Maternal perceptions of family‐centred support and their associations with the mother–nurse relationship in the neonatal intensive care unit

Shimizu, Aya; Mori, Akiko

doi:10.1111/jocn.14243

Cited by 13 publications

(22 citation statements)

References 30 publications

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“…In keeping with other studies, we also found that involvement in care led to greater maternal confidence in providing care to the infant [36–39]. The way the FCC model is designed at RML Hospital, parents are provided with clear audio-visual information and repeated interactive education, which has built their capacity to perform care activities and, thus, their confidence.…”

Section: Discussionsupporting

confidence: 87%

Acceptability of a family-centered newborn care model among providers and receivers of care in a Public Health Setting: a qualitative study from India

Sarin¹,

Maria

2019

BMC Health Serv Res

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BackgroundFamily-centered care (FCC), based on collaborative participation of the family along with a team of health care providers, is found to increase the well-being of sick infants in neonatal critical care units. Over the last 4 years, the neonatal unit of Dr. Ram Manohar Lohia Hospital in Delhi has innovated and developed an implementation framework for FCC. This qualitative study assessed the acceptability of family-centered care among providers and family members of neonates to identify gaps and challenges in implementation.MethodsIn-depth interviews were conducted among a purposive sample of twelve family members of admitted neonates and six providers to examine their perceptions and experiences regarding FCC.ResultsFamily members and providers expressed a positive perception and acceptance of FCC based on the competencies and knowledge acquired by parents and other caregivers of essential newborn care. Family members reported being satisfied with the overall health care experience due to the transparency of care and allowing them to be by their baby’s bedside. Limitations in the infrastructure or lack of facilities at the public hospital did not seem to dilute these positive perceptions. Providers also perceived FCC as a good practice to be continued in spite of concerns around sharing of nursery space with parents, the need for constant vigilance of parents’ practices in handling of their newborns, and the need for separate, designated nursing staff for FCC.ConclusionBoth providers and receivers of neonatal care found FCC to be an acceptable form of care. Providers identified challenges and suggested possible solutions, such as need of periodic provider sensitization on FCC, improved staff organization, and provision of mother-friendly facilities to enable her to provide around-the-clock care by her baby’s bedside. Overcoming these challenges would allow for better integration of FCC within general clinical care in neonatal care units.Electronic supplementary materialThe online version of this article (10.1186/s12913-019-4017-1) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 87%

Acceptability of a family-centered newborn care model among providers and receivers of care in a Public Health Setting: a qualitative study from India

Sarin¹,

Maria

2019

BMC Health Serv Res

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“…Clinicians recognise the significant roles families play in the NICU, for example in providing information and purchasing medicine and supplies to support the care of their critically ill loved ones. This finding resonates with the concept of FCC practiced in Japan [ 29 ]. However, families were seen to be helpful in complementing the efforts of clinicians in the NICUs, in most cases, to provide quality care at their best.…”

Section: Discussionsupporting

confidence: 83%

“…The practice of FCC in many countries has been reported. For instance, in Asia, the main concepts adopted were support, visual information, collaboration, partnerships and mutual trust [13][14][15]. The fundamental concepts of FCC on the American continent are information sharing (education and communication), participation (parental involvement), respect and dignity and shared decision-making [16,17].…”

Section: Introductionmentioning

confidence: 99%

Experiences and contextual practices of family-centered care in Ghanaian nicus: a qualitative study of families and clinicians

