Pilot study of experiences and needs of 111 fathers of very low birth weight infants in a neonatal intensive care unit

Garten, Lars; Nazary, L; Metze, Boris; Bührer, Christoph

doi:10.1038/jp.2012.32

Cited by 48 publications

(48 citation statements)

References 32 publications

(30 reference statements)

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“…Consistent with literature we found that mothers and fathers tend to gather information as fathers spend less time at their baby's bedside and miss opportunities to interact with clinical staff therefore receiving “second‐hand” information from their partner. Importantly, German fathers rated any primary interaction with clinical staff very highly (Garten, Nazary, Metze, & Buhrer, ). Danish nurses have implemented strategies to improve communication with parents and have noted early positive outcomes (Weis, Zoffmann, & Egerod,).…”

Section: Discussionmentioning

confidence: 99%

Transition from hospital to home: Parents’ perception of their preparation and readiness for discharge with their preterm infant

Aydon

Hauck

Murdoch

et al. 2017

Journal of Clinical Nursing

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Aims and objectives To explore the experiences of parents with babies born between 28–32 weeks’ gestation during transition through the neonatal intensive care unit and discharge to home. Background Following birth of a preterm baby, parents undergo a momentous journey through the neonatal intensive care unit prior to their arrival home. The complexity of the journey varies on the degree of prematurity and problems faced by each baby. The neonatal intensive care unit environment has many stressors and facilitating education to assist parents to feel ready for discharge can be challenging for all health professionals. Design Qualitative descriptive design. Methods The project included two phases, pre‐ and postdischarge, to capture the experiences of 20 couples (40 parents), whilst their baby was a neonatal intensive care unit inpatient and then after discharge. Face‐to‐face interviews, an online survey and telephone interviews were employed to gather parent's experiences. Constant comparative analysis was used to identify commonalities between experiences. Recruitment and data collection occurred from October 2014–February 2015. Results/Findings Overlapping themes from both phases revealed three overarching concepts: effective parent staff communication; feeling informed and involved; and being prepared to go home. Conclusion Our findings can be used to develop strategies to improve the neonatal intensive care unit stay and discharge experience for parents. Proposed strategies would be to improve information transfer, promote parental contact with the multidisciplinary team, encourage input from fathers to identify their needs and facilitate parental involvement according to individual needs within families. Relevance to clinical practice Providing information to parents during their time in hospital, in a consistent and timely manner is an essential component of their preparation when transitioning to home.

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Section: Discussionmentioning

confidence: 99%

Transition from hospital to home: Parents’ perception of their preparation and readiness for discharge with their preterm infant

Aydon

Hauck

Murdoch

et al. 2017

Journal of Clinical Nursing

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“…Similarly to mothers, also fathers of preterm babies have to cope with increased stress levels, emotional exhaustion and difficulties in transitioning into fatherhood (Garten, Nazary, Metze, & Bührer, 2013;Sloan, Rowe, & Jones, 2008). Fathers also go through particular challenges in the NICU.…”

Section: Introductionmentioning

confidence: 99%

Family-centred music therapy with preterm infants and their parents in the Neonatal Intensive Care Unit (NICU) in Colombia – A mixed-methods study

Ettenberger

Cárdenas²,

Parker

et al. 2016

Nordic Journal of Music Therapy

103

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This article reports a mixed-methods study of Music Therapy (MT) with preterm infants and their parents in a NICU in Colombia. The aim was to find out whether live MT during kangaroo care had an effect on the physiological outcomes of the neonates and would help parents to decrease their anxiety levels and improve parent-infant bonding. The participants were 36 medically stable neonates born between the 28 th and 34 th week of gestation and their parents. The quantitative data collection included heart rate, oxygen saturation, weight gain, length of hospitalization, and re-hospitalization rate. The assessment measures for anxiety and bonding were the State-Trait Anxiety Inventory (STAI) and the Mother-to-Infant-Bonding Scale (MIBS). Thematic analysis was used to analyse the qualitative data collected with semi-structured interviews and questionnaires. The quantitative results showed statistically significant improvements in maternal stateanxiety (p = .007), and in the babies weight gain per day during the intervention period (p = .036). Positive trends were found regarding the babies' length of hospitalization and rehospitalization rate. Both parents improved their scores with the MIBS, but this was not statistically significant. The qualitative analysis showed that MT was important for parental wellbeing, for bonding and for fostering the development of the neonates. Interacting musically with their babies helped parents to experience feelings of connectedness and to distract themselves from their difficulties and from the noisy hospital environment.

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“…For example, a pilot study by Garten et al 30 concluded that bedside support could be complemented by father-specific baby care courses, workshops, and peer education as an added benefit for all. The fathers also did not have the benefit of parent-to-parent support to enhance coping.…”

Section: Ongoing Program Developmentmentioning

confidence: 99%

Implementing Family-Integrated Care in the NICU

Bracht

OʼLeary

Lee

et al. 2013

Advances in Neonatal Care

115

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The purpose of this study was to develop, implement, and evaluate a parent education and support program that enhances family-integrated care in a Canadian neonatal intensive care unit (NICU). A total of 39 mothers of infants born at 35 or fewer weeks' gestation were enrolled in the pilot program. We examined the development, implementation, and qualitative assessment of the education component of a family-integrated care program. We enrolled in groups of 4 or 5, the study mothers agreed to attend daily educational sessions, provide care for their infants for at least 8 hours daily, and participate in medical rounds. The educational sessions were provided by staff and veteran parents to assist parents' development of confidence in providing caregiving skills and assuming the role of a primary caregiver for their infants as they moved closer to discharge. Effectiveness of the program was evaluated through anecdotal feedback and a formal evaluation process at discharge. The results indicated that the mothers were provided with the tools to parent their infants in the NICU, recognize their own strengths, increase their problem-solving strategies, and emotionally prepare them to take their infant home. Feedback from the participants provided direction to adapt the program to provide optimal parent support and education. Parental education is a valued and vital component of family-integrated care in the NICU.

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Pilot study of experiences and needs of 111 fathers of very low birth weight infants in a neonatal intensive care unit

Abstract: Bedside support of fathers, accomplished by the NICU team, could be complemented by additional father-specific non-bedside support, such as peer-education measures or interactive mass media.

Cited by 48 publications

References 32 publications

Transition from hospital to home: Parents’ perception of their preparation and readiness for discharge with their preterm infant

Transition from hospital to home: Parents’ perception of their preparation and readiness for discharge with their preterm infant

Family-centred music therapy with preterm infants and their parents in the Neonatal Intensive Care Unit (NICU) in Colombia – A mixed-methods study

Implementing Family-Integrated Care in the NICU

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