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Empowerment of parents in the neonatal intensive care unit by neonatal nurses
Adene Herbst,Carin Maree
Health SA Gesondheid , 2006, DOI: 10.4102/hsag.v11i3.232
Abstract: Parents of infants who are admitted to the neonatal intensive care unit (NICU) need to be empowered to improve bonding, attachment and care-giving skills. Opsomming Ouers van babas wat in die neonatale intensiewesorgeenheid (NISE) opgeneem word, moet bemagtig word met dieoog op bevordering van binding, ’n hegte band met die babas en versorgingsvaardighede. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.
Parenting Confidence and Needs for Parents of Newborns in Taiwan
Ching-Pyng Kuo,Hsiao-Ling Chuang,Shu-Hsin Lee,Wen-Chun Liao
Iranian Journal of Pediatrics , 2012,
Abstract: Objective: Parenting confidence with regards to caring for their infants is crucial for the healthy adaptation to parenthood and the development of positive parent-infant relationships. The postpartum period is a tremendous transitional time for parents, so their unique needs should be considered. This study explored parenting confidence and needs in parents when their newborns are discharged from hospital, and explored the best predictors of parenting confidence and needs.Methods: A cross-sectional design with a questionnaire survey was used in this study. The questionnaire included three parts: Demographic, Parenting Needs and Parenting Confidence Questionnaire. We survey a convenience sample of 96 parents from a postnatal ward and a neonatal intermediate care unit of the medical central hospital in Taichung, Taiwan.Findings: The mean age of the subjects was 32 years and 67.7% of the subjects’ education level was college or above. Approximately one half of the subjects was multiparous, vaginal delivery and had planned pregnancy.The mean gestational age and birth weight of the newborns was 37.7 weeks and 2902 g, respectively. Parentswho had a planned pregnancy (t=2.1, P=0.04) or preterm infants (t=2.0, P=0.046) and those whose infants were delivered by cesarean section (t=2.2, P=0.03) had higher parenting needs. In addition, parents of low birth weight infants had higher parenting needs (r=-0.23, P=0.02). Regarding parenting confidence, multiparaparents perceived higher confidence than primipara parents (t=2.9, P=0.005). Needs in psychosocial support were significantly correlated with parenting confidence (r=0.21, P<0.05). The stepwise multiple regression analysis showed that parity and needs in psychosocial support predict parenting confidence of 13.8%variance.Conclusion: The findings of this study help care providers to identify parents with low parenting confidence at an early postpartum stage. Health care teams should provide appropriate psychosocial support and health education based on parents needs.
Intensive Care Nurses’ Experiences of Caring for Intubated Patients under Light Sedation: A Qualitative Study  [PDF]
Kajsa B?cklund, Karoline Persson, Emina Hadziabdic
Open Journal of Nursing (OJN) , 2018, DOI: 10.4236/ojn.2018.87036
Abstract: Introduction: Previous studies have shown that a light sedation level is beneficial for intubated patients in the Intensive care unit (ICU). Aim: This study aimed to describe intensive care nurses’ experiences of caring for intubated patients under light sedation. Methods: This study was an explorative descriptive qualitative study. Data were collected from 12 intensive care nurses by three focus group interviews and analyzed using qualitative content analysis. Findings: Five categories emerged from the data: 1) the importance of verbal communication and the nurses’ presence, 2) feelings of frustration and heavy workload, 3) assessment of patients’ pain and anxiety, 4) the nurses’ desire for the development of guidelines, and 5) being inspired by the care. Conclusion: The study found that intensive care nurses were positive towards light sedation care but the organization of care did not support them as the patients cared for with light sedation treatments demanded their physical presence at patients’ bed site.
