Dark and Bright—Two Sides of Family-Centered Care in the NICU: A Qualitative Study

Mirlashari, Jila; Valizadeh, Sousan; Navab, Elham; Craig, J W; Ghorbani, Fatemeh

doi:10.1177/1054773818758171

Cited by 25 publications

(22 citation statements)

References 17 publications

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“…Also, social workers' presence at the unit is necessary, because they are responsible for providing support for the family. Therefore; the lack of psychologists and social workers has contributed to nurses' occupational burnout (Benzies, Shah, Aziz, Lodha, & Misfeldt, 2019;Mirlashari, Valizadeh, Navab, Craig, & Ghorbani, 2018).…”

Section: Fcc Implementation and Contextmentioning

confidence: 99%

The Challenges of Implementing Family-Centered Care in NICU from the Perspectives of Physicians and Nurses

Mirlashari

Brown²,

Fomani

et al. 2020

Journal of Pediatric Nursing

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Section: Fcc Implementation and Contextmentioning

confidence: 99%

The Challenges of Implementing Family-Centered Care in NICU from the Perspectives of Physicians and Nurses

Mirlashari

Brown²,

Fomani

et al. 2020

Journal of Pediatric Nursing

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“…A study reported that mothers experienced more stress than fathers in areas related to the ward's sounds and lights, staff behavior and communication, NICU-related parental role, and the infant's health and behavior. The most stressful factor for parents was the change in their role after their infant›s admission to NICU [23]. Another study showed that parents of premature newborns had higher levels of stress and anxiety even two months after discharge of their infants from the hospital compared to the parents of full-term infants [24].…”

Section: Discussionmentioning

confidence: 99%

Relationship between Social Support and Parents' Satisfaction with Medical Care Provided to their Premature Infants

Mohtashami

Ahmadi

Imeni

et al. 2021

J Holist Nurs Midwifery

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Introduction: Premature birth is highly stressful for parents. Nursing support is crucial for premature infants. Parental satisfaction is a vital indicator of the quality of care provided by nurses. Therefore, determining the factors related to parental satisfaction is important in nursing care. Objective: This study aims to investigate the relationship between social support and parentschr('39') satisfaction with the medical care provided to their premature infants in the Neonatal Intensive Care Units (NICUs). Materials and Methods: This is an analytical/correlational study. Participants were 130 parents of premature infants admitted to the NICUs in three hospitals affiliated to Tehran University of Medical Sciences in Iran. They were selected based on a convenience sampling method. Tarkka’s Social Support Questionnaires and the Neonatal Index of Parent Satisfaction were used for collecting data. Data were analyzed by using descriptive statistics and T-test, Chi-square test, ANOVA and Pearson correlation test. Results: It was reported that 55.38% of the infants were females, with a mean birth weight of 1880.97± 544.85 gr and a mean gestational age of 32.07±2.41 weeks. The mean age of their mothers and fathers was 31.25±5.12 and 35.03±5.66 years, respectively. The highest level of social support in mothers and fathers was related to emotional support (3.65±0.69 in mothers and 3.29±0.57 in fathers), while the lowest level of social support was related to concrete support (3.32±0.80 in mothers and 3.16±0.65 in fathers). Mothers perceived higher social support than fathers. They also had more satisfaction with medical care (3.88±0.81 in mothers and 3.63±0.69 in fathers). There was a significant relationship between social support and parental satisfaction (r=0.791, P<0.05). Conclusion: Parents of premature infants need more social support, especially concrete aid. Therefore, planning to promote social support of parents, especially fathers, by nurses in the NICUs seems necessary.

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“…29 International study that explored the experiences lived by nurses in the PFCC implementation in assistance practices in the Neonatal ITU, showed that despite they wish that all the members of the family, such as brothers or grandparents visit the child, they were obliged -due to the internal policies of the unit to prevent the entry of these members of the family due to the questions related to disturbances, management and infection control. 30 Family inclusion in policies and practices Botelho LRM, Anísio NF, Cruz AC, Santos NC, Angelo M…”

Section: Discussionmentioning

confidence: 99%

“…10 The nursing team a play fundamental role in the PCCC planning, implementation and evaluation, however, although is close to the patients and their families in their daily activities, it should assume alone and exclusively the responsibility for the PFCC implementation, as patients, family members and all the multiprofessional team should be included in all the stages, what includes the planning, the development and the evaluation of policies and guidelines related to this care approach. 30…”

Section: Discussionmentioning

confidence: 99%

Self-assessment of family inclusion in institutional policies and practices: nursing team perspective

et al. 2018

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Objective: To compare the evaluation carried out by the nursing teams of pediatric and maternal-infant with adult patient wards on the inclusion of families in institutional policies and practices. Method: A cross-sectional and descriptive study carried out in a university hospital with 148 professionals from the nursing team of the maternal and pediatric units and 43 from adult units. The data were analyzed by the program Statistical Package for the Social Sciences 22, using the chi-square test and Fisher's exact test. Results: The groups presented distinct perceptions about the differentiation between families and visitors in policies and practices; similar perceptions related to the policies and practices are not favorable to the presence of siblings and children, and to the non-inclusion of the families in aspects related to daily care. Conclusion and Implications for Practice: The perception of nursing teams indicates that families are not included in institutional policies and practices. The results of an organizational self-assessment about families' inclusion subsidize a way to improve organizational policies and practices, making it possible to draw up an action plan to implementing Patient and Family Centered Care at the institutional level.

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Dark and Bright—Two Sides of Family-Centered Care in the NICU: A Qualitative Study

Cited by 25 publications

References 17 publications

The Challenges of Implementing Family-Centered Care in NICU from the Perspectives of Physicians and Nurses

The Challenges of Implementing Family-Centered Care in NICU from the Perspectives of Physicians and Nurses

Relationship between Social Support and Parents' Satisfaction with Medical Care Provided to their Premature Infants

Self-assessment of family inclusion in institutional policies and practices: nursing team perspective

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