Differences in parents', nurses' and physicians' views of <scp>NICU</scp> parent support

Franck, Linda S.; Axelin, Anna

doi:10.1111/apa.12227

Cited by 46 publications

(65 citation statements)

References 27 publications

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“…One of the most important aspects to consider in FCC culture is the position of staff in relation to the parents and their perceived expectations of involvement [16,33,34]. Inadequate staffparent interaction and communication can exacerbate parents' sense of isolation from their premature infants [18,19].…”

Section: Discussionmentioning

confidence: 99%

Mothers’ perceptions of family centred care in neonatal intensive care units

Finlayson

Dixon

Smith

et al. 2014

Sexual & Reproductive Healthcare

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Section: Discussionmentioning

confidence: 99%

Mothers’ perceptions of family centred care in neonatal intensive care units

Finlayson

Dixon

Smith

et al. 2014

Sexual & Reproductive Healthcare

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“…The focus of the medical team was on providing information on the baby’s clinical status and on the care required. Clinical information is one of the principal forms of support given by physicians to the mothers of babies hospitalized in an NICU [16, 17]. …”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, these HCPs were aware of the difficulties involved in taking on the role of facilitators of the development of the early relationship between parents and their infants [14, 15]. There are reports that refer that HCPs often provide instrumental support and technical care that, albeit necessary and indeed vital for the babies’ recovery, does not focus on the desires and needs of the parents, frequently marginalizing their role during the hospitalization period [5, 16, 17]. …”

Section: Introductionmentioning

confidence: 99%

Perceptions and actions of healthcare professionals regarding the mother-child relationship with premature babies in an intermediate neonatal intensive care unit: a qualitative study

Fleury

Parpinelli

Makuch³

2014

BMC Pregnancy Childbirth

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BackgroundThe mother-child interaction after delivery may be hampered when the newborn baby is hospitalized. The objective of the study was to understand perceptions and actions of healthcare professionals (HCPs), working in an intermediate neonatal intensive care unit (NICU), regarding mother-child relationship of hospitalized premature babies in the first weeks after delivery and the professionals’ support for the development of this relationship within an NICU environment. The psychoanalytic concept of holding defined by Winnicott was used as the theoretical framework.MethodsA qualitative study was conducted with 20 HCPs (physicians, medical residents, nurses, and nurse technicians) working at an intermediate NICU of a referral hospital in Brazil. Semi-structured interviews were conducted, recorded and transcribed verbatim; and thematic analysis was performed.ResultsThe HCPs referred to the difficulty that these mothers had to develop the mother-child relationship within this environment. If they observed that the mother had initial inhibitions to interact with her baby, they tried to facilitate this process, since they were aware of the importance of early bonding for the child’s well-being. They attributed the mothers’ difficulty to the fragile appearance of the premature baby, the limited contact often imposed by the routine of the unit and the lack of participation in the decisions regarding the care given to her baby. HCPs tried to help women bond with her child by giving support and encouragement. Most of the physicians reported that the nurses represented a link between physicians and the mothers of the hospitalized babies.ConclusionThe HCPs reported attitudes and actions indicative of holding. A more in-depth understanding of the relationship between HCPs and mothers of premature babies at an NICU during the first days after delivery, and the needs of the mothers and her baby to be close to facilitate bonding should be part of the routine discussions of the NICU health team.

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“…(13-17)Our primary perception outcome measure was self-reported happiness to care for a THAPCA patient. We evaluated association of the measure with nurse characteristics (demographics, education, participation in past research activities), self-reported confidence in research skills, perceived study team support, training and work burden, and the importance of the THAPCA research hypothesis.…”

Section: Introductionmentioning

confidence: 99%

Nurses’ Attitudes Toward Clinical Research

Browning

Page

Kuhn

et al. 2016

Pediatric Critical Care Medicine

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Objectives To understand factors affecting nurses' attitudes towards the Therapeutic Hypothermia after Pediatric Cardiac Arrest (THAPCA) trials and association with approach/consent rates. Design, setting and participants Cross sectional survey of pediatric/cardiac intensive care nurses' perceptions of the trials, conducted at 16 of 38 self-selected study sites. Measurements The primary outcome was the proportion of nurses with positive perceptions, as defined by agree or strongly agree with the statement “I am happy to take care of a THAPCA patient”. Associations between perceptions and study approach/consent rates were also explored. Results Of 2241 nurses invited, 1387 (62%) completed the survey and 77% reported positive perceptions of the trials. Nurses, who felt positively about the scientific question, the study team, and training received, were more likely to have positive perceptions of the trials (p <0.001). Nurses who had previously cared for a research patient had significantly more positive perceptions of THAPCA compared with those who had not (79% vs. 54%, p<0.001). Of the 754 nurses who cared for a THAPCA patient, 82% had positive perceptions, despite 86% reporting it required more work. Sixty-nine percent believed that hypothermia reduces brain injury and mortality; sites had lower consent rates when their nurses believed that hypothermia was beneficial. Institution-specific approach rates were positively correlated with nurses' perceptions of institutional support for the trial (r=0.54, p=0.04), intensive care unit support (r=0.61, p=0.02), and the importance of conducting the trial in children (r=0.61, p=0.01). Conclusions The majority of nurses had positive perceptions of the THAPCA trials. Institutional, colleague and study team support and training were contributing factors. Despite increased work, nurses remained enthusiastic demonstrating that studies with intensive bedside nursing procedures are feasible. Institutions whose nurses believed hypothermia was beneficial had lower consent rates suggesting that educating nurses on study rationale and equipoise may enhance study participation.

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Differences in parents', nurses' and physicians' views of NICU parent support

Cited by 46 publications

References 27 publications

Mothers’ perceptions of family centred care in neonatal intensive care units

Mothers’ perceptions of family centred care in neonatal intensive care units

Perceptions and actions of healthcare professionals regarding the mother-child relationship with premature babies in an intermediate neonatal intensive care unit: a qualitative study

Nurses’ Attitudes Toward Clinical Research

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