Health care staff support for mothers in NICU: a focused ethnography study (original) (raw)
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Health Care Provider's Support from Mothers in NICU: A Focused Ethnography Study
Background: Mothers of premature infants in the neonatal intensive care unit (NICU) have complex needs and require a significant amount of support during the NICU admission. However, little is known about mothers support needs in the NICU. The aim of study was to explore mothers and health staff experiences and care practices meeting support needs of the mothers in the NICU. Methods: A focused ethnographic approach was adopted. Observation and interviews with 21 mothers, 18 nurses and 5 physicians were undertaken over a seven month period. Qualitative data analysis was conducted using the Roper and Shapira (2000) five-step framework. Result: Two main themes of “failure to meet the support needs of mothers” (Subthemes: failure to accompany the mother in care, assigning monitoring and care to the mother, inadequate sharing of medical information) and “supporting the mothers in certain circumstances” (Subthemes: reassuring the mother, supporting mothers with reduced functional capacity...
Support provided by healthcare professionals to the mothers of newborns in the neonatal unit
REVISTA CIÊNCIAS EM SAÚDE, 2021
Objective: To evaluate the support offered by health professionals to mothers of newborns admitted to the neonatal unit.Methods: Descriptive cross-sectional study with a quantitative approach conducted at the Regional Hospital of Tucuruí, in the state of Pará, region of the Brazilian Amazon, where 33 mothers who had newborn children admitted to the neonatal unit responded to the structured adapted version of the NPST (Nurse Parent Support Tool ). Results: Most were aged 20-34 years (48%), married or in a stable relationship (69%), multiracial (87%), housewife (57%), with up to 11 years of study (72%). The scores for the NPST subdomains were 3.39 ± 1.65 (Communication and Information Support), 4.13 ± 1.33 (Emotional Support), 3.93 ± 1.46 (Incentive Support), and 4.21 ± 1,27 (Instrumental Support). The findings revealed unsatisfactory communication and information support from health professionals to mothers, although they expressed satisfaction with the care provided. Conclusions: Th...
Experience of Mothers towards Hospitalization of Preterm Infants in Neonatal Intensive Care Units
Journal of Health and Allied Sciences, 2022
Introduction: Hospitalization of the preterm infant (PTI) in the neonatal intensive care unit (NICU) is a stressful situation for mothers requiring nurses' care and support for adjustment and coping. Understanding mothers' experience is valuable for enhancing care and support for them. Therefore, this study was conducted to explore mothers' experience regarding hospitalization of PTIs in NICUs. Methods: The qualitative pilot study was conducted among purposively selected 5 mothers of NICU admitted PTIs in a public academic hospital of Bagmati province from May to July 2019. After obtaining ethical approval, in-depth interviews were conducted using interview guideline. The data were analyzed using the content analysis method. Results: Exploration of mothers' experience has identified 4 themes: worry and uncertainty regarding the condition and outcome of the PTIs; altered attachment and maternal roles; attachment, and care enabling with care involvement; mixed experience of care, and support. Conclusion: Hospitalization of PTIs in NICUs was distressing to mothers related to inadequate and altered attachment, and maternal roles. They experienced mother-infant attachment, contentment, and care enabling with involvement in PTI care. They valued nurses' PTI care and care guidance and expected more guidance, communication, and emotional support. Considering study findings might be worthwhile for enhancing care status in NICUs.
Mothers’ experiences of the NICU and a NICU support group programme
Journal of Reproductive and Infant Psychology, 2015
Objective: to understand both the maternal experience of the NICU and mothers' views of a NICU Parent Support Group. Background: mothers of babies who are born prematurely have their first experiences of parenting while their infant is in the neonatal intensive care unit (NICU). This presents multiple challenges and a range of stresses related to their role as a mother and concerns about their baby's survival and growth. Thus, various supportive interventions have been trialled with this NICU parent population. However, the focus of this support and how it should be delivered lacks research as an evidence base for practice. Mothers' experiences of the NICU and a professionally facilitated NICU support group at a city hospital were explored in this qualitative research study. Method:
The needs of mothers to newborns hospitalised in intensive care units
Biomedical Papers, 2011
The aim of the survey was to identify the needs of mothers to infants hospitalized in intensive care units (ICUs) and second, to assess the level of parental support provided by the health personnel. Methods. The sample consisted of 147 mothers to infants hospitalized in ICUs. The research was conducted over six months in ICUs for newborns at two hospitals in Ostrava. The study used two standardized questionnaires: The parental stressor questionnaire scale: Neonatal Intensive Care Unit which measures the degree of stress in parents of hospitalized infants and the questionnaire The Nurse Parent Support Tool which evaluates the level of parental support provided by nursing staff. Results. The highest level of stress was identified in the parental role. Specifically, the inability to help the child remain separate from the mother, a feeling of helplessness and inability to protect the child from painful procedures and the inability to feed her baby. Mothers evaluated the support of nursing staff in most of these areas as high. Top were rated the ability of the caring staff to respond well to the questions of parents and the mother's willingness to engage in childcare. Conclusion. Intensive care units for the newborn obviously need to be family-centered care and at the same time they must be aware of all the factors that can be sources of stress for the parents.Only in this way can stress be eliminated with positive impact on the relationship between mother and child.