Parents’ expectations of staff in the early bonding process with their premature babies in the intensive care setting: a qualitative multicenter study with 60 parents
Sonia Guillaume, Natacha Michelin, Elodie Amrani, Brigitte Benier, Xavier Durrmeyer, Sandra Lescure, Charlotte Bony, Claude Danan, Olivier Baud, Pierre-Henri Jarreau, Elodie Zana-Ta?eb, Laurence Caeymaex
BMC Pediatrics , 2013, DOI: 10.1186/1471-2431-13-18
Abstract: Prospective study, qualitative discourse analysis of 60 face-to-face interviews conducted with 30 mothers and 30 fathers of infants born before 32 weeks of gestation (mean ± SD: 27 ± 2 weeks of gestational age), during their child's stay in one out of three NICUs in France. Interviews explored parental experience, from before birth up to the first month of life.Data analysis uncovered two main themes, which were independent of parents' geographical or cultural origin but differed between mothers and fathers. First, fathers described the bond with their child as composed more of words and looks and involving distance, while mothers experienced the bond more physically. Secondly, two aspects of the caregivers' influence were decisive: nurses' caring attitude towards baby and parents, and their communication with parents, which reduced stress and made interactions with the baby possible. This communication appeared to be the locus of a supportive and fulfilling encounter between parents and caregivers that reinforced parents' perception of a developing bond.At birth and during the first weeks in the NICU, the creation of a bond between mothers and fathers and their premature baby is rooted in their relationship with the caregivers. Nurses' caring attitude and regular communication adapted to specific needs are perceived by parents as necessary preconditions for parents' interaction and development of a bond with their baby. These results might allow NICU staff to provide better support to parents and facilitate the emergence of a feeling of parenthood.In premature babies, the quality of the early mother-child relationship influences subsequent development [1-5]. Prematurity per se does not necessarily affect the quality of mother-child interactions in the long term [6-9]. Maternal depression, on the other hand, has been identified as a risk factor for poor mother-infant interactions [6].Mothers and fathers faced with their newborn's admission to the neonatal intensive
Problems parents encounter in caring for the newborn  [cached]
Rita Santos,Bárbara Cardoso,Vera Duarte,Carolina Miguel Gra?a Henriques
Medwave , 2012,
Abstract: Introduction: the first birth is an event in the life of people and therefore in their development process. The implications that stem from changes arising on many different levels require a variety of parental responses. This makes studying the problems of parents in the care of infants during the first months of life a relevant issue. Objective: to determine the socio-demographic characteristics of parents with a one month old child and to identify the difficulties parents face in caring for their infants during the first months of life. Materials and methods: cross-sectional study, experimental, descriptive, with a non probabilistic sample of 88 parents. A questionnaire was applied in two parts, the first consisting of a socio-demographic and obstetrical configuration. The second part was applied to determine the difficulties of parents in the care of infants during the first months of life. Results and discussion: the study identifies and describes the difficulties experienced by parents in the care of newborns. It is essential to know the problems of parents during the first months of life of their infants in order to promote better adaptation strategies for their new roles and to develop better parenting skills.
Perspectives of Patients and Nurses on Caring Behaviors of Nurses
Mohammad Esmaiel Hajinezhad,Parviz Azodi,Forough Rafii,Nader Ramezanian
Hayat Journal of Faculty of Nursing & Midwifery , 2011,
Abstract: Background & Aim: Although caring is a complex concept with various definitions, there are no agreement on the exact meaning among researchers. The aim of this study was to compare caring behaviors of nurses from patients' and nurses' perspectives. Methods & Materials: The study was conducted among 150 patients hospitalized in Boushehr hospitals and 50 nurses caring for them. Data were collected using quota sampling method via Caring Behaviors Inventory (CBI). Results: Findings showed that there were significant differences between patients' and nurses' perspectives on the subscales of the instrument including assurance of human presence and attentiveness to others' experiences. Moreover, there was significant difference in total scale of caring behaviors of nurses between patients and nurses (t=2.559, P=0.011). Conclusion: Nurses believed that they provide care for patients without making estimations of their expectations. It seems that nurses should attend to standard care to fill the gap
The role of the nurse in the neonatal intensive care unit: between the ideal, the real and the possible
Montanholi, Liciane Langona;Merighi, Miriam Aparecida Barbosa;Jesus, Maria Cristina Pinto de;
Revista Latino-Americana de Enfermagem , 2011, DOI: 10.1590/S0104-11692011000200011
Abstract: the nurse is one of the professionals responsible for the care directed toward the physical, mental and social development of newborns in the neonatal intensive care unit. this study aimed to comprehend the experience of nurses working in a neonatal intensive care unit. data collection was performed in 2008, through interviews with 12 nurses working in public and private hospitals of the city of s?o paulo. the units of meaning identified were grouped into three categories: developing actions; perceiving their actions and expectations. the analysis was based on social phenomenology. it was concluded that the overload of activities, the reduced number of staff, the lack of materials, equipment and the need for professional improvement are the reality of the work of the nurse in this sector. to supervise the care is the possible; integral care of the newborn, involving the parents, is the ideal desired.
