Resilience in Mothers of Very-Low-Birth-Weight Infants Hospitalized in the NICU

Rossman, Beverly; Greene, Michelle M.; Kratovil, Amanda; Meier, Paula P.

doi:10.1016/j.jogn.2016.11.016

Cited by 47 publications

(48 citation statements)

References 47 publications

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“…Some participants reported that the mothers’ initial negative emotions changed to relief, joy, or gratitude over time or the progression of treatment. These findings are consistent with previous research that reported parents’ NICU experience as being an “emotional rollercoaster” (Rossman et al, 2017 ; Stacey et al, 2015 ). Therefore, as a means of addressing the symptoms of distress that have shown to be negatively associated with maternal postpartum bonding (Bonacquisti et al, 2019 ; Kim et al, 2020 ), NICU nurses and health providers should stop viewing parents as caregivers visiting patients (Phuma-Ngaiyaye & Kalembo, 2016 ; Sabnis et al, 2019 ) and see them as targets for psychosocial intervention.…”

Section: Discussionsupporting

confidence: 92%

“…Therefore, as a means of addressing the symptoms of distress that have shown to be negatively associated with maternal postpartum bonding (Bonacquisti et al, 2019 ; Kim et al, 2020 ), NICU nurses and health providers should stop viewing parents as caregivers visiting patients (Phuma-Ngaiyaye & Kalembo, 2016 ; Sabnis et al, 2019 ) and see them as targets for psychosocial intervention. The provision of information on preterm infant development and social support systems (Hopwood, 2010 ; Lavallée et al, 2017 ) such as peer breastfeeding counsellors or fellow mothers with NICU experience (Rossman et al, 2017 ) would be beneficial to promoting the resilience of NICU mothers with mental health needs.…”

Section: Discussionmentioning

confidence: 99%

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South Korean nurses’ lived experiences supporting maternal postpartum bonding in the neonatal intensive care unit

You

Kim

2020

International Journal of Qualitative Studies on Health and Well

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Purpose: Preterm birth and admission to a neonatal intensive care unit (NICU) can disrupt the parent-infant bonding relationship. Although neonatal nurses are in the best position to support maternal postpartum bonding in the NICU, few qualitative studies have described their challenges, strategies, and lived experiences. Methods: This study aimed to explore and understand the experiences and perspectives of nurses supporting infants hospitalized in the NICU and their families in relation to the bonding process. We conducted a qualitative study using interpretive phenomenological analysis with 12 in-depth, semi-structured interviews recorded and transcribed verbatim between April and November 2018. We thematically analysed the data using NVivoTM software. Results: Two themes emerged: (1) Being a bridge between separated mothers and infants (five subthemes); (2) Challenges in providing supportive care for maternal postpartum bonding in the NICU (three subthemes). Conclusions: Nurses have a variety of experiences regarding maternal postpartum bonding; however, the clinical reality of NICUs limits support for bonding formation. Although nurses face challenges (e.g., institutional policies, insufficient resources, training) when supporting maternal postpartum bonding, they act as the bridge between mothers and infants, becoming advocates for NICU families and taking care of their growth and developmental needs as caregivers.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

South Korean nurses’ lived experiences supporting maternal postpartum bonding in the neonatal intensive care unit

You

Kim

2020

International Journal of Qualitative Studies on Health and Well

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“…The negative emotional experiences, highlighted previously such as distress, worry, anxiety and turmoil, are terms consistent with the aforementioned work from the UK, Sweden and United States respectively from Crathern (), Flacking et al () and Williams et al (). However, more positive views around coping and emotional resilience also feature in the literature and cited by some parents in this study; Rossman et al () states this as “the ability to cope with and/or modify the effects of traumatic events by developing strategies to live a full and meaningful life” (p. 435).…”

Section: Discussionmentioning

confidence: 62%

Understanding parents’ emotional experiences for neonatal education: A narrative, interpretive approach

