NICU Nurses' Lived Experience

Maguire, David; Webb, Mary S.; Passmore, Denise; Cline, Genieveve J.

doi:10.1097/anc.0b013e3182677bc1

Cited by 61 publications

(33 citation statements)

References 6 publications

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“…Nurses in all regions across the U.S. might not be prepared for a vulnerable population who have unique challenges due to infrequent cases. Nevertheless, neonatal nurses hold a variety of ethical expectations as detailed in the American Nurses Association Code of Ethics 18 and therefore must be prepared to meet the challenges of caring for infants in drug withdrawal. Ethical principles drive the nurse’s motivation and actions when caring for the patient, especially in the context of infants in drug withdrawal.…”

Section: Discussionmentioning

confidence: 99%

Infants in Drug Withdrawal

Smith

Rogowski

Schoenauer

et al. 2018

Journal of Perinatal &Amp; Neonatal Nursing

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Infants in drug withdrawal have complex physiological and behavioral states, requiring intensive nursing care. The study objectives were to describe acuity, parental needs, and nurse workload of infants in drug withdrawal compared with other infants. The design was cross-sectional and involved secondary nurse survey data from 6045 staff nurses from a national sample of 104 neonatal intensive care units. Nurses reported the care of 15 233 infants, 361 (2.4%) of whom were in drug withdrawal. Three-fourths of hospitals had at least 1 infant in drug withdrawal. In these hospitals, the mean number of infants in drug withdrawal was 4.7. Infant acuity was significantly higher among infants in drug withdrawal. Parents of infants in drug withdrawal required significantly more care to address complex social situations (51% vs 12%). The number of infants assigned to nurses with at least 1 infant in withdrawal (mean = 2.69) was significantly higher than typical (mean = 2.51). Given infant acuity and parental needs, policies legislating patient-to-nurse ratios should permit professional discretion on the number of patients to assign nurses caring for infants in drug withdrawal. Managers and charge nurses should consider the demands of caring for infants in drug withdrawal in assignment decisions and provide support and education.

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Section: Discussionmentioning

confidence: 99%

Infants in Drug Withdrawal

Smith

Rogowski

Schoenauer

et al. 2018

Journal of Perinatal &Amp; Neonatal Nursing

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“…However, the nurses participating in Maguire et al's study were inquired about the reason for low support. They mentioned various reasons, including the aggressive behavior of the substance-dependent mothers towards nurses [18]. To justify the inconsistency in these findings, the different geographic locations and the research site of these two studies must be considered.…”

Section: Discussionmentioning

confidence: 99%

“…The archived results also revealed no significant difference between the mean scores of nurses' support in the two groups. Similarly, Maguire et al reported that nurses required additional knowledge for providing care to substance-dependent parents [18].…”

Section: Discussionmentioning

confidence: 99%

Comparing Neonatal Intensive Care Unit Nursing Support in Mothers With ‎Newborn Abstinence Syndrome (NAS) and Mothers of Healthy Neonates ‎

Hosseini

Ghodousi

Sadeghi

et al. 2019

Int J Med Toxicol Forensic Med

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Background: The experience of having neonates in the Neonatal Intensive Care Unit (NICU) is a psychological crisis. It might cause many emotional problems for parents. Entire parental support is among the duties of the healthcare team. Therefore, this study aimed to compare the nursing support received by the mothers with Newborn Abstinence Syndrome (NAS) and the mothers of other neonates admitted to the NICU. Methods: The present cross-sectional descriptive-analytic study was conducted in the selected hospitals in Kerman Province, Iran. In total, 62 mothers with NAS and 61 non-addicted mothers with neonates admitted to the NICU were selected through convenience sampling method. The inclusion criteria were neonates under the care of parents, neonate admitted to the NICU for at least 24 hours, opiate dependence in the case group mothers, and no substance dependence in the control group mothers. The amount of nursing support for mothers having neonates with NAS was compared with that of the control mothers. The study groups were homogenized in terms of the study variables (neonate age, gender, and the duration of hospitalization). The required data were collected by the Nurse-Parent Support Tool (NPST) and analyzed in SPSS. Results: The study results revealed that among the neonates of 123 mothers, 75(60.97%) were boys, and 58(39.02%) were girls. The majority of neonates in both groups were breastfed. The mean±SD age of the mothers in the case and control group were 31.93±7.25 and 28.99±4.36 years, respectively. The nursing support level was desirable in both groups, and no significant difference was found in this regard (P>0.05). Furthermore, the level of nursing support in emotional, information-communication, self-esteem, and quality caregiving support dimensions was desirable in both groups. Conclusion: The obtained results revealed that nurses’ support was desirable in both groups. The prevalence of maternal addiction and the impact of this social harm on neonates who were admitted are essential. Furthermore, families having neonates with NAS need more support from the healthcare staff and nurses, in comparison with healthy parents; thus, the importance of this issue should be addressed in training and briefing courses for nurses.

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“…Despite the importance of the relationships between maternity nurses and pregnant and postpartum women, these relationships may be challenged when the women use substances. Maternity nurses may experience frustration towards women with SUDs and remain emotionally distance from them, resulting in workplace stress and burnout (Fraser et al, 2007;Maguire et al, 2012;Murphy-Oikonen et al, 2010;Shaw et al, 2016).…”

Section: Relationships Between Maternity Nurses and Women With Sudsmentioning

confidence: 99%

“…As with other health care providers, however, relationships between maternity nurses and pregnant and postpartum women can be fraught with difficulties when women have used substances during pregnancy. Maternity nurses report concerns that women with SUDs are not truthful their substance use, cannot properly care for their infants, and blame nurses for their infants' problems (Fraser et al, 2007;Maguire et al, 2012;Murphy-Oikonen et al, 2010;Shaw et al, 2016). Moreover, some maternity nurses report having experienced abusive and threatening behavior from parents and family members of infants with NAS (Maguire et al, 2012).…”

Section: Relationships Between Maternity Nurses and Women With Sudsmentioning

confidence: 99%

Health Care Encounters of Pregnant and Postpartum Women with Substance Use Disorders

et al. 2019

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The purpose of this review is to describe how pregnant and postpartum women with substance use disorders (SUDs) experience health care encounters in prenatal care, labor and delivery, postpartum, and nursery/neonatal intensive care unit (NICU) settings. Findings from 23 qualitative studies on the topic were synthesized using a metasummary approach. The majority of the studies revealed that pregnant and postpartum women with SUDs tend to experience their health care encounters as conflictual, although some studies revealed that some women experience their health care encounters as supportive. The results of metasummary included a taxonomy of health care encounters. Five types of adverse encounters were identified: judgmental, disparaging, scrutinizing, disempowering, and deficient-care. Three types of beneficial encounters were identified: recovery-based, accepting, and effective-care. The findings suggest the importance of stigma awareness, therapeutic patient-provider communication, patient activation, and integrated care.

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NICU Nurses' Lived Experience

Abstract: Nurses in this study struggled with issues of beneficence and nonmaleficence and were not aware of scientific evidence that guides methadone management of pregnant women.

Cited by 61 publications

References 6 publications

Infants in Drug Withdrawal

Infants in Drug Withdrawal

Comparing Neonatal Intensive Care Unit Nursing Support in Mothers With ‎Newborn Abstinence Syndrome (NAS) and Mothers of Healthy Neonates ‎

Health Care Encounters of Pregnant and Postpartum Women with Substance Use Disorders

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