2.50
Hdl Handle:
http://hdl.handle.net/10755/308009
Category:
Abstract
Type:
Presentation
Title:
Discourses of Distress After Preterm Birth
Author(s):
Kantrowitz-Gordon, Ira
Lead Author STTI Affiliation:
Psi-at-Large
Author Details:
Ira Kantrowitz-Gordon, MN, CNM, irakg@uw.edu
Abstract:

Poster presented on: Sunday, November 17, 2013, Saturday, November 16, 2013

Problem:  Prematurity is a leading cause of neonatal morbidity and mortality worldwide.  Parents of premature infants have significant distress which can continue through early childhood, with negative consequences for family and child.  Yet very little is known about how both parents make sense of their experiences of distress and how this distress affects the couple and parenting relationships after the infant’s discharge from the hospital.  Consistent with the STTI Convention objective which focuses on vulnerable populations, this study examined the distress of a vulnerable group, the parents of preterm infants.  

Design/methods:  Exploring how parents talk about their distress can be accomplished through discourse analysis, a methodology that examines language through the lenses of social action and social contexts.  Four couples were recruited whose infant was born at less than 32 weeks gestation and who experienced emotional distress when the child was at least 6 months old.  In individual semi-structured interviews participants discussed their experiences of prematurity, distress, and parenting.  In a second interview, participants reflected upon digital photographs they had taken to visually represent their distress. 

Results:  In preliminary analysis, participants minimized medical discourses and focused their constructions of distress on the failures of social support, the medicalization of the birth and childhood, and feeling different from other parents.  Parents located distress in photographs of objects, places, and the premature child.  Members of couples utilized similar and different discourses in their constructions, which illuminated their strengths and challenges in confronting their distress as a couple.  Effective care of these vulnerable families should acknowledge these experiences and find ways to increase the effectiveness of social support and the responsiveness of clinicians to parents’ distress.  Findings may help nurses ameliorate the negative effects of preterm birth in order to improve parenting and the emotional health of parents and premature children.

Keywords:
Discourse Analysis; Preterm Birth; Distress
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleDiscourses of Distress After Preterm Birthen_GB
dc.contributor.authorKantrowitz-Gordon, Iraen_GB
dc.contributor.departmentPsi-at-Largeen_GB
dc.author.detailsIra Kantrowitz-Gordon, MN, CNM, irakg@uw.eduen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308009-
dc.description.abstract<p>Poster presented on: Sunday, November 17, 2013, Saturday, November 16, 2013</p><b>Problem</b>:  Prematurity is a leading cause of neonatal morbidity and mortality worldwide.  Parents of premature infants have significant distress which can continue through early childhood, with negative consequences for family and child.  Yet very little is known about how both parents make sense of their experiences of distress and how this distress affects the couple and parenting relationships after the infant’s discharge from the hospital.  Consistent with the STTI Convention objective which focuses on vulnerable populations, this study examined the distress of a vulnerable group, the parents of preterm infants.   <p><b>Design/methods</b>:  Exploring how parents talk about their distress can be accomplished through discourse analysis, a methodology that examines language through the lenses of social action and social contexts.  Four couples were recruited whose infant was born at less than 32 weeks gestation and who experienced emotional distress when the child was at least 6 months old.  In individual semi-structured interviews participants discussed their experiences of prematurity, distress, and parenting.  In a second interview, participants reflected upon digital photographs they had taken to visually represent their distress.  <p><b>Results</b>:  In preliminary analysis, participants minimized medical discourses and focused their constructions of distress on the failures of social support, the medicalization of the birth and childhood, and feeling different from other parents.  Parents located distress in photographs of objects, places, and the premature child.  Members of couples utilized similar and different discourses in their constructions, which illuminated their strengths and challenges in confronting their distress as a couple.  Effective care of these vulnerable families should acknowledge these experiences and find ways to increase the effectiveness of social support and the responsiveness of clinicians to parents’ distress.  Findings may help nurses ameliorate the negative effects of preterm birth in order to improve parenting and the emotional health of parents and premature children.en_GB
dc.subjectDiscourse Analysisen_GB
dc.subjectPreterm Birthen_GB
dc.subjectDistressen_GB
dc.date.available2013-12-19T17:25:21Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:25:21Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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