Caring in a neonatal intensive care unit: Perspectives of providers and consumers

Hegedus, Kathryn Stewart; Madden, Janet E.

doi:10.1097/00005237-199409000-00011

Cited by 6 publications

(4 citation statements)

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“…The NICU nurses support families and babies who may spend at least 4 months in an NICU. Relationships with families are central; skilled crisis intervention is needed, parents need assistance to interact with their very ill infants, and nurses have a key role in minimizing the effects of the violent rollercoaster that many parents have to deal with (Hegedus & Madden, 1994).…”

Section: Parents' Perceptions Of Competencementioning

confidence: 99%

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Parents' perceptions of staff competency in a neonatal intensive care unit

Cescutti-Butler

Galvin

2003

Journal of Clinical Nursing

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* The aim of this study was to explore and describe parents' perceptions of staff competency in a neonatal intensive care unit (NICU). The study set out to use a grounded theory approach that was modified because of a number of constraints. Eight parents whose babies met a number of inclusion criteria were interviewed using focused conversational interviews. They were then transcribed and thematically analysed. The research approach was modified as the study developed because of practical and ethical access reasons: the sampling strategy and lack of opportunity to exploit fully the constant comparative method. * Four key themes which conceptualize competency as caring emerged from the data: parents are facilitated to integrate into the unit and do not feel a burden; parents feel in control whilst in the unit; parents have a choice to opt out from observing tasks and procedures on their baby; parents and the interprofessional team communicate well and provide appropriate information. These are discussed in the context of available literature. * In conclusion, the results of the study serve to highlight how parents' perceptions of competence in a professional are not based solely on skills and tasks but on many caring behaviours. The grounded theory approach has generated a number of areas for exploration, in particular, ideas about the conceptual basis of caring in an NICU context and its links to competence. The caring behaviours involve learning to share responsibility with families. The findings suggest that when there is 'a handing over' of control to parents and a greater emphasis on parent support, they feel less like 'guests'. These ideas are supported by the available literature. A number of methodological issues are raised.

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Section: Parents' Perceptions Of Competencementioning

confidence: 99%

“…Nurses are seen as central to parents' experiences in NICU (Hegedus & Madden, 1994; Graham, 1995; Miles et al ., 1996; Fenwick et al ., 2000; Holditch‐Davis & Miles, 2000; Fenwick et al ., 2001).…”

Section: Caring and Communicationmentioning

confidence: 99%

Parents' perceptions of staff competency in a neonatal intensive care unit

Cescutti-Butler

Galvin

2003

Journal of Clinical Nursing

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“…Bevan (1998) utilized Benner’s notion of the novice nurse practitioner to examine how a nurse becomes enframed (responding to the increasing demand of technology, often to the detriment of caring for the patient) within the culture of a dialysis unit. Hegedus and Madden (1994) used Benner’s domains in devising an instrument designed to assess nurses’ caring behaviour in a neonatal intensive care unit (NICU). Price (1995) explored Benner’s writings and demonstrated how they have influenced nursing in New Zealand.…”

Section: Conceptual Frameworkmentioning

confidence: 99%

Providers’ and consumers’ perspective of nurses’ caring behaviours

Hegedus

1999

Journal of Advanced Nursing

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The primary purpose of this article is to discuss the development and testing of a scale designed to examine nurses' caring behaviours. A pilot study was conducted with a convenience sample (n = 81) of 42 nurses (providers) and 39 patients (consumers). The setting was two community hospitals in the New England Region. The respondents were able to assign a rank of the items (nurses' caring behaviours) with a spread of mean values from 3.5 to 16.7. There was agreement on the most caring behaviour, 'The nurses treat me as an individual', on the behaviour in the middle range of caring, 'The nurses comfort me by their silent presence', and on the least caring behaviour, 'The nurses did not talk about how my illness might affect my life'. The Wilcoxon two-sample rank-sum test was used to test the difference in rank of the 20 items between the providers and the consumers. There was a significant difference between the providers and the consumers in the ranking of nine of the 20 items. The consumers valued behaviours that recognized their individual perspective as well as that of their family and behaviours that helped them anticipate and prepare for change. The providers placed a greater emphasis on the behaviours that were more geared towards the comforting aspects of care by encouraging patients to express and vent their feelings. These findings allow clinicians to be sensitized to their caring behaviours by increasing their realization of how behaviours are perceived by patients. The instrument needs minor revision and then further testing is indicated.

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“…The account, however, shows that the theory has become well known around the world. Five authors (18–22) described the theory in somewhat more detail than the others. In a further two articles, guidelines were described; however, Swanson’s theory of caring was not the central content in these guidelines.…”

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confidence: 99%

Review of research related to Kristen Swanson’s middle‐range theory of caring

Andershed

Olsson

2009

Scandinavian Caring Sciences

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The aim of this study was to identify and describe how Kristen Swanson's middle-range theory has been used in nursing practice/research presented in international journals. A total of 120 studies were included in the review and 23 were analysed further. An overview of the studies is presented, followed by four categories of how the theory has been used: referring to the theory (97 papers), applications of the theory to practice/research and/or theoretical discussions (nine papers), relating findings to and/or validation of the theory (eight papers), and development of measurements from and/or testing of the theory (six papers). The use of the theory and conclusions of the studies related to criteria for evaluation of theories were discussed.

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Caring in a neonatal intensive care unit: Perspectives of providers and consumers

Cited by 6 publications

References 0 publications

Parents' perceptions of staff competency in a neonatal intensive care unit

Parents' perceptions of staff competency in a neonatal intensive care unit

Providers’ and consumers’ perspective of nurses’ caring behaviours

Review of research related to Kristen Swanson’s middle‐range theory of caring

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