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Laporte G, Sergerie-Richard S, Genest C, Aita M. Family Resilience as an Emerging Concept in Neonatology: Evidence From a Metasummary Review. J Perinat Neonatal Nurs 2023:00005237-990000000-00014. [PMID: 37582182 DOI: 10.1097/jpn.0000000000000761] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 08/17/2023]
Abstract
BACKGROUND Family resilience can be observed through specific resilience-promoting processes, namely, shared belief systems, communication, and organizational processes, but the concept remains mostly unstudied in neonatology. This metasummary aims to evaluate the frequency of family resilience processes in qualitative scientific literature to illustrate how family resilience is exhibited in the neonatal intensive care unit (NICU) setting. METHODS A search among 4 databases yielded 7029 results, which were reviewed for inclusion. Following Sandelowski and Barroso's qualitative metasummary method, findings from each study were independently coded and frequency effect size was calculated. RESULTS Forty-six primary qualitative studies published between 2016 and 2022 conducted with parents of preterm infants who discussed their NICU hospitalization experience were included in this metasummary. All 9 of Walsh's family resilience processes were identified in the literature, and their frequency effect size ranged from 4% to 91%. Four additional themes emerged pertaining to specific family resilience behaviors exhibited by NICU families. CONCLUSION This analysis sheds new light on the most recent qualitative evidence of parents' experiences in the NICU by analyzing it through the lens of family resilience and posits family resilience as a promising concept in relation to the predominance of the family-centered care philosophy in neonatal units.
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Affiliation(s)
- Geneviève Laporte
- Faculty of Nursing, Université de Montréal, Montreal, Canada (Ms Laporte and Drs Genest and Aita); CHU Sainte-Justine Research Centre, Montreal, Canada (Ms Laporte and Dr Aita); Nursing Excellence Center, CIUSSS-EMTL, Montreal, Canada (Ms Sergerie-Richard); Centre for Research and Intervention on Suicide, Ethical Issues and End-of-Life Practices (CRISE), and Centre de recherche de l'Institut universitaire en santé mentale de Montréal (CR-IUSMM), Université du Québec à Montréal, Montreal, Canada (Dr Genest); and Quebec Network on Nursing Intervention Research (RRISIQ), Montreal, Canada (Dr Aita)
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Legge N, Popat H, Fitzgerald D. Examining the impact of premature birth on parental mental health and family functioning in the years following hospital discharge: A review. J Neonatal Perinatal Med 2023:NPM221107. [PMID: 37182844 DOI: 10.3233/npm-221107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/16/2023]
Abstract
BACKGROUND This review provides an update of the current research related to the impact of extreme and very premature birth on parental mental health and family functioning following discharge from hospital. METHODS Full-text peer reviewed articles in English, describing parents' and families' health and wellbeing after the discharge from hospital of their baby using validated questionnaires, were evaluated. Results of included studies are presented in a summarized format. Embase, Medline and PsycINFO databases were accessed in January 2021. RESULTS 38 studies were included. Nine manuscripts reported on parental mental health and 13 on stress, which are a concern after the birth of a premature infant, especially in the first year. Depression, anxiety, and stress are known to measure higher compared to parents of infants born at term. Over several years, these measures of mental health decrease significantly. Four reported on quality of life for parents of premature infants, which is reduced immediately after discharge, but then improves over time. The impact of premature birth on the family functioning was described in ten included studies and was described to have positive and negative consequences. CONCLUSION The negative impact of the premature birth and hospital journey on parental mental health lessens significantly with time.
