Live‐streaming webcam technology in the neonatal unit: A systematic review and thematic analysis

Abstract

AbstractBackgroundAdmission of a baby for neonatal care represents a deeply traumatic time for parents. Webcam technology facilitating live‐streaming of the baby when the parents are unable to be physically present has been introduced to support bonding and parental engagement in care.AimThis systematic review explores the impact and experiences of webcam technology upon parents of babies in the neonatal unit and neonatal health care professionals.Study DesignA systematic search of Embase, Medline and Scopus was conducted using the keywords ‘video technology’, ‘newborn’ and ‘neonatal intensive care.’ Studies written in English and exploring live‐stream technology were included. Thematic analysis per group (parents and health care professionals) was undertaken to identify similarities between themes across published studies.ResultsTen studies were included. Six studies explored the impact of webcam technology on parents only, two on both parents and health care professionals and two on health care professionals only. Thematic analysis per group identified three themes for parents, including parental well‐being, parent‐infant bonding and quality of care. Two themes were identified for neonatal health care professionals, including quality of care and feasibility of webcam technology.ConclusionsWebcam technology has many documented benefits for parental well‐being. However, new technology requires adequate staff training, support and plans for ongoing maintenance. Further research is required to explore the long‐term impacts on breast‐milk production and infant neurological development.Relevance to Clinical PracticeThe use of webcam technology in neonatal units can potentially improve the mental health and well‐being of the parents and promote bonding between the infant, their parents and wider family members. Specialist roles to support advancing technology in the neonatal unit may allow parents and professionals to integrate webcams into practice and enhance care.