7: Unrestricted access to provide hands-on care tasks
for their infant in the NICU.
Co-occupational engagement between infant and parents versus a volunteer or healthcare professional has demonstrated lower lethargy scores on the NeoNatal Neurobehavioral Scale (NNNS)
Chapter 7 Key Points
Awareness
- Active caregiving builds confidence and bonding
- Involvement enhances parent and infant outcomes
- Limiting care tasks undermines skill and connection
Assessment
- Do families perform daily caregiving tasks?
- Are barriers logistical, cultural, or policy-based?
- Do staff feel confident teaching parents safely?
Action
- Empower parents to provide routine care
- Offer structured training and guidance
- Normalize parent participation in every shift

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Authors
Deanna Gibbs, BAppSc(OT), MOT, Grad Cert Res Meth, PhD
Christy Gliniak, PhD, OTR/L, CNT, CPXP
Christine Tester, MA (Oxon), PSS, MHPS
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Readers are advised to adapt the guidelines and resources based on their local facility’s level of care and patient populations served and are also advised not to rely solely on the guidelines presented here.