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Affiliation(s)
- Nele Legge
- Department of Neonatal Intensive Care, Liverpool Hospital, Liverpool, Australia
- Discipline of Child and Adolescent Health, Sydney Medical School, Faculty of Health Sciences, University of Sydney, Australia
| | - H Popat
- Discipline of Child and Adolescent Health, Sydney Medical School, Faculty of Health Sciences, University of Sydney, Australia
- The Children's Hospital at Westmead, Westmead, Australia
| | - D Fitzgerald
- Discipline of Child and Adolescent Health, Sydney Medical School, Faculty of Health Sciences, University of Sydney, Australia
- The Children's Hospital at Westmead, Westmead, Australia
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Dür M, Röschel A, Oberleitner-Leeb C, Herrmanns V, Pichler-Stachl E, Mattner B, Pernter SD, Wald M, Urlesberger B, Kurz H, Frischer T, Zwiauer K, Matter IS, Berger A. Associations Between Parental Occupational Balance, Subjective Health, and Clinical Characteristics of VLBW Infants. Front Pediatr 2022; 10:816221. [PMID: 35299673 PMCID: PMC8922994 DOI: 10.3389/fped.2022.816221] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/16/2021] [Accepted: 02/03/2022] [Indexed: 11/23/2022] Open
Abstract
Objective Very low birthweight (VLBW) infants have an increased risk of mortality and frequently suffer from complications, which affects parental occupational balance. Occupational balance is the satisfaction with one's meaningful activities, which include everyday activities that people need to, want to, and are expected to do. In contrast to work-life balance, the construct of occupational balance addresses different activities equally and it applies to all persons, regardless of whether they are working or not. Parental occupational balance might be related to parents' and VLBW infants' health. Therefore, the objective of this study was to investigate associations between parental occupational balance, subjective health, and clinical characteristics of VLBW infants. Methods A cross-sectional multicenter study was conducted in six Austrian neonatal intensive care units. Occupational balance and subjective health of parents of VLBW infants were assessed with six self-reported questionnaires. The following clinical characteristics of VLBW infants were extracted from medical records: gestational age, birthweight, Apgar scores, Clinical Risk for Babies II Score, and complications of prematurity. Spearman's rank coefficients were calculated. Results In total, 270 parents, 168 (62%) female and their VLBW infants, 120 (44%) female, were included in this study. Parents' mean age was 33.7 (±6.0) years, mean gestational age of VLBW infants was 27 + 3 (±2) weeks. Associations between parental occupational balance, subjective health, and clinical characteristics of VLBW infants were identified (r s = 0.13 - 0.56; p ≤ 0.05), such as the correlation between occupational areas (r s = 0.22, p ≤ 0.01), occupational characteristics (r s = 0.17, p = 0.01), and occupational resilience (r s = 0.18, p ≤ 0.01) with bronchopulmonary dysplasia of VLBW infants. Conclusion Occupational balance is associated with parents' and VLBW infants' health. Interventions to strengthen parental occupational balance might increase parental health and thereby also improve health and developmental outcomes of their VLBW infants.
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Affiliation(s)
- Mona Dür
- Department of Health Sciences, IMC University of Applied Sciences Krems, Krems, Austria
- Division of Neonatology, Department of Pediatrics and Adolescent Medicine, Pediatric Intensive Care and Neuropediatrics, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria
- Duervation, Krems, Austria
| | - Anna Röschel
- Department of Health Sciences, IMC University of Applied Sciences Krems, Krems, Austria
| | - Christiane Oberleitner-Leeb
- Division of Neonatology, Department of Pediatrics and Adolescent Medicine, Pediatric Intensive Care and Neuropediatrics, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria
| | - Verena Herrmanns
- Department of Pediatrics, Clinic Donaustadt, Gesundheitsverbund Vienna, Vienna, Austria
- Department of Pediatrics With Neonatology, St. Josef Hospital Vienna, Vienna, Austria
| | - Elisabeth Pichler-Stachl
- Division of Neonatology, Department for Pediatrics and Adolescent Medicine, Medical University of Graz, Graz, Austria
| | - Barbara Mattner
- Division of Neonatology, Department of Pediatrics and Adolescent Medicine, Pediatric Intensive Care, Wilhelminen Hospital, Vienna, Austria
| | - Silvia-Desiree Pernter
- Division of Neonatology, Department of Pediatrics and Adolescent Medicine, University Hospital Salzburg, Salzburg, Austria
| | - Martin Wald
- Division of Neonatology, Department of Pediatrics and Adolescent Medicine, University Hospital Salzburg, Salzburg, Austria
| | - Berndt Urlesberger
- Division of Neonatology, Department for Pediatrics and Adolescent Medicine, Medical University of Graz, Graz, Austria
| | - Herbert Kurz
- Department of Pediatrics, Clinic Donaustadt, Gesundheitsverbund Vienna, Vienna, Austria
| | - Thomas Frischer
- Faculty for Medicine, Sigmund Freud University, Vienna, Austria
| | - Karl Zwiauer
- University Hospital for Pediatrics and Adolescent Medicine, University Hospital St. Pölten, Sankt Pölten, Austria
- Karl Landsteiner University for Health Sciences, Krems, Austria