Nurses? Knowledge about the Insertion Procedure for Peripherally Inserted Central Catheters in Newborns
Louren?o, Solange Antonia;Ohara, Concei??o Vieira da Silva;
Revista Latino-Americana de Enfermagem , 2010, DOI: 10.1590/S0104-11692010000200008
Abstract: the right to practice the peripherally inserted central catheter (picc) technique, mainly in neonatal intensive care units, was achieved by nursing and consists of efforts that lead to a new challenge: the improvement of the practice of this procedure. this study determined and evaluated the theoretical and practical knowledge acquired by nurses in qualification courses concerning aspects of picc line insertion in the case of newborns. this descriptive and quantitative study used a questionnaire with nine questions to collect data. the study population was composed of 40 nurses qualified to insert a picc line in newborns. according to the conceptual knowledge scale established for this study, the results reveal that the nurses have inadequate knowledge concerning the studied aspects, indicating the need for nurses to constantly update and improve their knowledge about this practice so as to better the quality of care delivered to newborns.
The importance of the host family in neonatal intensive care unit
Thaís Amancio de Macêdo Pinto Coelho Lucas, Meire Chucre Tannure, Thales Augusto Bar?ante, Sandra Haueisen Martin
Revista de Enfermagem UFPE On Line , 2009,
Abstract: Objectives: to describe the importance of partnership between the nursing staff and family of the newborn preterm infants hospitalized in a neonatal ICU, and describe strategies that can be used by professionals, to accommodate these families. Methods: this was a study in the database of the Virtual Health Library were used seven search strategies. The limits were: the subject descriptor; age of newborns (up to 1 month) and infants (1-23 months), work done with humans, published from 2003 to 2008, in Portuguese, English, Spanish. We selected 10 references. It also used a master's dissertation, which addresses the central theme of research. Results: the partnership between the nursing staff and family favors increased contact between parents and son, works for the clinical recovery of the premature and the mother, improves the emotional state of parents, minimizes the occurrence of feelings and physiological complications. Strategies such as the inclusion of parents in caring for the child, demonstrating the importance of the presence in the family unit, and the promotion of education, need to be implemented in the ICU. Conclusion: It is essential that the team becomes a support to the families of newborns admitted to ICU.
Importance and Availability of Nursing Support for Mothers in NICU: A Comparison of Opinions of Iranian Mothers and Nurses  [cached]
Leila Valizadeh,Vahid Zamanzadeh,Masumeh Akbarbegloo,Leila Sayadi
Iranian Journal of Pediatrics , 2012,
Abstract: Objective: The current study was conducted to compare the opinions of mothers and nurses on the importance and availability of nursing support for parents with premature infants hospitalized in NICU. Thereis no overall picture of the nursing support for parents with hospitalized premature infants in Iran. Nurses,providing care in NICU, must view parent as an essential partner in care. But what is the situation? Assessing the viewpoints of both parents and nurses regarding the importance and availability of nursing support canelucidate this situation.Methods: A comparative descriptive design was used. The population consisted of all mothers with hospitalized premature newborns in NICU (n=300) and all NICU nurses (n=32) in three teaching hospitals inTabriz (Iran), in 2007. Data was collected through the NPST questionnaire. Data analysis was done with SPSS. Findings: ann-Whitney test showed that there were significant differences between nurses and mothers on four subscales of nursing support. Generally, mothers scored every subscale lower than nurses who cared for them and their children. On the other hand, it could be said that NICU nurses claimed more importance for the subscales and rated the provided support higher in comparison with mothers who did not think so.Conclusion: The opinions of the nurses and mothers toward the availability and importance of the nursing supports in NICU were different. This study provides nurses with concrete information in order to better understand parents’ need for support and try to meet their expectations, resulting in improved nursing care in neonatal intensive care units.
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