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- W3025506811 abstract "In the past few decades, there has been a cultural shift from physician-centered to patient- and family-centered engagement in both health care and research. Patient- and family-centered health care encourages collaboration and shared decision making between patients and families and their health care team. Patients and families are engaged at both the patient and system levels. Likewise, research participants and other community stakeholders are now encouraged to participate alongside of scientists and researchers during all phases of clinical and translational research—from setting the agenda to analyzing the data and disseminating the findings. Despite widespread public support for these changes by all of the various stakeholders, little has been written about how it works in practice. Janvier et al discuss the role of parents and patients post-neonatal intensive care unit discharge (resource parents and patients) in one neonatal unit in Montreal, Canada. Since 2011, 30 resource parents and patients were involved in a total of 643 activities, mostly in clinical care (n = 413), but also in research (n = 209) and teaching (n = 31). Overall, the participation of resource parents and patients was viewed positively by both resource parents and patients and health care providers. Nevertheless, 3 resource parents and patients described reliving traumatic memories during medical simulation and several providers described discomfort with this new form of collaboration. This highlights a limitation reported by the authors regarding the lack of evidence-based training curricula for both resource parents and patients and providers. Until the late 20th century, patients and research participants were passive recipients of care and research interventions. The shift to patient-centered care and community-engaged research ensured that patient and family stakeholders had “a seat at the table,” although their expected roles were often unclear. Janvier et al have gone the next step by describing meaningful engagement of resource parents and patients at various stages of health care delivery, medical education, and research design. Evaluating the impact of resource parents' and patients' engagement on neonatal and family outcomes is the obvious next step. Article page 123 ▶ Beyond a Seat at the Table: The Added Value of Family Stakeholders to Improve Care, Research, and Education in NeonatologyThe Journal of PediatricsVol. 207PreviewTo analyze activities involving veteran resource parents and patients in a family partnership program; their perspectives were also explored. Full-Text PDF" @default.
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- W3025506811 date "2019-04-01" @default.
- W3025506811 modified "2023-09-26" @default.
- W3025506811 title "Engaging family stakeholders in post-discharge NICU missions" @default.
- W3025506811 doi "https://doi.org/10.1016/j.jpeds.2019.02.012" @default.
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