Interventions to reduce parental stress and increase readiness of parents with preterm infants in the neonatal intensive care unit: A scoping review

Nurlaila, Nurlaila; Herini, Elisabeth Siti; Hartini, Sri; Kusuma, Mutiara Tirta Prabandari Lintang

doi:10.1016/j.jnn.2022.12.002

Cited by 5 publications

(4 citation statements)

References 25 publications

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“…These results attributed to Premature infants may require specialized medical care and an extended stay in the NICU, leading to feelings of uncertainty, helplessness, and anxiety among parents. According to Herini et al, 2022 mentioned that Parents with a preterm baby express feelings of sadness, fear, hopelessness, anger, insecurity, stress, and guilt that make them cry and have hindered interactions with their baby. Also, align with Akkoyun & Tas Arslan (2019) , who reported that the most common causes of parental stress were middle–low income, C-section deliveries, newborns on ventilator support, and parenteral feeding.…”

Section: Discussionmentioning

confidence: 99%

“…It can also impact their ability to bond with their infants and actively participate in their care, which can have long-term consequences for the infant's development ( Hagen et al, 2019 ). Understanding the factors contributing to parental stress in the NICU can help healthcare providers identify areas where interventions may be needed to improve both parental and infant outcomes ( Herini et al, 2022 ). Parental stress is linked with both anxiety and depression and can have a significant negative impact on parents, child health and family relationships ( Johansson et al, 2020 ).…”

Section: Literature Reviewmentioning

confidence: 99%

“…Poor communication with and among staff, often resulting from staff discontinuity, can damage trust and further contribute to parental stress ( Bry & Wigert, 2019 ). Other factors that affect parents’ negative feelings include preexisting family factors and prenatal and perinatal experiences ( Herini et al, 2022 ).…”

Section: Introductionmentioning

confidence: 99%

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The Stress Levels of Premature Infants’ Parents and Related Factors in NICU

Hendy,

El-sayed,

Bakry

et al. 2024

SAGE Open Nursing

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Introduction Parental stress related to their infants’ hospitalization is a significant concern that affects both parents and their infants. Fathers’ experiences tend to be understudied compared to mothers. Further research on fathers’ stress levels is necessary. While parental stress has been correlated with infant health severity, the specific causes and risk factors contributing to heightened stress levels in parents of neonatal intensive care unit (NICU) infants are not yet fully understood and require further investigation. Objective This study aimed to examine the stress levels experienced by parents of premature infants in the NICU and to explore the factors associated with parental stress in this specific context. Methods A cross-sectional observational design was used to accomplish this study, which was carried out on 743 parents from nine different NICUs located in governmental hospitals across various locations in Egypt. We used characteristics of parents and premature infants, and Parent Stress Scale was used for data collection. Results A majority of parents reported experiencing high stress in the following domains: sight and sound (80.3%), infants’ appearance (69%), and the parent-infant relationship (81.4%). Additionally, about three-quarters (73.6%) of parents experienced high stress overall, with a mean score of 167.56 (21.3). Conclusion About three-quarters of the parents experienced high overall stress levels. Also, factors that were found to affect parents’ stress levels included premature infants connected to mechanical ventilators, previous neonatal death, parents living far from hospitals, infants delivered through cesarean section, insufficient income, and prolonged hospitalization beyond 5 days.

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Section: Discussionmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

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The Stress Levels of Premature Infants’ Parents and Related Factors in NICU

Hendy,

El-sayed,

Bakry

et al. 2024

SAGE Open Nursing

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“…Different protective factors against parental stress have been discovered in studies, such as family values, social support within the family ( Miranda et al, 2019 ; Lo et al, 2023 ), and co-parenting alliances ( Delvecchio et al, 2015 ). Parental stress reduction is now considered a common and relevant goal of preventive and rehabilitative parenting programs ( van Steijn et al, 2014 ; Rivas et al, 2021 ; Bauch et al, 2022 ; Nurlaila et al, 2023 ). Different informational campaigns, psychological programs, and recommendations have been developed to help parents understand and deal with their own stress and that of their children.…”

Section: Discussionmentioning

confidence: 99%

Initial psychometric properties of the Parental Stress Scale examined using a sample of Russian mothers

Bochaver,

Akhmedjanova,

Bayramyan

et al. 2023

Front. Psychol.

