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Koliouli F, Zaouche Gaudron C. Healthcare professionals in a Neonatal Intensive Care Unit: Source of social support to fathers. ACTA ACUST UNITED AC 2018. [DOI: 10.1016/j.jnn.2017.09.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Hagen IH, Svindseth MF, Nesset E, Orner R, Iversen VC. Validation of the Neonatal Satisfaction Survey (NSS-8) in six Norwegian neonatal intensive care units: a quantitative cross-sectional study. BMC Health Serv Res 2018; 18:222. [PMID: 29587812 PMCID: PMC5872573 DOI: 10.1186/s12913-018-3031-z] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2017] [Accepted: 03/16/2018] [Indexed: 11/18/2022] Open
Abstract
Background The experience of having their new-borns admitted to an intensive care unit (NICU) can be extremely distressing. Subsequent risk of post-incident-adjustment difficulties are increased for parents, siblings, and affected families. Patient and next of kin satisfaction surveys provide key indicators of quality in health care. Methodically constructed and validated survey tools are in short supply and parents’ experiences of care in Neonatal Intensive Care Units is under-researched. This paper reports a validation of the Neonatal Satisfaction Survey (NSS-8) in six Norwegian NICUs. Methods Parents’ survey returns were collected using the Neonatal Satisfaction Survey (NSS-13). Data quality and psychometric properties were systematically assessed using exploratory factor analysis, tests of internal consistency, reliability, construct, convergent and discriminant validity. Each set of hospital returns were subjected to an apostasy analysis before an overall satisfaction rate was calculated. Results The survey sample of 568 parents represents 45% of total eligible population for the period of the study. Missing data accounted for 1,1% of all returns. Attrition analysis shows congruence between sample and total population. Exploratory factor analysis identified eight factors of concern to parents,“Care and Treatment”, “Doctors”, “Visits”, “Information”, “Facilities”, “Parents’ Anxiety”, “Discharge” and “Sibling Visits”. All factors showed satisfactory internal consistency, good reliability (Cronbach’s alpha ranged from 0.70–0.94). For the whole scale of 51 items α 0.95. Convergent validity using Spearman’s rank between the eight factors and question measuring overall satisfaction was significant on all factors. Discriminant validity was established for all factors. Overall satisfaction rates ranged from 86 to 90% while for each of the eight factors measures of satisfaction varied between 64 and 86%. Conclusion The NSS-8 questionnaire is a valid and reliable scale for measuring parents’ assessment of quality of care in NICU. Statistical analysis confirms the instrument’s capacity to gauge parents’ experiences of NICU. Further research is indicated to validate the survey questionnaire in other Nordic countries and beyond.
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Affiliation(s)
- Inger Hilde Hagen
- NTNU Norwegian University of Science and Technology, Aalesund, Postbox 1517, 6025, Aalesund, Norway.
