A Nurse-Based Model of Psychosocial Support for Emotionally Distressed Mothers of Infants in the NICU

Davila, Rebecca Chuffo; Segre, Lisa S.

doi:10.1016/j.jogn.2016.12.007

Cited by 21 publications

(16 citation statements)

References 27 publications

(37 reference statements)

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“…Nurses have a guiding role in addressing those family members who are emotionally distressed owing to their infants' NICU hospitalization after birth, which has been recognized by familycentered development care (FCDC) [14]. FCDC is a holistic care philosophy that recognizes the family as being vital partners of the NICU caregiving team, who provide developmentally supportive care to infants with the aim of fostering the mothereinfant attachment relationship [12,15,16].…”

Section: Introductionmentioning

confidence: 99%

Addressing the Needs of Mothers with Infants in the Neonatal Intensive Care Unit: A Qualitative Secondary Analysis

Kim

2020

Asian Nursing Research

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Mothers of infants hospitalized in neonatal intensive care units (NICUs) need to be recognized as essential partners of the care team as their presence and involvement are key to infants' health and developmental outcomes. Addressing mothers' perceived needs is beneficial for the improvement of supportive nursing care; however, little qualitative research on their unmet needs has been conducted in South Korea. This study assessed mothers' perspectives on their NICU experiences and their unmet needs within the South Korean cultural context. Method: A cross-sectional, multicentered, secondary analysis study was conducted using the written responses to an open-ended questionnaire. Of the 344 NICU-experienced mothers, 232 throughout South Korea (seven cities and five provinces) voluntarily completed the questionnaire via smartphone-based or web-based surveys. Their narrative responses were analyzed using thematic content analysis guided by the critical incident technique. Results: Four themes emerged. NICU-experienced mothers of preterm infants referred to the "familyfriendly environment" (16.4%) as a positive experience. The greatest unmet need was "relationship-based support" (58.2%), followed by "information and education-based support" (20.0%) and "system-level challenges" (5.4%). Conclusion:The importance of creating a family-friendly NICU environment should be emphasized by ensuring 24-hour unrestricted access and encouraging active parental involvement in infant care, as well as actively supporting NICU families through supportive words and actions. The assurance of antiinfection management and better staffing levels should be fundamentally guaranteed to NICU staff.

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Section: Introductionmentioning

confidence: 99%

Addressing the Needs of Mothers with Infants in the Neonatal Intensive Care Unit: A Qualitative Secondary Analysis

Kim

2020

Asian Nursing Research

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“…There are six steps to performing a Rodgers' concept analysis 1 : identify and name the concept of interest, 2 identify surrogate terms and related concepts, 3 identify relevant literature and collect data, 4 identify the attributes, antecedents, and consequences of the concept, 5 identify a model case of the concept, and 6 identify implications for further development of the concept. All six steps were used in this concept analysis to highlight the attributes, antecedents, and consequences of maternal‐infant bonding for opioid‐exposed mothers and babies in the neonatal intensive care unit (NICU) 9,10 …”

Section: Methodsmentioning

confidence: 99%

“…The connection between mother and infant remains a primary focus for nurses, doctors, and researchers 6 . Unfortunately, the concept of maternal‐infant bonding for the opioid‐dependent mother and infant diagnosed with NOWS has not been adequately characterized in the scientific literature.…”

Section: Introductionmentioning

confidence: 99%

Maternal‐infant bonding for the opioid exposed dyad: A rodgers' evolutionary concept analysis

et al. 2021

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Aim This concept analysis aimed to offer insight into how opioid exposure affects the quality and construction of the maternal‐infant bond. Background Maternal‐infant bonding can be influenced by maternal opioid use disorder and the neonatal intensive care unit environment. Many interventions for mothers with opioid use disorder focus on enhancing parental skills, but often the emotional and relational features of the maternal‐infant bond have been overlooked. Data Source Literature from Cumulative Index to Nursing and Allied Health Literature (CINAHL), Embase, PubMed, and PsycINFO published from January 2011 to June 2021 using “attachment theory,” “mother‐infant attachment,” “maternal‐infant bonding,” “neonatal opioid withdrawal syndrome,” and “neonatal abstinence syndrome” as key terms. Review Methods Rodgers' method of concept analysis was used to determine the antecedents, attributes, and consequences of maternal‐infant bonding. Results The key attributes of bonding for the opioid‐exposed mother‐infant dyad are engaged mothering, recognition of risk, affection, and respectful maternity care. The antecedents are closeness, selflessness, and purposeful touch. The consequences are sobriety, custody, love, and security.

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“…Hence, identifying family needs reduces stress and emotional problems in parents (14), and nurses have the responsibility to address and guide parental problems as identified by family-centered development care (FCDC) (15). Therefore one of the best and most effective ways to prevent injuries caused by hospitalization is FCDC by nurses and family involvement in infant care (16).…”

Section: Introductionmentioning

confidence: 99%

“…In FCDC, the family is considered a significant member of the NICU care team and an important influence on the infant's health and well-being. Its goal is to foster the attachment relationship between the family and infant (15,17). A first step in implementing FCDC and kangaroo mother care (KMC) is identifying parental needs nurses and applying those needs to the care program (18).…”

Section: Introductionmentioning

confidence: 99%

Needs Assessment of Iranian Families with Neonates Hospitalized in the Neonatal Intensive Care Unit

et al. 2022

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Background: The neonate's birth and subsequent hospitalization cause families to experience various needs. Identifying the family's needs can lead to the provision of qualitative services and the implementation of family-centered development care (FCDC) by nurses. Objectives: This study aimed to assess the needs of Iranian families with neonates in Neonatal Intensive Care Units (NICUs). Methods: This cross-sectional study was conducted in northern Iran in 2018 - 2019 on 360 parents of neonates admitted by convenience sampling method to the neonatal intensive care unit (NICU). Data were collected by demographic questionnaire of parents and neonates and NICU Family Needs Inventory (NFNI) of Ward with five dimensions of proximity, assurance, information, comfort, and support. The data were analyzed using Pearson and Spearman correlation coefficients and a t-test by SPSS23 software. Results: The most important dimensions of family needs were proximity to the infant (93.59%), information (90.53%), assurance (89.18%), comfort (86.70%), and support (80.78%). A comparison of the dimensions of the needs of primiparous, multiparous, and term preterm parents indicated that assurance for multiparous parents (P < 0.001) and comfort for parents with term infants (P < 0.02) were significantly higher than the other dimensions. Conclusions: The study found that proximity to infants is the most important dimension of family needs. Therefore, the relevant authorities should take effective measures to ensure parent-infant proximity.

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A Nurse-Based Model of Psychosocial Support for Emotionally Distressed Mothers of Infants in the NICU

Cited by 21 publications

References 27 publications

Addressing the Needs of Mothers with Infants in the Neonatal Intensive Care Unit: A Qualitative Secondary Analysis

Addressing the Needs of Mothers with Infants in the Neonatal Intensive Care Unit: A Qualitative Secondary Analysis

Maternal‐infant bonding for the opioid exposed dyad: A rodgers' evolutionary concept analysis

Needs Assessment of Iranian Families with Neonates Hospitalized in the Neonatal Intensive Care Unit

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