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Parental stress is defined as a personal response to stressors associated with being a parent. In recent studies, parental stress has been viewed as a component of normative parenting. The purpose of this study was to collect initial evidence of the construct validity and reliability of the Russian version of the 18-item Parental Stress Scale (PSS) using a sample of mothers of Russian primary school students. The results are the first wave of a longitudinal study. Mothers (n = 900) of fourth-grade students participated in the study and filled out an online survey. The exploratory and confirmatory factor analyses of the PSS on the Russian mothers indicated two factors: parental stress and parental satisfaction, with good estimates of reliability. The PERMA-Profiler questionnaire was used to examine the convergent and divergent validity of the PSS. The results revealed significant correlations between parental stress and satisfaction and different aspects of well-being among the respondents. The initial investigation of this Russian adaptation of the PSS provides evidence of its reliability and validity. Despite the limitations and the need for further research, this version of the PSS can be recommended for use in studies on modern parenting as well as in psychological support, education, and development of programs promoting positive parent–child relationships by targeting parental needs.

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Interventional Strategies to Mitigate Maternal Stress and Enhance Coping Skills During Neonatal Admission Into Intensive Care Units in Low‐ and Middle‐Income Countries: A Scoping Review

Siva,

Velayudhan,

Nayak

et al. 2024

Nursing Open

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BackgroundMothers of high‐risk neonates experience tremendous stress during neonatal intensive care unit (NICU) admission. This stress has a negative impact on mothers' participation in neonatal care activities, psychological health and coping skills in the NICU.ObjectiveTo determine the impact of interventional strategies to reduce maternal stress and enhance coping skills during neonatal admission to the NICU.DesignA scoping review was carried out following the methodological framework outlined by Arksey and O'Malley.MethodsThis scoping review was conducted as per the Joanna Briggs Institute guidelines, including a quality appraisal checklist for randomised and nonrandomised controlled trials. Patterns, advances, gaps, evidence for practice and research recommendations from the review (PAGER framework) were used to report the results. The following international databases were used to search for primary articles: Medline via PubMed, EBSCOhost via CINAHL, Scopus, Web of Science and the ProQuest Medical Library. Original studies published in English between January 2011 and January 2023 from low‐ and middle‐income countries (LMICs) that assessed maternal stress and coping skills during neonatal NICU admission were included in the review.ResultsThe review included 15 articles from LMICs, of which 60% were from middle‐income, 25% were from lower‐middle‐income and 15% were from low‐income countries. Interventional strategies were described under five categories. Maternal stress decreased significantly across all three subscales of the PSPS: ‘sight and sound’, ‘baby looks and behavior’ and ‘parental relationship with baby and role alteration’ during neonatal NICU admission. Interventional strategies involving family‐centred care and emotional and psychological supportive care have been reported to have a consistently positive impact on alleviating maternal stress and enhancing coping skills in the NICU.ConclusionHealthcare professionals, especially nurses, are pivotal in promptly recognising maternal stress and NICU stressors. The participation of mothers in neonatal care, such as through family‐centred care and emotional support interventions, significantly reduces maternal stress and enhances coping skills.

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Interventions to reduce parental stress and increase readiness of parents with preterm infants in the neonatal intensive care unit: A scoping review

Cited by 5 publications

References 25 publications

The Stress Levels of Premature Infants’ Parents and Related Factors in NICU

The Stress Levels of Premature Infants’ Parents and Related Factors in NICU

Initial psychometric properties of the Parental Stress Scale examined using a sample of Russian mothers

Interventional Strategies to Mitigate Maternal Stress and Enhance Coping Skills During Neonatal Admission Into Intensive Care Units in Low‐ and Middle‐Income Countries: A Scoping Review

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