| | - Marit Følsvik Svindseth
- NTNU Norwegian University of Science and Technology, Aalesund, Postbox 1517, 6025, Aalesund, Norway
| | - Erik Nesset
- NTNU Norwegian University of Science and Technology, Aalesund, Postbox 1517, 6025, Aalesund, Norway
| | - Roderick Orner
- College of Social Science, University of Lincoln, Brayford Pool, Lincoln, Lincolnshire, LN6 7TS, UK
| | - Valentina Cabral Iversen
- St Olav's University Hospital HF, Tiller District Psychiatric Center, Trondheim, Norway.,NTNU Norwegian University of Science and Technology, Faculty of Medicine and Health Science, 7491, Trondheim, Norway
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Dadkhahtehrani T, Eskandari N, Khalajinia Z, Ahmari-Tehran H. Experiences of Fathers with Inpatient Premature Neonates: Phenomenological Interpretative Analysis. IRANIAN JOURNAL OF NURSING AND MIDWIFERY RESEARCH 2018; 23:71-78. [PMID: 29344051 PMCID: PMC5769190 DOI: 10.4103/ijnmr.ijnmr_21_17] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
BACKGROUND Birth and hospitalization of premature neonates create enormous challenges for the family with serious impacts on parents' mental and emotional health. The present study was designed to explore the experiences of fathers with premature neonates hospitalized in a neonatal intensive care unit (NICU). MATERIALS AND METHODS In this interpretative phenomenological study, data were collected using in-depth interviews guided with a semi-structured questionnaire and analyzed by interpretative phenomenological analysis. Totally seven interviews were conducted with six participants. RESULTS The mean age of the fathers was 32 (23-42) years, and all of the fathers lived with their wives. Experiences of the fathers were categorized into 13 subordinate and three superordinate themes: "abandonment and helplessness" (lack of financial support, lack of informational support, and indignation and distrust toward the hospital staffs); "anxiety and confusion" (family disruption, shock due to the premature birth of the neonate, uncertainty, the loss of wishes, feeling of guilt and blame, and occupational disruption); and "development and self-actualization" (emotional development, spiritual development, independence and self-efficacy, and responsibility). CONCLUSIONS The present study showed that the fathers with premature neonates hospitalized in NICU encounter both positive (development and self-actualization) and negative experiences (lack of financial and informational supports, distrusting toward the hospital staffs, family disruption, and occupational disruption). Planning to manage adverse experiences can help fathers to cope with this situation.
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Affiliation(s)
- Tahmineh Dadkhahtehrani
- Department of Midwifery and Reproductive Health, Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Narges Eskandari
- Department of Midwifery, Faculty of Nursing and Midwifery, Qom University of Medical Sciences, Qom, Iran
| | - Zohre Khalajinia
- Department of Midwifery, Faculty of Nursing and Midwifery, Qom University of Medical Sciences, Qom, Iran
| | - Hoda Ahmari-Tehran
- Faculty of Midwifery, Spiritual Health Research Centre, Qom University of Medical Sciences, Qom, PhD Student of Medical Education, Tehran University of Medical Sciences, Tehran, Iran
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Koliouli F, Zaouche Gaudron C, Casper C, Berdot-Talmier L, Raynaud JP. Soutien social et expérience paternelle des pères de nouveau-nés prématurés. ENFANCES, FAMILLES, GÉNÉRATIONS 2017. [DOI: 10.7202/1041063ar] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Cadre de la recherche : Plusieurs études ont montré que le vécu parental lors d’une naissance prématurée peut être de nature traumatique avec un impact sur la qualité de la relation parent-enfant (Lindberg, Axelsson et Ohrling, 2008). Cependant, force est de constater que les processus en jeu chez le père restent relativement inexplorés.
Objectifs : L’objectif de cette étude exploratoire est de développer un modèle de compréhension de l’expérience paternelle de nouveau-nés prématurés. Celle-ci est appréhendée par la relation avec le nourrisson (Blomqvist et al., 2012 ; Helth et Jarden, 2013) et l’expérience du devenir père (Zaouche Gaudron et al., 2003 ; Zaouche Gaudron et al., 2005) mais également par la relation avec l’équipe soignante (Fegran et Helseth, 2009). La gravité de la prématurité est également examinée (Ibanez et al., 2006).
Méthodologie : L’échantillon se compose de 48 pères de bébés prématurés. Un entretien semi-directif basé sur le Clinical Interview for Parents of High Risk Infants (Meyer et al., 1993) a été adapté et utilisé pour le recueil de données. Les axes réfèrent à la grossesse de la conjointe, à l’accouchement, à la relation avec le nourrisson et au soutien social.
Résultats : Nos principaux résultats indiquent que les pères construisent un premier lien avec leur bébé par le contact du peau-à-peau et par l’accordage du regard. Ils témoignent, par ailleurs, d’un vécu traumatique lié à la prématurité décrit par des sentiments ambivalents, comme la peur, le stress mais également le bonheur. La source la plus importante de soutien social, hormis la famille, est l’équipe soignante et les autres parents dans le service.
Conclusions : Les principales conclusions permettent d’amener des propositions quant aux pratiques professionnelles afin de soutenir le processus de paternalisation dans ce contexte particulier de prématurité.