| | - Inu Sarah Matter
- Division of Neonatology, Department of Pediatrics and Adolescent Medicine, Pediatric Intensive Care and Neuropediatrics, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria
| | - Angelika Berger
- Division of Neonatology, Department of Pediatrics and Adolescent Medicine, Pediatric Intensive Care and Neuropediatrics, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria
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Röschel A, Wagner C, Dür M. Examination of validity, reliability, and interpretability of a self-reported questionnaire on Occupational Balance in Informal Caregivers (OBI-Care) - A Rasch analysis. PLoS One 2021; 16:e0261815. [PMID: 34941966 PMCID: PMC8700023 DOI: 10.1371/journal.pone.0261815] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2021] [Accepted: 12/13/2021] [Indexed: 11/23/2022] Open
Abstract
Objectives Informal caregivers often experience a restriction in occupational balance. The self-reported questionnaire on Occupational Balance in Informal Caregivers (OBI-Care) is a measurement instrument to assess occupational balance in informal caregivers. Measurement properties of the German version of the OBI-Care had previously been assessed in parents of preterm infants exclusively. Thus, the aim of this study was to examine the measurement properties of the questionnaire in a mixed population of informal caregivers. Methods A psychometric study was conducted, applying a multicenter cross-sectional design. Measurement properties (construct validity, internal consistency, and interpretability) of each subscale of the German version of the OBI-Care were examined. Construct validity was explored by assessing dimensionality, item fit and overall fit to the Rasch model, and threshold ordering. Internal consistency was examined with inter-item correlations, item-total correlations, Cronbach’s alpha, and person separation index. Interpretability was assessed by inspecting floor and ceiling effects. Results A total of 196 informal caregivers, 171 (87.2%) female and 25 (12.8%) male participated in this study. Mean age of participants was 52.27 (±12.6) years. Subscale 1 was multidimensional, subscale 2 and subscale 3 were unidimensional. All items demonstrated item fit and overall fit to the Rasch model and displayed ordered thresholds. Cronbach’s Alpha and person separation index values were excellent for each subscale. There was no evidence of ceiling or floor effects. Conclusions We identified satisfying construct validity, internal consistency, and interpretability. Thus, the findings of this study support the application of the German version of the OBI-Care to assess occupational balance in informal caregivers.
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Affiliation(s)
- Anna Röschel
- Department of Health Sciences, IMC University of Applied Sciences Krems, Krems, Austria
| | - Christina Wagner
- Department of Health Sciences, IMC University of Applied Sciences Krems, Krems, Austria
| | - Mona Dür
- Department of Health Sciences, IMC University of Applied Sciences Krems, Krems, Austria
- Duervation, Krems, Austria
- * E-mail: ,
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Development and validation of a self-reported questionnaire to assess occupational balance in parents of preterm infants. PLoS One 2021; 16:e0259648. [PMID: 34780508 PMCID: PMC8592439 DOI: 10.1371/journal.pone.0259648] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2021] [Accepted: 10/23/2021] [Indexed: 12/30/2022] Open
Abstract
Background Parents’ meaningful activities (occupations) and occupational balance are relevant to neonatal care. Valid and reliable self-reported measurement instruments are needed to assess parents’ occupational balance and to evaluate occupational balance interventions in neonatal care. The aims of this study were to develop a self-reported questionnaire on occupational balance in informal caregivers (OBI-Care) and to examine its measurement properties including construct validity and internal consistency. Methods and findings A mixed method multicenter study design was employed. Items of the OBI-Care were created with parents of preterm infants based on qualitative research methods. Measurement properties were analyzed with quantitative data of parents of preterm infants. Construct validity was assessed by determining dimensionality, overall and item fit to a Rasch model, differential item functioning and threshold ordering. Internal consistency was examined by determining inter-item and item-total correlations, Cronbach’s alpha and Rasch’s person separation index. Fourteen parents participated in item creation. Measurement properties were explored in data of 304 parents. Twenty-two items, summarized in three subscales were compiled to the OBI-Care. Items showed an overall fit and except one item, an item fit to the Rasch model. There was no evidence of differential item functioning and all items displayed ordered thresholds. Each subscale had good values of person separation indices and Cronbach’s alpha. Conclusions The OBI-Care demonstrates construct validity and internal consistency and is thus a suitable measurement instrument to assess occupational balance of parents of preterm infants in neonatal care. OBI-Care is generic and can be applied in various health care settings.
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