICU. Foot traffic was identified as a problem around neonates in the BD NICU, 26.9% vs 0, P<0.05 as was the ambient noise level 26.9% vs 0%, P<0.005. Parents seemed comfortable discussing their child's condition (91.9% vs 88.8%, P=0.57), felt free to visit (94.6% vs 100%, P=1.0) and were actively involved in their child's care (94.4% vs 94.4%, P=0.63) in both units. Staff adjustment was relatively smooth. There was no difference in staff perceptions of patient safety or staff isolation, in contrast to other reports. Staff perceptions of functionality and family support in the SFR NICU were significantly improved.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.009 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.002 | 0.001 |
| Open science | 0.001 | 0.002 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".