Contribution : Dans une approche qualitative, cette étude apporte un éclairage concernant l’expérience paternelle dans le contexte particulier qu'est la prématurité du nouveau-né.
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Affiliation(s)
- Flora Koliouli
- Docteur en Psychologie, Attachée Temporaire d’Enseignement et de Recherche, UMR LISST-CERS (UMR 5193) – Université de Toulouse 2 – Jean Jaurès,
| | - Chantal Zaouche Gaudron
- Professeur en Psychologie de l’enfant, UMR LISST-CERS (UMR 5193) – Université de Toulouse 2 – Jean Jaurès
| | - Charlotte Casper
- Professeur en Pédiatrie et Néonatologie, UMR 1043 Centre de Physiopathologie de Toulouse Purpan (CPTP). INSERM CHU Toulouse/ Université Paul Sabatier
| | - Laurence Berdot-Talmier
- Doctorante en Psychologie, UMR LISST-CERS (UMR 5193) – Université de Toulouse 2 – Jean Jaurès
| | - Jean-Philippe Raynaud
- Professeur de Psychiatrie de l’enfant et de l’adolescent, UMR 1027 Épidémiologie et analyses en santé publique : risques, maladies chroniques, handicaps. INSERM CHU Toulouse/Université Paul Sabatier
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Mousavi SS, Chaman R, Khosravi A, Mohagheghi P, Mousavi SA, Keramat A. The Needs of Parents of Preterm Infants in Iran and a Comparison With Those in Other Countries: A Systematic Review and Meta-Analysis. IRANIAN JOURNAL OF PEDIATRICS 2016; 26:e4396. [PMID: 28203326 PMCID: PMC5294933 DOI: 10.5812/ijp.4396] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/28/2015] [Revised: 03/06/2016] [Accepted: 03/27/2016] [Indexed: 11/24/2022]
Abstract
Context Proper accountability to needs of preterm infants’ parents requires recognition of these needs and how they change in different conditions. The aim of this study was to assess the needs of parents of preterm infants in Iran, as compared to those in other regions in the world. Evidence Acquisition A search of Iranian databases (Iran Medex, Magiran, and SID) and international resources (PubMed, Scopus, and Google Scholar) was conducted, with no time limitations, to 5 October 2014. Using standard tools, all quantitative studies that considering the parental needs of preterm infants and parental support were extracted. The STROBE checklist was used for the evaluation of the studies. Thirty-one studies were extracted in the qualitative evaluation, of which 17 were included in the meta-analysis. The variance between the studies was analyzed using tau-squared (Tau2) and review manager 5 software. Results The results obtained using the nurse-parent support tool (NPST) showed that mothers considered that all the fields of support were of great importance. The parental needs in Iran were similar to those of parents in other regions worldwide. However, the mean score for Iranian parents’ assessment of the support they received was 2.20 ± 0.06, whereas it was 3.84 ± 0.72 for other countries. The mean scores for parents’ assessment of the provision of emotional, informational appraisal, and instrumental support in Iran were 1.73 ± 0.06, 2.1 ± 0.06, 1.54 ± 0.6, and 3.44 ± 0.04, respectively, compared to 3.18 ± 1.34, 4.11 ± 0.5, 4.26 ± 0.18, and 4.51 ± 0.14, respectively, in other countries. Conclusions Parents always prefer the priorities of their babies to their individual needs. Given the lower scores for the parental assessment of received support in Iran, it is important to focus on these specific items in providing interventions to meet the needs of Iranian parents.