2020
The internment of a baby in a Unit of Neonatal Intensive Care (NICU), is usually a traumatic and unexpected experience for families, which breaks into their lives in the form of a vital crisis, with a strong emotional impact. The continued ness of parents within NICuNs and their inclusion in the care of their children brings multiple benefits in terms of growth and development, the establishment of effective breastfeeding, the increase of attachment, and post-discharge safety and confidence; however, it is a measure whose implementation appears to be resisted by health teams. This study describes and analyses mothers' perceptions of care received by newborns during their NICU idenation. Material and Methods: On-site interviews were conducted with mothers who had had their children interned in the NICU and who met the criteria for inclusion. The stories were analyzed and the thematic axes and categories were determined. Results: The most relevant categories were: unpredictability of preterm birth, delay to make the first contact with the baby after birth, deficits in accompaniment and containment during the first entry to the NICU, poor communication, restricted parental entry every three hours, limited possibility of participation in the question, non-explicit and contradictory regulations (professional-dependent), difficulties and delays for physical contact with the newborn and infrequent skin-to-skin contact. Conclusion: Mothers perceive strong limitations related to the entry into the NICU and participate in the care of their inpatient children. In some cases, these limitations are naturalized by mothers who assume that such exclusion is necessary for the welfare of the baby. The time within the Unit was perceived as insufficient and the possibility of entering and remaining as a favor that the institution grants according to certain non-explicit guidelines. 8. Larguía AM., et al. "Safe and Family-Centered Maternity (MSCF) with an intercultural focus. Conceptualization and Implementation of the Model". Second Edition (2012).
Iranian journal of pediatrics, 2012
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. There is 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 can elucidate this situation. 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 in Tabriz (Iran), in 2007. Data was collected through the NPST questionnaire. Data analysis was done with SPSS. Mann-Whitney test showed that there were significant differences between nurses and mothers on four subscales of nursing support. Generally, moth...
Mothers’ experiences of having their newborn child in a neonatal intensive care unit
Scandinavian Journal of Caring Sciences, 2006
Background: From birth the child has an ability to respond to the environment, which influences the interaction between mother and child. If this attachment is interrupted, the child's emotional development is negatively influenced. When the child needs care in a neonatal intensive care unit (NICU) it is difficult to establish contacts between mother and child. Separation from the child is found to be the most difficult aspect for mothers when their newborn child is hospitalized in a NICU.Aim: The aim of this study was to describe mothers’ experiences when their full‐term newborn child was cared for in a NICU during the postpartum maternity care period.Method: A phenomenological hermeneutic interview study was performed. Ten mothers were interviewed once, 6 months to 6 years after the experience.Results: The essence of the experience is understood as an alternation between two opposite concepts, exclusion and participation, with emphasis on exclusion. A feeling of exclusion ...
Journal of College of Medical Sciences-Nepal, 2017
Background & Objectives: All pregnant women are at risk and can face problems at any time during or following pregnancy and childbirth which can cause death of mothers. Knowledge of key danger signs is essential for motivating women to seek skilled attendance at birth and also to seek referral in case of complications which definitely improves health of the mother and newborns. This study aimed to assess pregnant womens’ knowledge about obstetric danger signs and its associated factors.Materials & Methods: Quantitative approach with a facility based cross-sectional study was conducted among pregnant mothers attending Anti Natal Clinic of Dhulikhel hospital, Nepal. Data was collected from 1st June to 25th June 2017. Sampling technique was non probability, purposive sampling technique. A standardized tool was adopted. Face to face interview technique was used. Data had been processed by SPSS 20 version then analyzed using descriptive as well as inferential statistic.Results: Two third...