%0 Journal Article
%T Practice recommendations regarding parental presence in NICUs during pandemics caused by respiratory pathogens like COVID-19.
%A Campbell-Yeo M
%A Bacchini F
%A Alcock L
%A Mitra S
%A MacNeil M
%A Mireault A
%A Beltempo M
%A Bishop T
%A Campbell DM
%A Chilcott A
%A Comeau JL
%A Dol J
%A Grant A
%A Gubbay J
%A Hughes B
%A Hundert A
%A Inglis D
%A Lakoff A
%A Lalani Y
%A Luu TM
%A Morton J
%A Narvey M
%A O'Brien K
%A Robeson P
%A Science M
%A Shah P
%A Whitehead L
%J Front Pediatr
%V 12
%N 0
%D 2024
%M 38983460
%F 3.569
%R 10.3389/fped.2024.1390209
%X <B>UNASSIGNED: </B>To co-create parental presence practice recommendations across Canadian NICUs during pandemics caused by respiratory pathogens such as COVID-19.<BR><B>UNASSIGNED: </B>Recommendations were developed through evidence, context, Delphi and Values and Preferences methods. For Delphi 1 and 2, participants rated 50 items and 20 items respectively on a scale from 1 (very low importance) to 5 (very high). To determine consensus, evidence and context of benefits and harms were presented and discussed within the Values and Preference framework for the top-ranked items. An agreement of 80% or more was deemed consensus.<BR><B>UNASSIGNED: </B>After two Delphi rounds (n = 59 participants), 13 recommendations with the highest rated importance were identified. Consensus recommendations included 6 strong recommendations (parents as essential caregivers, providing skin-to-skin contact, direct or mothers' own expressed milk feeding, attending medical rounds, mental health and psychosocial services access, and inclusion of parent partners in pandemic response planning) and 7 conditional recommendations (providing hands-on care tasks, providing touch, two parents present at the same time, food and drink access, use of communication devices, and in-person access to medical rounds and mental health and psychosocial services).<BR><B>UNASSIGNED: </B>These recommendations can guide institutions in developing strategies for parental presence during pandemics caused by respiratory pathogens like COVID-19.