The effect of person-centred communication on parental stress in a NICU: a randomized clinical trial

Weis, Janne; Zoffmann, Vibeke; Greisen, Gorm; Egerod, Ingrid

doi:10.1111/apa.12404

Cited by 46 publications

(72 citation statements)

References 26 publications

(40 reference statements)

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“…Over the past 25 years several family-centred care programs have been developed and subjected to randomized controlled trials [48][49][50][51][52][53][54][55][56][57][58][59][60][61][62][63]. These programs use one or more approaches, such as parent education, provision of psychological support, teaching developmental care, and facilitating better communication, to address a variety of domains including parent-infant interaction, parental knowledge and confidence, and parental stress.…”

Section: Previous Studiesmentioning

confidence: 99%

Parents as practitioners in preterm care

Jiang

Warre

Qiu

et al. 2014

Early Human Development

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Section: Previous Studiesmentioning

confidence: 99%

Parents as practitioners in preterm care

Jiang

Warre

Qiu

et al. 2014

Early Human Development

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“…Several studies have identified elevated stress levels among parents at NICUs and the ability of various interventional programs (eg, individual support, education, and communication) that investigated how to reduce parental stress levels 11–21. Studies that explored fathers' needs and experiences during their infant's admission to NICUs1,2,7,9,22 found that fathers require interventions that differ from those provided to mothers 17,19…”

mentioning

confidence: 99%

Fathers' Needs and Masculinity Dilemmas in a Neonatal Intensive Care Unit in Denmark

Noergaard

Ammentorp

Fenger‐Grøn

et al. 2017

Advances in Neonatal Care

101

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Background:Most healthcare professionals in neonatal intensive care units typically focus on the infants and mothers; fathers often feel powerless and find it difficult to establish a father-child relationship. In family-centered healthcare settings, exploring fathers' experiences and needs is important because men's roles in society, especially as fathers, are changing.Purpose:To describe fathers' needs when their infants are admitted to a neonatal intensive care unit and to discuss these needs within a theoretical framework of masculinity to advance understanding and generate meaningful knowledge for clinical practices.Methods:This qualitative study used participant observation, interviews, multiple sequential interviews, and a focus group discussion. Data were analyzed using grounded theory principles.Results:Analysis of the fathers' needs generated 2 primary themes: (1) Fathers as caregivers and breadwinners and (2) fathers and emotions. Fathers wished to be involved and to take care of their infants but have to balance cultural and social norms and expectations of being breadwinners with their wishes to be equal coparents.Implications for Practice/Research:Health professionals in neonatal intensive care units must be aware of fathers' need and desire to be equal coparents. Nurses should play a key role by, for example, showing that fathers are as important to their infants as are the mothers, helping them become involved in childcare, and ensuring that they are directly informed about their children's progress. Further research in other cultural settings would contribute to knowledge regarding fatherhood and the role of fathers in childcare.

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“…A Danish study of the effect of supportive communication on parental stress in a NICU found no effect on parental stress, but it raised concern about the need to support parents also in periods where the infant's clinical condition was stable and around discharge from the NICU (28). In our study, PreNu parents were closely followed from birth until 52 weeks age, several weeks after discharge.…”

Section: Discussionmentioning

confidence: 99%

Quality of life in parents of preterm infants in a randomized nutritional intervention trial

Nordheim

Rustøen

Iversen

et al. 2016

Food & Nutrition Research

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BackgroundBeing a parent of a very-low birth weight (VLBW, birth weight <1,500 g) infant is challenging because of the numerous complications these infants may encounter, many of which are caused by inadequate nutrition. Whether the burden to the parents increases when their VLBW infant participates in a randomized intervention trial (RCT) and is thus exposed to additional risk is unknown.ObjectiveTo examine parental qualify of life (QoL) and well-being after participation of their VLBW infants in a nutrition RCT.DesignQoL and symptoms associated with well-being of parents of VLBW infants participating in a nutrition RCT (n=31) and of a reference group (parents of nonparticipating VBLW infants, n=31) were examined. Assessments were performed when their infants were in the neonatal intensive care unit (NICU) (time point T1) and concurrently at 3.5 years of age (time point T2). The parents completed the following questionnaires: Quality of Life Scale, Hospital Anxiety and Depression Scale, Lee Fatigue Scale (LFS), and General Sleeping Disturbance Scale (GSDS).ResultsAt T1, the QoL was better among RCT parents (p=0.02). At T2, the RCT parents reported less sleep disturbance symptoms (GSDS) (p=0.03) and more energy (LFS) (p=0.03).ConclusionThe RCT participation of VLBW infants may have improved parental QoL. While in the neonatal unit, symptoms of anxiety and depression were common among all parents. The high incidence of anxiety and depression in parents must be considered in the care of parents in the NICU. Long-term effects of participation seem to be less sleep problems and more energy.

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The effect of person-centred communication on parental stress in a NICU: a randomized clinical trial

Abstract: Our study was unable to demonstrate the effect of person-centred communication using the Guided Family-Centred Care intervention. It may be necessary to replicate the design to address the risk of contamination and add instruments sensitive to human interaction.

Cited by 46 publications

References 26 publications

Parents as practitioners in preterm care

Parents as practitioners in preterm care

Fathers' Needs and Masculinity Dilemmas in a Neonatal Intensive Care Unit in Denmark

Quality of life in parents of preterm infants in a randomized nutritional intervention trial

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