Experiences of mothers with preterm babies on support services in Neonatal Intensive Care Unit of a mission hospital in Ghana

Apedani, Dominic Bachegejoa; Koduah, Amankwah; Druye, Andrews Adjei; Enyan, Nancy Innocentia Ebu

doi:10.1016/j.ijans.2021.100366

Cited by 5 publications

(5 citation statements)

References 35 publications

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“…In some quantitative studies, it has been shown that mothers received less nursing support than they expected [ [35] , [36] , [37] , [38] ]. Moreover, certain qualitative studies have indicated a gap between the level of support mothers anticipated and the support they actually received; thus, mothers needed more support [ [39] , [40] , [41] ].…”

Section: Discussionmentioning

confidence: 99%

Nurse-mother communication and support: Perceptions of mothers in neonatal units

Tajik,

Mahmoodi,

Azodi

et al. 2024

Heliyon

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Section: Discussionmentioning

confidence: 99%

Nurse-mother communication and support: Perceptions of mothers in neonatal units

Tajik,

Mahmoodi,

Azodi

et al. 2024

Heliyon

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“…According to the requirement for specialized care, such as incubator support, respiratory assistance, or nutritional supplementation, premature infant births frequently result in maternal confidence deficits in caring for their preterm infants. [1][2][3][4]9 It is essential for them to initially have faith in their capabilities. The foundation of maternal confidence empowers them to effectively care for their premature infants.…”

Section: Conceptual Framework and Literature Reviewmentioning

confidence: 99%

“…[1][2][3] Furthermore, mothers may encounter difficulties in interacting with their premature infants and fulfilling maternal roles. [4][5] Premature infants receiving basic care from their mothers in the NICU can improve Vol. 28 No.…”

Section: Introductionmentioning

confidence: 99%

“…1,6,8,[12][13][14] However, it has been observed that mothers are often less involved in caring for their preterm infants in the NICU than they would like to be. This lack of involvement is often attributed to the mother's confidence in her ability to care for preterm infants 4,12 and her limited access to healthcare services within the NICU. 3,9,[15][16] Therefore, this study aimed to investigate whether a telehealth program can help mothers enhance their self-efficacy in caring for preterm infants requiring ventilator support.…”

Section: Introductionmentioning

confidence: 99%

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Enhancing Maternal Self-efficacy in Caring for Preterm Infants with Ventilator through a Telehealth Program: A Randomized Controlled Trial

Kongsaenkaew,

Rungamornarat,

Payakkaraung

2023

PRIJNR

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Telehealth is increasingly important in nursing, encouraging mothers of preterm infants with ventilators to have confidence in their infant care. This study investigated the impact of a telehealth program on maternal self-efficacy in caring for preterm infants with ventilators in the early postpartum period. We employed a randomized controlled trial using the block allocation method, enrolled 42 mothers of preterm infants receiving ventilators and randomly assigned 21 in the experiment group and 21 in the control group. The experimental group received asynchronous and synchronous telehealth programs for six days to enhance their self-efficacy. Data were obtained using the demographic data questionnaire and the maternal self-efficacy questionnaire. Data were analyzed using the Chi-square test, Fisher’s Exact test, Mann–Whitney U test, independent t-test, and paired t-test. After completing the program, the experimental group had a significantly higher mean score of maternal perceived self-efficacy than the control group, and this was significantly higher than before the trial. A telehealth program is effective for mothers with preterm infants with ventilators. Nurses should allow the mothers to practice care activities with infants at least once before discharge and when they arrive home and provide health information via telehealth. These can enhance maternal self-efficacy in caring for premature infants with ventilators in the first week of life. However, further testing of the program in other settings is needed before widespread implementation.

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“…There are also barriers within the hospital settings; a study conducted in a tertiary hospital in Ghana described strict visitation policies where mothers of preterm babies were only allowed to see their babies at fixed times during the day. 8 Even when such restrictive policies are not enforced there are still challenges. For example, a study conducted in a hospital where mothers were granted unrestricted access to their babies describes mothers having to sleep out in the open on clothes they spread on the ground at night as the hospital only provided six mattresses for mothers of admitted neonates.…”

Section: Introductionmentioning

confidence: 99%

Implementation of Family Centered Care for Neonates Admitted in a Special Care Baby Unit in Sierra Leone

Johnson

2024

PHMT

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Purpose To assess the feasibility of implementing family centered care and the impact this would have on parental satisfaction in a special care baby unit in Sierra Leone. Patients and Methods A cross-sectional, mixed methods study was conducted at the Rokupa Government Hospital, Sierra Leone. 16 nursing staff of the Special Care Baby Unit and 7 caregivers of neonates admitted in the unit participated in the study. Quantitative data on feasibility was obtained from nursing staff using a five-point Likert scale administered to staff before and after implementation of family centered care in the unit. Qualitative data on perception of impact was obtained through focus group discussions for caregivers whose neonates had received family centered care and a control group who had received standard unit care. Quantitative data was analyzed using univariate analysis and thematic analysis was undertaken for qualitative data. Results Before implementation, most nursing staff felt implementation of family centred care was not feasible (87.5%) and more than half of nursing staff either strongly agreed or agreed with each of the negative statements regarding the practice of family centred care indicating a generally negative perception. After implementation there was improvement in nursing staff perception of family centred care, however the majority still doubted the continued feasibility of this practice (68.8%). Qualitative discussions with caregivers demonstrated that caregivers whose babies received family centered care were less distressed and more satisfied during the period of admission than those who received routine care. Conclusion Family centered care improved the experiences of caregivers in the unit. Nursing staff also demonstrated a better understanding of the benefits of family centered care after it was implemented. Concerns regarding understaffing and the unit being too small to accommodate caregivers and staff at the same time need to be addressed. There is need to integrate family centered care into hospital policy.

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Experiences of mothers with preterm babies on support services in Neonatal Intensive Care Unit of a mission hospital in Ghana

Cited by 5 publications

References 35 publications

Nurse-mother communication and support: Perceptions of mothers in neonatal units

Nurse-mother communication and support: Perceptions of mothers in neonatal units

Enhancing Maternal Self-efficacy in Caring for Preterm Infants with Ventilator through a Telehealth Program: A Randomized Controlled Trial

Implementation of Family Centered Care for Neonates Admitted in a Special Care Baby Unit in Sierra Leone

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