Petty

Jarvis

2019

Journal of Clinical Nursing

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Aims and objectives To explore the emotional experiences of parents who have had premature babies to inform and educate neonatal nurses and health professionals in this field. Background Parents find the neonatal unit a daunting and unfamiliar place leading to anxiety, uncertainty and fear about the future of their baby. Parents have significant emotional needs in relation to assisting them to cope with their neonatal experience. In line with a family‐centred approach to neonatal education, it is essential to teach health professionals about the emotional impact of neonatal care based on an appreciation of the parent experience. Design A narrative‐based, interpretive approach was undertaken in line with constructivist learning theory. Methods Twenty narrative interviews took place, with a total of 23 parents of premature babies. Following core story creation to create coherent stories from the raw transcripts, thematic analysis of the narrative constructs using the principles of Braun and Clarke's, International Journal of Qualitative Studies on Health and Well‐Being, 2014, 9, 1, framework was undertaken. The study methods were compliant with the consolidated criteria for reporting qualitative research (COREQ). Findings Thematic analysis revealed key themes relating to the following: parents’ emotions through the whole neonatal experience, feelings towards the baby, the environment, the staff and the transitions through the different phases of neonatal care. Both negative and positive experiences were reported. Conclusion Understanding the emotional experience from the parent's perspective, following birth of their premature baby, informs empathic, family‐centred teaching and learning within the neonatal education arena. Relevance to clinical practice Students and health professionals alike can learn what is important in the delivery of care that addresses the emotional needs of parents and families. Educators can use narratives and key messages from parents, both negative and positive, to teach family‐centred principles to nurses and health professionals as a core component of a narrative curricula and potentially to enhance empathy.

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“…If not the proper cure, there will be a harmonious coexistence between the lost object and the desire to possess it. 7 According to the research participants, for the mothers of this research, this photographic experience provided the cure of suffering and a more altruistic and benevolent view of the loss.…”

Section: Resignification Of Mourning By Mothers Of Angelsmentioning

confidence: 99%

“…In this context, health professionals, especially nurses, should be prepared to develop strategies that strengthen resources for this coping effort and to develop interventions based on mothers' sources of support to increase their ability to adapt to the loss of a child. 7 Despite the growing interest in studying the process of loss and grief, this theme has been little explored from the maternal point of view after the loss of a child and the availability of scientific production can still be characterized as scarce. 8 Considering the importance of this theme in the existing scope, this study is justified as a possibility to contribute to a better understanding of the loss and grief process from the maternal point of view and, from this perspective, to promote reflections on possible care strategies in the various work contexts of nurses and of other health professionals.…”

Section: Introductionmentioning

confidence: 99%

Mothers of angels: (re)living the death of the child as a coping strategy

et al. 2020

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Objective: To describe the experiences lived by mothers facing the death of their children. Method: A qualitative, exploratory and descriptive research conducted in Guarapuava-PR, with six participants of the "Marias" group that brings together mothers who lost their children and share their experiences to spontaneously help other women in the process of mourning. Data collection took place from May to August 2017, through a focus group. The speeches were organized by the Iramuteq® software and analyzed according to Creswell. Results: Age ranged from 28 to 40 years old, and most participants were married and catholic. The categories express the need to strengthen bonds and to create ways in which women can express themselves; the importance of the social network to accommodate mourning; the relevance of ethical and humanized care; and group identity as an element to promote resilience. Conclusion and Implications for practice: Describing the potentialities and weaknesses in the process of loss and grief enables a qualifying and humanizing care, overcoming care gaps, stimulating the creation of creative and dialogical spaces in maternal care. These results may guide the professional approach by considering the sociocultural context and the risk factors experienced by the mothers, by supporting the development of resilient skills and enabling a humanized and individualized care.

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Resilience in Mothers of Very-Low-Birth-Weight Infants Hospitalized in the NICU

Cited by 47 publications

References 47 publications

South Korean nurses’ lived experiences supporting maternal postpartum bonding in the neonatal intensive care unit

South Korean nurses’ lived experiences supporting maternal postpartum bonding in the neonatal intensive care unit

Understanding parents’ emotional experiences for neonatal education: A narrative, interpretive approach

Mothers of angels: (re)living the death of the child as a coping strategy

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