Comparison of Mothers and Nurses Opinions on Quality of Nursing Care Provided to Parents with Hospitalized Premature Newborn in NICU

Akbarbeglo, M; Valizadeh, Leila; Zamanzadeh, Vahid

doi:10.3923/rjmsci.2012.222.225

Cited by 5 publications

(9 citation statements)

References 4 publications

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“…The total average score of NPST is important because it determines the mother's perception of the level of support by the medical staff, but unfortunately, it is reported to be very low in Iran ( (7,8,17)). Fortunately, maternal perception of provision of support was reported very high in the present study that was not similar to the studies abroad (29)(30)(31)(32).…”

Section: Discussioncontrasting

confidence: 88%

A Multifaceted Approach to Supporting Mothers of Premature Infants

Mohagheghi

Keramat

Chaman

et al. 2021

Preprint

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Background Premature birth exposes mothers to a strange experience for which they are not mentally ready. Premature birth exposes mothers to a strange experience for which they are not mentally ready. This study aimed to examine the effect of a multi-faceted supportive approach on the levels of perceived support in mothers. Methods The present experimental study was conducted on 143 mothers with preterm infants, (In the intervention group, 75 infants and mothers and 68 infants and mothers in the control group), in the NICUs of two educational and referral hospitals of Tehran, Iran; from Feb 14, 2016 to May 14, 2016. The inclusion criteria were: having a preterm infant with gestational age < 37 weeks, birth weight < 2500 gr, high probability of survival, Iranian nationality and ability to communicate verbally. Exclusion criteria were: preterm infants without abnormality or disabling conditions such as intra ventricular hemorrhage (IVH) grade 3 or 4. The designed intervention was conducted based on the support system pattern of mothers with premature infants. Different interventions in support (appraisal, instrumental, emotional, and informational support) of mothers in NICU were planned for the supportive program, which was gradually implemented within 3 months of the intervention. The Nurse Parent Support Tool (NPST) was used to assess the mothers' perceptions of the perceived support. The control group received routine care. The obtained data were analyzed by STATA software 13. Classified variables were analyzed using t-test, chi-square and Inverse Probability Treatment Weights (IPTW). Results After adjusted mean differences (95% confidence interval) of outcomes between two groups, results showed that the all support scores including total support, -1.83 (95% CI -1.6 to -2.06), Instrumental support, -1.23 (95% CI -1.04 to -1.43), Emotional support, -1.87 (95% CI -2.15 to 1.6) and Appraisal support, -2.01 (95% CI -1.73 to -2.29), and Informational support, -2.12 (95% CI -1.82 to -2.43), in the experimental group were significantly higher than in the control group (P<0.001). Conclusions The information, support and early intervention play important roles in the maternal empowerment to cope with her situation.

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Section: Discussioncontrasting

confidence: 88%

A Multifaceted Approach to Supporting Mothers of Premature Infants

Mohagheghi

Keramat

Chaman

et al. 2021

Preprint

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“…A special nurse as an interface in neonatal ward and maternal and child health units has been evaluated positively by both fathers and mothers ( 38 , 39 ). Planning for the activation of outpatient resources at national and local levels, with a focus on creating environments that present the integrated medical care, upgrading the provision of comprehensive family-centered community-based services, and providing tips for parents to access these centers seem necessary ( 40 ).…”

Section: Discussionmentioning

confidence: 99%

The Needs of Parents of Preterm Infants in Iran and a Comparison With Those in Other Countries: A Systematic Review and Meta-Analysis

et al. 2016

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ContextProper accountability to needs of preterm infants’ parents requires recognition of these needs and how they change in different conditions. The aim of this study was to assess the needs of parents of preterm infants in Iran, as compared to those in other regions in the world.Evidence AcquisitionA search of Iranian databases (Iran Medex, Magiran, and SID) and international resources (PubMed, Scopus, and Google Scholar) was conducted, with no time limitations, to 5 October 2014. Using standard tools, all quantitative studies that considering the parental needs of preterm infants and parental support were extracted. The STROBE checklist was used for the evaluation of the studies. Thirty-one studies were extracted in the qualitative evaluation, of which 17 were included in the meta-analysis. The variance between the studies was analyzed using tau-squared (Tau2) and review manager 5 software.ResultsThe results obtained using the nurse-parent support tool (NPST) showed that mothers considered that all the fields of support were of great importance. The parental needs in Iran were similar to those of parents in other regions worldwide. However, the mean score for Iranian parents’ assessment of the support they received was 2.20 ± 0.06, whereas it was 3.84 ± 0.72 for other countries. The mean scores for parents’ assessment of the provision of emotional, informational appraisal, and instrumental support in Iran were 1.73 ± 0.06, 2.1 ± 0.06, 1.54 ± 0.6, and 3.44 ± 0.04, respectively, compared to 3.18 ± 1.34, 4.11 ± 0.5, 4.26 ± 0.18, and 4.51 ± 0.14, respectively, in other countries.ConclusionsParents always prefer the priorities of their babies to their individual needs. Given the lower scores for the parental assessment of received support in Iran, it is important to focus on these specific items in providing interventions to meet the needs of Iranian parents.

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“…Research has identified how mothers of infants admitted to the NICU require assurance-type support [18] and emotional based care [53]. Sensitive and collaborative staff-parent relationships based on trust and respect can reduce parents’ feelings of helplessness and powerlessness [25,54,55].…”

Section: Discussionmentioning

confidence: 99%

Integrating a sense of coherence into the neonatal environment

et al. 2013

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BackgroundFamily centred care (FCC) is currently a valued philosophy within neonatal care; an approach that places the parents at the heart of all decision-making and engagement in the care of their infant. However, to date, there is a lack of clarity regarding the definition of FCC and limited evidence of FCCs effectiveness in relation to parental, infant or staff outcomes.DiscussionIn this paper we present a new perspective to neonatal care based on Aaron Antonovksy’s Sense of Coherence (SOC) theory of well-being and positive health. Whilst the SOC was originally conceptualised as a psychological-based construct, the SOCs three underpinning concepts of comprehensibility, manageability and meaningfulness provide a theoretical lens through which to consider and reflect upon meaningful care provision in this particular care environment. By drawing on available FCC research, we consider how the SOC concepts considered from both a parental and professional perspective need to be addressed. The debate offered in this paper is not presented to reduce the importance or significance of FCC within neonatal care, but, rather, how consideration of the SOC offers the basis through which meaningful and effective FCC may be delivered. Practice based implications contextualised within the SOC constructs are also detailed.SummaryConsideration of the SOC constructs from both a parental and professional perspective need to be addressed in FCC provision. Service delivery and care practices need to be comprehensible, meaningful and manageable in order to achieve and promote positive well-being and health for all concerned.

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Comparison of Mothers and Nurses Opinions on Quality of Nursing Care Provided to Parents with Hospitalized Premature Newborn in NICU

Cited by 5 publications

References 4 publications

A Multifaceted Approach to Supporting Mothers of Premature Infants

A Multifaceted Approach to Supporting Mothers of Premature Infants

The Needs of Parents of Preterm Infants in Iran and a Comparison With Those in Other Countries: A Systematic Review and Meta-Analysis

Integrating a sense of coherence into the neonatal environment

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