Mothers in the NICU: outsider to partner.
ABSTRACT The emerging care delivery model for Neonatal Intensive Care Units (NICU) is family-focused, developmentally supportive care. The purpose of this study was to explore and describe mothers' experience of becoming a mother while their infants were receiving care in the NICU. A qualitative research design was used. Interviews with 15 mothers whose infants were in a Level III NICU were analyzed using Spradley's domain analysis approach. Mothers developed from outsider to engaged parent along four continua: (1) focus: from NICU to baby; (2) ownership: from their baby to my baby; (3) caregiving: from passive to active; and (4) voice: from silence to advocacy. Mothers entered the continua at different points and moved at different rates toward "engaged parenting." The final stage, partnering, required active participation of nurses. Mothers' development evolved in predictable patterns. The results of this study can be considered in implementation and evaluation plans for NICUs moving to family-focused developmental care.
SourceAvailable from: Helena Wigert
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ABSTRACT: This study aimed to understand the confront strategies of parents of premature infants hospitalized in NICU. This study was performed using qualitative content analysis approach. Twelve participants including nine parents whose infants were hospitalized in NICU, two nurses and one physician, all selected by purposive sampling method were interviewed by a female expert occupational therapist. Data were gathered by semistructured interviews. Data were analyzed by inductive content analysis approach. One category, six subcategories and twenty one themes emerged from data analysis expressed confront strategies of parents of premature infants admitted in NICU. These categories were: taking assurance, stop thinking to bad things, diverting mind, taking supports, emotional expression, complaining from staff. Premature infant's parents announced that they do not receive adequate formal support to manage their feelings and needs. So, they seek for other informal resources of support and apply some special strategies including self-support.Medical journal of the Islamic Republic of Iran 01/2014; 28:82.
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ABSTRACT: Introduction: Discharge rate of surviving infants from neonatal intensive care unit (NICU) has recently increased dramatically. It is deemed to have a discharge plan with the aim of decreasing rehospitalization, morbidity, and mortality. The aim of this study was to explore and describe the professionals' efforts toward discharging the infants and their mothers from NICU. Methods: This qualitative study used a content analysis approach to define and describe the efforts implemented for discharging the infants and their mothers. Data collection was done through the interviews with twenty nurses, physicians, and mothers in the NICUs of some Iranian University Hospitals. Results: In the present study, two categories and five subcategories were identified namely the process of teaching/training the mothers of high risk infants (mothers' intrinsic motivation, considering mothers' learning needs, and enabling trainings) and providing infant discharge criteria (maintaining infant's health and believed abilities). Conclusion: The results of the study revealed that mothers' intrinsic motivation and considering their learning needs are essential points in the learning process. Some of the efforts such as enabling trainings are insufficient and must be improved to yield desirable discharge plan.Scandinavian Journal of Caring Sciences 03/2013; 2(1):39-45. DOI:10.5681/jcs.2013.005 · 0.89 Impact Factor