Communicating with parents in neonatal intensive care units: The impact on parental stress

Enke, Christian; Hausmann, Andrés Oliva y; Miedaner, Felix; Roth, Bernhard; Woopen, Christiane

doi:10.1016/j.pec.2016.11.017

Cited by 78 publications

(82 citation statements)

References 67 publications

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“…This is not a surprising nding. Other research has reported the same results (39)(40)(41). The parents with infants in a NICU are often in crisis situations, and we imagine that older people have experienced several crises and thus learned to deal with di cult situations.…”

Section: Parent Characteristics and Perceived Mental Distress In The supporting

confidence: 68%

Parents’ Perceived Mental Distress When Their Infant is Admitted to a Neonatal Intensive Care Unit (NICU) a Quantitative Cross-Sectional Study

Hagen¹,

Svindseth²,

Vasset³

2020

Preprint

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Background. It is normal for parents to experience a range of emotions and changes in behaviour while their newborn infant is in the NICU. The stress experienced by these parents during their infant’s hospital stay is found to affect the parent-infant relationship and their ability to bond reciprocally. Several studies have pointed out that support from family and friends can be useful for parents’ mental distress in this situation. Some differences are found between mothers’ and fathers’ experiences of the support. The aim of the current study is to examine parents’ perceived mental distress when their infant is admitted to a neonatal intensive care unit (NICU) and factors important for their support. The relationship between parents perceived mental distress and satisfaction with NICU care are spare researched. Methods. A multicentre prospective cohort study. A total of 568 parental participants from six different NICUs geographically spread throughout Norway. Hospital Anxiety and Depression Scale (HADS) and Impact of Events Scale-Revised (IES-6) were used to collect data. All the responses were rated and analysed using parametric analysis methods, descriptive statistics, logistic regression, factor analyses and linear regression analyses.Results. A total of 275 mothers reported receiving support from family and friends compared with 232 fathers. Younger parents had a higher OR of reporting anxiety compared with that of older parents. Parents with a primary or high school education level showed a higher OR of satisfaction than did parents with a college or university education level.Conclusion. There are differences in mothers’ and fathers’ responses to their experiences of various distress symptoms related to their children being in the NICU, as well as their received support from family and friends. There are also outcome differences between the age and education level of the parents and their experience of stress in the NICU. Mothers are more distressed and have more anxiety and depression than do fathers have.Trail registration: This project was first presented to the Regional Committees for Medical and Health Research Ethics which reported that the project was outside its mandate (2015/386). The project is approved from the Norwegian Data Protection Officials.

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Section: Parent Characteristics and Perceived Mental Distress In The supporting

confidence: 68%

Parents’ Perceived Mental Distress When Their Infant is Admitted to a Neonatal Intensive Care Unit (NICU) a Quantitative Cross-Sectional Study

Hagen¹,

Svindseth²,

Vasset³

2020

Preprint

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“…Accordingly, another systematic review recommends that neonatal settings with limited FCC implementation should consider FCC interventions that initially involve education to encourage parental involvement (Ding et al, 2019). Equally important, communication is based on human interaction and as such is complex, especially empathetic communication (Enke, Hausmann, Miedaner, Roth, & Woopen, 2017) that is necessary in neonatal clinical care.…”

Section: Discussionmentioning

confidence: 99%

Family-Centred Care in Dedicated Neonatal Units: An Integrative Review of International Perspectives

Vetcho

Cooke

Ullman

2020

Journal of Neonatal Nursing

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This study aims to synthesise and critically review the research on Family-Centred Care interventions in Neonatal Intensive Care Units and neonatal special care units across international, and thereby cross-cultural, settings. An integrative literature review approach was used, with seven databases searched. The search generated 1,741 articles, with forty-eight meeting the inclusion criteria. Physical participation and involvement of families within neonatal care was the most common intervention and was included in studies across most

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“…19 The results of a study in Germany revealed that effective and empathetic relation between parents and nurses decreases family tension. 20 Our participants stated that problems such as housekeeping and having other children will result in the absence of parents in the unit, and this disrupts parents-neonate's attachment. In a study which investigated the parents of neonates hospitalized in NICUs in European countries, the most important factor in parentinfant closeness was the continuous presence of parents in NICUs.…”

Section: Discussionmentioning

confidence: 94%

Nurses' Perception of Family-Centered Care in Neonatal Intensive Care Units

Heidari

Mardani-Hamooleh

2019

J Pediatr Intensive Care

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Family-centered care (FCC) is one of the important elements of care in neonatal intensive care units (NICUs). The aim of this study was to understand the nurses' perception of FCC in NICUs. This qualitative study was performed using conventional content analysis. Participants in this study included 18 nurses who were selected by a purposeful method. Semistructured, in-depth and face-to-face interviews were conducted with the participants. All interviews were written down, reviewed, and analyzed. Two categories were identified after the data analysis: (1) prerequisite for providing FCC and (2) parents' participation. Prerequisite for providing FCC consisted of two subcategories namely suitable facilities and adequate personnel. Parents' participation included subcategories of parents: neonate's attachment and parents' training. Nurses' perception of FCC in NICUs can facilitate an appropriate condition for the participation of family members in the care of neonates.

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Communicating with parents in neonatal intensive care units: The impact on parental stress

Cited by 78 publications

References 67 publications

Parents’ Perceived Mental Distress When Their Infant is Admitted to a Neonatal Intensive Care Unit (NICU) a Quantitative Cross-Sectional Study

Parents’ Perceived Mental Distress When Their Infant is Admitted to a Neonatal Intensive Care Unit (NICU) a Quantitative Cross-Sectional Study

Family-Centred Care in Dedicated Neonatal Units: An Integrative Review of International Perspectives

Nurses' Perception of Family-Centered Care in Neonatal Intensive Care Units

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