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Affiliation(s)
| | - Reza Chaman
- Associate Professor, Epidemiology, Department of Community Medicine, Yasuj University Of Medical Sciences, Yasuj, IR Iran
| | - Ahmad Khosravi
- Center for Health Related Social and Behavioral Sciences Research, Shahroud University of Medical Sciences, Shahroud, IR Iran
| | - Parisa Mohagheghi
- Associate Professor, Iran University of Medical Sciences, Tehran, IR Iran
| | - Seyed Abbas Mousavi
- Center for Health Related Social and Behavioral Sciences Research, Shahroud University of Medical Sciences, Shahroud, IR Iran
| | - Afsaneh Keramat
- Center for Health Related Social and Behavioral Sciences Research, Shahroud University of Medical Sciences, Shahroud, IR Iran
- Corresponding author: Afsaneh Keramat, Center for Health Related Social and Behavioral Sciences Research, Shahroud University of Medical Sciences, Shahroud, IR Iran. Tel: +98-2332395054, Fax: +98-2332394800, E-mail:
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Ghadery-Sefat A, Abdeyazdan Z, Badiee Z, Zargham-Boroujeni A. Relationship between parent-infant attachment and parental satisfaction with supportive nursing care. IRANIAN JOURNAL OF NURSING AND MIDWIFERY RESEARCH 2016; 21:71-6. [PMID: 26985225 PMCID: PMC4776563 DOI: 10.4103/1735-9066.174756] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Background: Parent–infant attachment is an important factor in accepting parenting role, accelerating infant survival, and adjusting to the environment outside the uterus. Since family supportive interventions can strengthen the parent–infant caring relationship, this study sought to investigate the relationship between mother–infant attachment and satisfaction of the mothers with the supportive nursing care received in the neonatal intensive care unit (NICU). Materials and Methods: In this descriptive–correlational study, 210 mothers with premature infants who were hospitalized in the NICUs affiliated to Isfahan Medical University hospitals took part. The data were collected via Maternal Postnatal Attachment Scale and researcher's self-tailored questionnaire based on Nurse Parent Support Tool. Pearson correlation coefficient and multiple linear regressions were used to analyze the collected data. Results: The results showed that the overall score of mother–infant attachment and the overall score of maternal satisfaction correlated with a correlation coefficient of r = 0.195. Also, the overall score of mother–infant attachment and mothers’ satisfaction scores in the emotional, communicative-informative, and self-confidence domains correlated with correlation coefficients of r = 0.182, r = 0.0.189, and r = 0.0.304, respectively. The results of multiple regression analysis revealed that about 15% of changes in the dependent variable (mother–infant attachment) could be explained by different dimensions of mothers’ satisfaction. Conclusions: The results of the study showed that mother–infant attachment improved by increasing mothers’ satisfaction of supportive nursing care. Therefore, it seems necessary to increase maternal satisfaction through given nursing care support, in order to promote mother–infant attachment.
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Affiliation(s)
- Akram Ghadery-Sefat
- Student Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Zahra Abdeyazdan
- Nursing and Midwifery Care Research Centre, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Zohreh Badiee
- Child Growth and Development Center, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Ali Zargham-Boroujeni
- Nursing and Midwifery Care Research Centre, Isfahan University of Medical Sciences, Isfahan, Iran
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Fisher MJ, Broome ME, Friesth BM, Magee T, Frankel RM. The effectiveness of a brief intervention for emotion-focused nurse-parent communication. PATIENT EDUCATION AND COUNSELING 2014; 96:72-78. [PMID: 24797409 DOI: 10.1016/j.pec.2014.04.004] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/02/2013] [Revised: 04/02/2014] [Accepted: 04/05/2014] [Indexed: 06/03/2023]
Abstract
OBJECTIVE A child's hospitalization is stressful for both the children and their parents. Nurse-parent communication during stressful hospitalizations requires skilled nurse communicators. Brief methods of training emotion-focused communication for newly licensed nurses are needed, but as yet are rare. The purpose of this study was to evaluate the effectiveness of a validated brief communication training (Four Habits Model) session using simulation for newly licensed pediatric nurses. METHODS Quantitative and qualitative methods provided data for this experimental study, using a group-by-trials repeated measures ANOVA design. The intervention group participated in a 1-h three-part education simulation session and the control group observed a 1-h video. RESULTS Compared with the controls, the intervention group improved significantly in four of five areas: preparation, communication skills, relationships, and confidence. Experience level had minimal effect. Over half of the nurses in the intervention group reported using one or more of the Four Habits in clinical practice. CONCLUSIONS The findings of this study suggest that a 1-h Four Habits communication-training program improves newly licensed nurses' self-perception of their preparation for emotion-focused conversations with parents. PRACTICE IMPLICATIONS The findings of this study suggest that the Four Habits Model can be useful in communication training with nurses.
