Unknown

Dataset Information

0

Disparities in NICU quality of care: a qualitative study of family and clinician accounts.


ABSTRACT:

Objective

To identify how family advocates and clinicians describe disparities in NICU quality of care in narrative accounts.

Study design

Qualitative analysis of a survey requesting disparity stories at the 2016 VON Quality Congress. Accounts (324) were from a sample of RNs (n?=?114, 35%), MDs (n?=?109, 34%), NNPs (n?=?55, 17%), RN other (n?=?4, 1%), clinical other (n?=?25, 7%), family advocates (n?=?16, 5%), and unspecified (n?=?1, <1%).

Results

Accounts (324) addressed non-exclusive disparities: 151 (47%) language; 97 (30%) culture or ethnicity; 72 (22%) race; 41 (13%) SES; 28 (8%) drug use; 18 (5%) immigration status or nationality; 16 (4%) sexual orientation or family status; 14 (4%) gender; 10 (3%) disability. We identified three types of disparate care: neglectful care 85 (26%), judgmental care 85 (26%), or systemic barriers to care 139 (44%).

Conclusions

Nearly all accounts described differential care toward families, suggesting the lack of equitable family-centered care.

SUBMITTER: Sigurdson K 

PROVIDER: S-EPMC5998372 | biostudies-literature | 2018 May

REPOSITORIES: biostudies-literature

altmetric image

Publications

Disparities in NICU quality of care: a qualitative study of family and clinician accounts.

Sigurdson Krista K   Morton Christine C   Mitchell Briana B   Profit Jochen J  

Journal of perinatology : official journal of the California Perinatal Association 20180405 5


<h4>Objective</h4>To identify how family advocates and clinicians describe disparities in NICU quality of care in narrative accounts.<h4>Study design</h4>Qualitative analysis of a survey requesting disparity stories at the 2016 VON Quality Congress. Accounts (324) were from a sample of RNs (n = 114, 35%), MDs (n = 109, 34%), NNPs (n = 55, 17%), RN other (n = 4, 1%), clinical other (n = 25, 7%), family advocates (n = 16, 5%), and unspecified (n = 1, <1%).<h4>Results</h4>Accounts (324) addressed n  ...[more]

Similar Datasets

| S-EPMC2324133 | biostudies-other
| S-EPMC6821564 | biostudies-literature
| S-EPMC6920695 | biostudies-literature
| S-EPMC9072949 | biostudies-literature
| S-EPMC7903796 | biostudies-literature
| S-EPMC8106872 | biostudies-literature
| S-EPMC5625846 | biostudies-other
| S-EPMC7483231 | biostudies-literature
| S-EPMC4545357 | biostudies-literature
| S-EPMC8655088 | biostudies-literature