Abukari

Acheampong

Aziato

2022

BMC Health Serv Res

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Background Families, whether at home or at the hospital, should be a vital part of newborn care. However, most families are excluded from hospital care, particularly in neonatal intensive care units (NICUs). This is incompatible with the concepts of Family-Centered Care (FCC) and may compromise care continuity and family satisfaction following discharge from neonatal intensive care facilities. The purpose of this study was to examine FCC practices in Ghanaian neonatal intensive care units and provide the experiences and contextual practices of FCC from the perspectives of families and clinicians. Methods The study qualitatively examined the contextual practices of FCC from the perspectives of families and clinicians in neonatal intensive care units using an exploratory descriptive design. With the help of MAXQDA software, 36 transcripts were generated and their contents were analyzed. Results Contextual practices of FCC, family experiences of FCC and clinician experiences of FCC emerged as three main categories from the data. Respect and dignity, culture and religion and a multidisciplinary approach were the contextual practices. Emotional stress, lack of information and coping strategies were all common family experiences. Support, counseling, education and financial problems have all been experienced by clinicians. Conclusions Shared decision-making, counseling and education, as well as respect/dignity amongst clinicians, managers and families using a multidisciplinary approach are the fundamental concepts of FCC approach in Ghana. Acceptance and integration of FCC approach into neonatal intensive care units may reduce the burden of care as well as improve the quality of care. Further studies are needed to map out strategies and interventions for the integration of FCC into intensive care units.

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“… 44 Another cross-sectional study reported that mothers’ perceptions of FCC, including KMC, mothers’ participation in activities such as feeding, bathing, and changing diapers were positive, and mothers felt that nurses paid enough attention to their feelings. 38 …”

Section: Resultsmentioning

confidence: 99%

“… 32 Also, FCC was directly associated with mothers’ abilities to cope with special needs and situations. 38 …”

Section: Resultsmentioning

confidence: 99%

Nurses’ strategies to provide emotional and practical support to the mothers of preterm infants in the neonatal intensive care unit: A systematic review and meta-analysis

Maleki

Mardani

Harding

et al. 2022

Womens Health (Lond Engl)

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Aim: To synthesize and integrate current international knowledge regarding nursing strategies for the provision of emotional and practical support to the mothers of preterm infants in the neonatal intensive care unit. Methods: A systematic review and meta-analysis was undertaken. Four English-language databases including EMBASE, PubMed (including MEDLINE), Scopus, and Web of Science were searched from January 2010 to October 2021. Original quantitative studies that were written in English and focused on nursing strategies for the provision of emotional and practical support to the mothers of preterm infants in the neonatal intensive care unit were included. Eligibility assessment, data extraction, and methodological quality appraisal were conducted independently by the review authors. A narrative synthesis of the review results and a meta-analysis were performed. Results: Twenty studies that were published from 2010 to 2021 were included in the review. Three categories concerning the review aims were identified: ‘nursing strategies related to mothers’ emotions and infant-mother attachment’, ‘nursing strategies related to mothers’ empowerment’, and ‘nursing strategies related to mothers’ participation in care process and support’. Eight interventional studies that reported mothers’ stress as the study outcome were entered into the meta-analysis. Interventions consisted of the educational programme, spiritual care, telenursing, parent support programme, skin-to-skin care, and guided family centred care. Significantly lower maternal stress was found in the intervention group compared with that of the control group ( g: −1.06; 95% confidence interval: −1.64, −0.49; Z = 3.62, p < 0.001). Conclusion: This review identified and highlighted key nursing strategies used to provide emotional and practical support to the mothers of preterm infants in the neonatal intensive care unit. They included family centred care, skin-to-skin care, parent support and education programmes, interpersonal psychotherapy, spiritual care, newborn individualized developmental care and assessment programme, and telenursing.

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Maternal perceptions of family‐centred support and their associations with the mother–nurse relationship in the neonatal intensive care unit

Abstract: Clear visual information materials might promote better maternal understanding of their infants, help in acquisition of parent-crafting skills and improve mother-nurse collaboration, with the result that mothers are better able to care for their infants autonomously at home.

Cited by 13 publications

References 30 publications

Acceptability of a family-centered newborn care model among providers and receivers of care in a Public Health Setting: a qualitative study from India

Acceptability of a family-centered newborn care model among providers and receivers of care in a Public Health Setting: a qualitative study from India

Experiences and contextual practices of family-centered care in Ghanaian nicus: a qualitative study of families and clinicians

Nurses’ strategies to provide emotional and practical support to the mothers of preterm infants in the neonatal intensive care unit: A systematic review and meta-analysis

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