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Affiliation(s)
- Mark J Fisher
- College of Nursing, University of Oklahoma Health Sciences Center (OUHSC), Oklahoma City, USA.
| | | | | | - Tracy Magee
- School of Nursing, Indiana University, Indianapolis, USA
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Wigert H, Berg M, Hellström AL. Parental presence when their child is in neonatal intensive care. Scand J Caring Sci 2010; 24:139-46. [DOI: 10.1111/j.1471-6712.2009.00697.x] [Citation(s) in RCA: 56] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Wigert H, Hellström AL, Berg M. Conditions for parents' participation in the care of their child in neonatal intensive care - a field study. BMC Pediatr 2008; 8:3. [PMID: 18215259 PMCID: PMC2259343 DOI: 10.1186/1471-2431-8-3] [Citation(s) in RCA: 37] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/13/2007] [Accepted: 01/23/2008] [Indexed: 11/24/2022] Open
Abstract
BACKGROUND To promote participation by parents in the care of their child in neonatal intensive care units (NICU), health professionals need better understanding of what facilitates and what obstructs participation. The aim was to elucidate conditions for parents' participation in the care of their child in NICUs. METHODS A field study with a hermeneutic lifeworld approach was used and data were collected at two NICUs through participative observations and interviews with representatives of management, staff and parents. RESULTS The results point to a number of contradictions in the way parents were offered the opportunity to participate in neonatal intensive care. Management and staff both had good ambitions to develop ideal care that promoted parent participation. However, the care including the conditions for parental participation was driven by the terms of the staff, routines focusing on the medical-technical care and environment, and budgetary constraints. CONCLUSION The result shows that tangible strategies need to be developed in NICUs aimed at optimising conditions for parents to be present and involved in the care of their child.
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Affiliation(s)
- Helena Wigert
- Institute of Health and Care Sciences, The Sahlgrenska Academy at University of Gothenburg, Göteborg, Sweden
| | - Anna-Lena Hellström
- Institute of Health and Care Sciences, The Sahlgrenska Academy at University of Gothenburg, Göteborg, Sweden
| | - Marie Berg
- Institute of Health and Care Sciences, The Sahlgrenska Academy at University of Gothenburg, Göteborg, Sweden
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Garratt AM, Bjertnaes OA, Barlinn J. Parent experiences of paediatric care (PEPC) questionnaire: reliability and validity following a national survey. Acta Paediatr 2007; 96:246-52. [PMID: 17429914 DOI: 10.1111/j.1651-2227.2007.00049.x] [Citation(s) in RCA: 31] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
AIM To describe the development and evaluation of a parent completed questionnaire to measure parent experiences of inpatient paediatric care, the parent experiences of paediatric care (PEPC). METHODS Literature review, parent interviews, pre-testing and a national survey of 6144 parents of children who were inpatients at one of the 20 paediatric departments within Norway in 2005. RESULTS Three thousand three hundred and eight (53.8%) parents responded to the questionnaire. Low levels of missing data suggest that the PEPC is acceptable. The questionnaire includes six scales as supported by the results of factor analysis: nursing services (seven items), doctor services (five items), organisation (four items), information--examinations and tests (two items), information--discharge (three items) and hospital facilities (four items). Cronbach's alpha and test-retest correlations ranged from 0.7 to 0.9. Comparisons of scale scores with several variables including overall satisfaction with care and pain control, supported validity. CONCLUSION The PEPC questionnaire includes important aspects of hospital care from the perspective of the parent. It has good evidence for internal consistency, test-retest reliability and validity and is recommended in surveys of parent experiences of paediatric inpatient care.
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Affiliation(s)
- Andrew M Garratt
- Norwegian Knowledge Centre for the Health Services, Oslo, Norway.
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