2.50
Hdl Handle:
http://hdl.handle.net/10755/151804
Type:
Presentation
Title:
Mothers’ Experience of Parenting in a Neonatal Intensive Care Unit
Abstract:
Mothers’ Experience of Parenting in a Neonatal Intensive Care Unit
Conference Sponsor:Sigma Theta Tau International
Conference Year:2001
Conference Date:June, 2001
Author:Heermann, Judith, PhD
P.I. Institution Name:University of Nebraska Medical Center
Title:Assistant Professor
Objective: The purpose of this qualitative study was to explore and describe mothers' experience while their infants are receiving care in the Neonatal Intensive Care Unit (NICU). Parents begin their experience of parenthood in the artificial environment of a NICU. The emerging care delivery model for NICUs is family-focused, developmentally supportive care, a model with an excellent research base. The change to this model requires caregivers to think and act in ways that are often contrary to long-held practices. The voice of parents can provide an additional perspective in the process of modifying and refining care practices. This study captures the mothers' perspective of the parenting experience during the transition to this care delivery model from traditional procedural and protocol-driven care. Design: A qualitative research design based on Spradley's ethnographic model was used for this study. Population, Sample, Setting, Years: The participants in this study were 15 mothers whose infants were receiving care in a 32-bed Level III neonatal intensive care unit. Mothers were included if their infant was premature, without congenital anomalies, and had received care in the NICU for at least one week. The study was conducted in the NICU in an academic health science center in the Midwestern United States from 1999 to 2000. Concept: The central concept explored in this study was the mothers' experience of taking on the role of a parent in the artificial environment of a neonatal intensive care unit. Methods: A semi-structured interview guide was used to interview 15 mothers of infants receiving care in the NICU. Audio taped interviews were transcribed verbatim and analyzed using Spradley's domain analysis approach. Data analysis was begun as additional interviews were conducted and the emerging findings were used to revise and refine the interview guide. Findings: Mother's participation in care (taking on the role of a parent) occurred along a continuum from "outsider" to "engaged parent" to "partnering". Aspects of this continuum included 1) the mother's orientation toward their baby moved from "their (the nurses') baby" to "my baby"; 2) the nature of the mothers' involvement in care moved from "observer of care” to "advocate for baby's care"; 3) mothers moved from a "passive role" where they provided care only at the direction of the nurses to an "active role" where the mother helped to plan, determine and provide care; and 4) mothers moved from a "primary focus on the NICU, its technology and staff" to a "primary focus on their baby." Mothers appeared to move through this continuum toward engagement with their babies, although they entered the continuum at different points. Mothers also moved back and forth on the continuum according to circumstances in the NICU and the health status of their baby. The final stage of the continuum, "partnering," required the active participation of the staff. Mothers could move from "outsider" to "engaged parent" without help from the staff although staff could facilitate this movement. Conclusions: Mothers' participation in care and parental role development evolves in predictable phases that are influenced by their prior experiences, health status of their infant, and the culture of the NICU. The final stage of parental role development where the mothers and nurses partner to plan and deliver care is the ultimate goal of the family focused developmental care model. Implications: The results of this study can be used in implementation plans for NICUs moving to family-focused developmental care models and could serve as an evaluation framework for this care delivery model.
Repository Posting Date:
26-Oct-2011
Date of Publication:
Jun-2001
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleMothers’ Experience of Parenting in a Neonatal Intensive Care Uniten_GB
dc.identifier.urihttp://hdl.handle.net/10755/151804-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Mothers&rsquo; Experience of Parenting in a Neonatal Intensive Care Unit</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2001</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">June, 2001</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Heermann, Judith, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Nebraska Medical Center</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">jheerman@unmc.edu</td></tr><tr><td colspan="2" class="item-abstract">Objective: The purpose of this qualitative study was to explore and describe mothers' experience while their infants are receiving care in the Neonatal Intensive Care Unit (NICU). Parents begin their experience of parenthood in the artificial environment of a NICU. The emerging care delivery model for NICUs is family-focused, developmentally supportive care, a model with an excellent research base. The change to this model requires caregivers to think and act in ways that are often contrary to long-held practices. The voice of parents can provide an additional perspective in the process of modifying and refining care practices. This study captures the mothers' perspective of the parenting experience during the transition to this care delivery model from traditional procedural and protocol-driven care. Design: A qualitative research design based on Spradley's ethnographic model was used for this study. Population, Sample, Setting, Years: The participants in this study were 15 mothers whose infants were receiving care in a 32-bed Level III neonatal intensive care unit. Mothers were included if their infant was premature, without congenital anomalies, and had received care in the NICU for at least one week. The study was conducted in the NICU in an academic health science center in the Midwestern United States from 1999 to 2000. Concept: The central concept explored in this study was the mothers' experience of taking on the role of a parent in the artificial environment of a neonatal intensive care unit. Methods: A semi-structured interview guide was used to interview 15 mothers of infants receiving care in the NICU. Audio taped interviews were transcribed verbatim and analyzed using Spradley's domain analysis approach. Data analysis was begun as additional interviews were conducted and the emerging findings were used to revise and refine the interview guide. Findings: Mother's participation in care (taking on the role of a parent) occurred along a continuum from &quot;outsider&quot; to &quot;engaged parent&quot; to &quot;partnering&quot;. Aspects of this continuum included 1) the mother's orientation toward their baby moved from &quot;their (the nurses') baby&quot; to &quot;my baby&quot;; 2) the nature of the mothers' involvement in care moved from &quot;observer of care&rdquo; to &quot;advocate for baby's care&quot;; 3) mothers moved from a &quot;passive role&quot; where they provided care only at the direction of the nurses to an &quot;active role&quot; where the mother helped to plan, determine and provide care; and 4) mothers moved from a &quot;primary focus on the NICU, its technology and staff&quot; to a &quot;primary focus on their baby.&quot; Mothers appeared to move through this continuum toward engagement with their babies, although they entered the continuum at different points. Mothers also moved back and forth on the continuum according to circumstances in the NICU and the health status of their baby. The final stage of the continuum, &quot;partnering,&quot; required the active participation of the staff. Mothers could move from &quot;outsider&quot; to &quot;engaged parent&quot; without help from the staff although staff could facilitate this movement. Conclusions: Mothers' participation in care and parental role development evolves in predictable phases that are influenced by their prior experiences, health status of their infant, and the culture of the NICU. The final stage of parental role development where the mothers and nurses partner to plan and deliver care is the ultimate goal of the family focused developmental care model. Implications: The results of this study can be used in implementation plans for NICUs moving to family-focused developmental care models and could serve as an evaluation framework for this care delivery model.</td></tr></table>en_GB
dc.date.available2011-10-26T11:14:15Z-
dc.date.issued2001-06en_GB
dc.date.accessioned2011-10-26T11:14:15Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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