The DOI matches its Crossref record; 11 of the 11 references it cites were found in a registry or an index.
Caring for our caretakers: building resiliency in NICU parents and staff
Open accessAbstract
The neonatal intensive care unit (NICU) is a high-acuity, stressful unit for both parents and staff. Up to 50% of mothers and partners experience emotional distress (i.e., depression, anxiety, or posttraumatic stress) during NICU hospitalization and 30-60% continue to experience distress after discharge. Similarly, up to 50% of NICU staff report burnout and emotional distress. Although healthcare providers have developed interdisciplinary guidelines to enhance psychosocial resources for parents and staff, standardized psychosocial services are lacking. The purpose of this short communication is to describe: (1) the need for psychosocial interventions for NICU parents and staff; (2) existent psychosocial programs and their gaps and limitations; and (3) future directions for psychosocial care in NICU settings. We reviewed the current literature and propose a new conceptual model to inform psychosocial interventions for the NICU. We argue that brief, evidence-based, resiliency, and relationship-based programs are needed to enhance parent and staff outcomes and, ultimately, child development and the NICU unit culture.Conclusion Given the lack of standardized psychosocial care, new interventions for NICU families and staff are needed more than ever. Resiliency, relationship-based interventions that leverage multidisciplinary support may be an innovative way to enhance NICU outcomes and care.What is known • 40-50% of parents in the NICU report elevated emotional distress and 30-50% of staff report burnout. • Psychosocial interventions for parents and staff are needed, yet lacking.What is new • Interventions that focus on resiliency and relationships may improve the culture of the NICU. • New multidisciplinary collaborations and approaches are needed to improve implementation.
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Many psychosocial interventions for NICU parents are not manualized and can be time-intensive and costly to deliver.
“most of these interventions are not manualized and can be timeintensive and costly to deliver [10].”
From A digital Acceptance and Commitment Therapy and education intervention targeting stress of parents and caregivers with preterm babies in the neonatal intensive care unit: A randomised controlled cluster trial protocol (2024) · cites this paper as [10]
The 'Current NICU psychosocial programming' section (page unavailable) reports that parent interventions vary in time commitment from 0.6 to 22 hours. 'Future directions' (page unavailable) identifies time and funding as barriers to building psychosocial programs. The paper does not say that most interventions are not manualized or establish that they are costly to deliver. (LLM, conf=0.82)
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Epidemiologic Trends in Neonatal Intensive Care, 2007-2012
Harrison, W. N., & Goodman, D. C. (2015) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/jamapediatrics.2015.1305 · Cited by 377
Scoping Review of the Mental Health of Parents of Infants in the NICU
Roque, A. T. F., Lasiuk, G. C., Radünz, V., & Hegadoren, K. (2017) · Journal of Obstetric, Gynecologic & Neonatal Nursing · doi:10.1016/j.jogn.2017.02.005 · Cited by 344
Factors Associated With Provider Burnout in the NICU
Tawfik, D. S., Phibbs, C. S., Sexton, J. B., Kan, P., Sharek, P. J., Nisbet, C. C., Rigdon, J., Trockel, M., & Profit, J. (2017) · PEDIATRICS · doi:10.1542/peds.2016-4134 · Cited by 146
Vranceanu, A.-M., Bannon, S., Mace, R., Lester, E., Meyers, E., Gates, M., Popok, P., Lin, A., Salgueiro, D., Tehan, T., et al. (2020) · JAMA Network Open · doi:10.1001/jamanetworkopen.2020.20807 · Cited by 114
Self-citationPsychosocial program standards for NICU parents
Hynan, M. T., & Hall, S. L. (2015) · Journal of Perinatology · doi:10.1038/jp.2015.141 · Cited by 105
The neonatal intensive parenting unit: an introduction
HALL, S. L., Hynan, M. T., Phillips, R. M., Lassen, S. R., Craig, J., Goyer, E., Hatfield, R. F., & Cohen, H. S. (2017) · Journal of Perinatology · doi:10.1038/jp.2017.108 · Cited by 85
Randomized controlled trial of the “WISER” intervention to reduce healthcare worker burnout
Profit, J., Adair, K. C., Cui, X., Mitchell, B., Brandon, D., Tawfik, D. S., Rigdon, J., Gould, J. B., Lee, H. C., Timpson, W. L., et al. (2021) · Journal of Perinatology · doi:10.1038/s41372-021-01100-y · Cited by 75
Tawfik, D. S., Sexton, J. B., Adair, K. C., Kaplan, H. C., & Profit, J. (2017) · Clinics in Perinatology · doi:10.1016/j.clp.2017.04.004 · Cited by 63
Dickinson, C., Whittingham, K., Sheffield, J., Wotherspoon, J., & Boyd, R. N. (2020) · Infant Mental Health Journal · doi:10.1002/imhj.21871 · Cited by 22
Liu, C. H., Mittal, L. P., & Erdei, C. (2021) · Journal of Perinatology · doi:10.1038/s41372-021-01000-1 · Cited by 15
Giving Voice to the Psychological in the NICU: A Relational Model
Steinberg, Z., & Patterson, C. A. (2017) · Journal of Infant Child and Adolescent Psychotherapy · doi:10.1080/15289168.2016.1267539 · Cited by 14
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Ginsberg, K. H., Alsweiler, J., Rogers, J., Cavadino, A., Douglas, M., & Serlachius, A. (2024) · Contemporary Clinical Trials · doi:10.1016/j.cct.2024.107519 · Cited by 7
Metadata
- Authors
- Grunberg, V. A., Vranceanu, A.-M., & Lerou, P. H.
- Affiliations
- Harvard University (US)
- Corresponding author
- Grunberg, Victoria A.
- Venue
- European Journal of Pediatrics
- Published
- 2022-07-08
- Volume
- 181
- Issue
- 9
- Pages
- 3545-3548
- ISSN
- 0340-6199 (ISSN-L)
- 1432-1076
- PMC
- PMC9395886
- OpenAlex
- W4284975307
- Cited by
- 16
- References
- 11
- Citations by year
- 2026: 5 · 2025: 5 · 2024: 5 · 2022: 1
- FWCI
- 3.02
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- European Journal of Pediatrics (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (T32MH112485)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
- Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Keywords
- neonatal intensive care unit, parental emotional distress, psychosocial interventions, resilience, relationship-based intervention, post-traumatic stress, anxiety and depression, multidisciplinary support, conceptual model
- MeSH terms
- Emotions, Female, Health Personnel, Humans, Infant, Newborn, Intensive Care Units, Neonatal, Mothers, Parents
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