Establishment of the Relationship Between Fathers and Premature Infants in Neonatal Units

Martel, Marie-Josée; Milette, Isabelle; Bell, Linda; Tribble, Denise St-Cyr; Payot, Antoine

doi:10.1097/anc.0000000000000292

Cited by 25 publications

(63 citation statements)

References 18 publications

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“…Traditionally, most healthcare professionals have mainly focused on infants and mothers,2,6–8 even though fathers often feel stressed, powerless, and helpless, and find it difficult to establish a father-child relationship 1,6,9,10…”

mentioning

confidence: 99%

Fathers' Needs and Masculinity Dilemmas in a Neonatal Intensive Care Unit in Denmark

Noergaard

Ammentorp

Fenger‐Grøn

et al. 2017

Advances in Neonatal Care

101

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Background:Most healthcare professionals in neonatal intensive care units typically focus on the infants and mothers; fathers often feel powerless and find it difficult to establish a father-child relationship. In family-centered healthcare settings, exploring fathers' experiences and needs is important because men's roles in society, especially as fathers, are changing.Purpose:To describe fathers' needs when their infants are admitted to a neonatal intensive care unit and to discuss these needs within a theoretical framework of masculinity to advance understanding and generate meaningful knowledge for clinical practices.Methods:This qualitative study used participant observation, interviews, multiple sequential interviews, and a focus group discussion. Data were analyzed using grounded theory principles.Results:Analysis of the fathers' needs generated 2 primary themes: (1) Fathers as caregivers and breadwinners and (2) fathers and emotions. Fathers wished to be involved and to take care of their infants but have to balance cultural and social norms and expectations of being breadwinners with their wishes to be equal coparents.Implications for Practice/Research:Health professionals in neonatal intensive care units must be aware of fathers' need and desire to be equal coparents. Nurses should play a key role by, for example, showing that fathers are as important to their infants as are the mothers, helping them become involved in childcare, and ensuring that they are directly informed about their children's progress. Further research in other cultural settings would contribute to knowledge regarding fatherhood and the role of fathers in childcare.

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mentioning

confidence: 99%

Fathers' Needs and Masculinity Dilemmas in a Neonatal Intensive Care Unit in Denmark

Noergaard

Ammentorp

Fenger‐Grøn

et al. 2017

Advances in Neonatal Care

101

View full text Add to dashboard Cite

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“…Studies included in the review had two primary research focuses: getting to know (Arnold et al., 2013; Feeley, Sherrard, Waitzer, & Boisvert, 2013; Fegran, Helseth, & Fagermoen, 2008; Flacking, Thomson, & Axelin, 2016; Guillaume et al., 2013; Joaquim, Wernet, Leite, Fonseca, & Mello, 2018; Mäkelä, Axelin, Feeley, & Niela‐Vilén, 2018; Martel, Milette, Bell, Tribble, & Payot, 2016; Ncube, Barlow, & Mayers, 2016; Nicolaou, Rosewell, Marlow, & Glazebrook, 2009; Nystrom & Axelsson, 2002) and becoming a parent to (Hall, Kronborg, Aagaard, & Brinchmann, 2013; Heermann, Wilson, & Wilhelm, 2005; Heydarpour, Keshavarz, & Bakhtiari, 2017; Jabraeili, Hassankhani, Negarandeh, Abbaszadeh, & Cleveland, 2018; Jackson, Ternestedt, & Schollin, 2003; Lindberg, Axelsson, & Öhrling, 2008; Schenk & Kelley, 2010; Spinelli et al., 2016) a hospitalized infant. See Table 3 for a summary of each study and Supporting Information 4 for full study details.…”

Section: Resultsmentioning

confidence: 99%

“…Eleven studies were conducted in Europe: in the UK (Arnold et al., 2013; Nicolaou et al., 2009), Norway (Fegran et al., 2008), Sweden (Jackson et al., 2003; Lindberg et al., 2008; Nystrom & Axelsson, 2002), France (Guillaume et al., 2013), Finland (Mäkelä et al., 2018), Denmark (Hall et al., 2013) and Italy (Spinelli et al., 2016)—one collected data in Sweden, England and Finland (Flacking et al., 2016). Six studies were conducted in North and South America: in Canada (Feeley, Sherrard, et al, 2013; Feeley, Waitzer, Sherrard, Boisvert, & Zelkowitz, 2013; Martel et al., 2016), Brazil (Joaquim et al., 2018), and the USA (Heermann et al, 2005; Schenk & Kelley, 2010). Two studies took place in Iran (Heydarpour et al., 2017; Jabraeili et al., 2018) and one in Botswana (Ncube et al., 2016).…”

Section: Resultsmentioning

confidence: 99%

“…Studies recruited caregivers whose infant had been hospitalized in a NICU (Arnold et al., 2013; Feeley, Sherrard, et al, 2013; Feeley, Waitzer, et al, 2013; Fegran et al., 2008; Guillaume et al., 2013; Heermann et al, 2005; Heydarpour et al., 2017; Lindberg et al., 2008; Mäkelä et al., 2018; Ncube et al., 2016; Nystrom & Axelsson, 2002; Schenk & Kelley, 2010; Spinelli et al., 2016) or a NCU more generally (Flacking et al., 2016; Hall et al., 2013; Jabraeili et al., 2018; Martel et al., 2016; Nicolaou et al., 2009). One study recruited from a “Neonatal Intermediate Care Unit” (Joaquim et al., 2018) and another described a “Neonatal Ward” (Jackson et al., 2003) where the severity of the infant's medical status and of the socio‐cultural context of the unit, was more difficult to ascertain.…”

Section: Resultsmentioning

confidence: 99%

“…Studies recruited mothers (Feeley, Waitzer, et al, 2013; Hall et al., 2013; Heermann et al, 2005; Heydarpour et al., 2017; Jabraeili et al., 2018; Joaquim et al., 2018; Ncube et al., 2016; Nicolaou et al., 2009; Nystrom & Axelsson, 2002; Schenk & Kelley, 2010; Spinelli et al., 2016) or fathers only (Feeley, Sherrard, et al, 2013; Lindberg et al., 2008; Martel et al., 2016) and some recruited either/both parents (Arnold et al., 2013; Fegran et al., 2008; Flacking et al., 2016; Guillaume et al., 2013; Jackson et al., 2003; Mäkelä et al., 2018). Excluding one study (Flacking et al., 2016) which omitted participant characteristics, 73.5% of the 351 total participants across 19 studies were female.…”

Section: Resultsmentioning

confidence: 99%

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A framework synthesis reviewing the impact of neonatal care unit admission on early caregiver–infant relationships

Carton

Cordwell

Steinhardt

2020

Journal of Advanced Nursing

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Aims To critically review and synthesize qualitative research pertaining to the establishment of early caregiver–infant relationships in the neonatal care unit (NCU). Background It is well‐established that bonding and attachment, established across the prenatal and early childhood periods, affect child cognitive and behavioural development. Proximity, reciprocity, and commitment are key to the formation of these early relationships. It is intuitively likely that an admission to the NCU may affect early reciprocal caregiver–infant relationships. Design A qualitative best‐fit framework synthesis. Data sources A systematic search of four databases (PsycINFO, MEDLINE, British Nursing Index and CINAHL) was conducted, from January 2000–December 2018. Review Methods The RATS quality appraisal tool was used to evaluate study quality. To ensure reliability, 20% of studies were randomly selected for independent rating. A “best‐fit” synthesis approach using an existing framework of early parent–infant attachment and bonding was adopted to synthesize the review findings. Findings Twenty studies, from an original 3,526 unique articles, were included in the review. Studies varied in the extent to which they demonstrated transparency of procedures and in the quality of recruitment information provided. The meta‐synthesis demonstrated that proximity, reciprocity, and commitment were affected by admission to a NCU and identified that parental reflections on bonding and the role of staff in this process, were important factors to consider. Conclusions Caregiver–infant relationships are affected by admission to the NCU. The review theoretically supports moves to Family Integrated Care. Units should evaluate caregiver emotional state and consider the role of peer support. Impact The synthesis revealed that areas typically implicated in the formation of attachment and bonds were affected by admission to a NCU. Results have implications on the clinical care delivered as part of neonatal care.

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Family-Centered Care Interventions to Minimize Family Intensive Care Unit Syndrome and Post-intensive Care Syndrome-Family

Davidson

Mendis

Huynh

et al. 2018

Families in the Intensive Care Unit

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Establishment of the Relationship Between Fathers and Premature Infants in Neonatal Units

Cited by 25 publications

References 18 publications

Fathers' Needs and Masculinity Dilemmas in a Neonatal Intensive Care Unit in Denmark

Fathers' Needs and Masculinity Dilemmas in a Neonatal Intensive Care Unit in Denmark

A framework synthesis reviewing the impact of neonatal care unit admission on early caregiver–infant relationships

Family-Centered Care Interventions to Minimize Family Intensive Care Unit Syndrome and Post-intensive Care Syndrome-Family

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