The effectiveness of a structured nursing intervention program on maternal stress and ability among mothers of premature infants in a neonatal intensive care unit

Ong, Swee Leong; Abdullah, Khatijah Lim; Danaee, Mahmoud; Soh, Kim Lam; Soh, Kim Geok; Lee, Daphne S K; Hussin, Emni Omar Daw

doi:10.1111/jocn.14659

Cited by 26 publications

(41 citation statements)

References 21 publications

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“…A researcher in Rwanda, [24] studied the parental perception of stress in the NICU and found that what constituted a stressful event, was the appearance and behaviour of the baby. When an infant is born in Rwanda, the whole community is excited to support the family and offer the mother help in caring for the baby in her home.…”

Section: Discussionmentioning

confidence: 99%

“…Numerous studies have identified the challenges for parents with a preterm infant in the NICU, [23,24] and others included educational interventions by nurses to increase parental knowledge and decrease stress. [7,18,[25][26][27] There have been no studies conducted in Rwanda evaluating the effectiveness of a parental education intervention in the NICU.…”

Section: Introductionmentioning

confidence: 99%

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Educational intervention to increase parental care of preterm neonates at district hospital in Kigali

Mukarubayiza¹,

Gowan²

2019

Rwanda Journal of Medicine and Health Sciences

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BackgroundA preterm neonate usually requires specialised care in the neonatal intensive care unit (NICU). Nurses in the NICU are the primary source of parental education particularly for preterm neonates. ObjectiveTo assess the effectiveness of a preterm infant care educational program on parental knowledge acquisition in the NICU. Methods A quasi-experimental pre-test post-test design was used. A convenience sample of 53 parents with preterm infants was recruited at a district hospital NICU in 2017 in Kigali. The twohour evidenced-based intervention in the local language of Kinyarwanda included five Global Health Media Project videos and a power-point presentation on the knowledge and skills to improve maternal and neonatal health. Data analysis included descriptive and inferential statistics. ResultsThe mean correct pre-test knowledge score was 54%, and the mean correct post-test score was 92%, indicating a significant increase (38%) of correct responses after the intervention. ConclusionAn educational intervention was found to be effective in improving parental knowledge in caring for preterm infants in a district hospital NICU in Kigali. This evidenced-based intervention could become routine for neonatal nurses in NICUs throughout Rwanda.Rwanda J Med Health Sci 2019;2(2):105-111.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Educational intervention to increase parental care of preterm neonates at district hospital in Kigali

Mukarubayiza¹,

Gowan²

2019

Rwanda Journal of Medicine and Health Sciences

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“…For the neonatal population, the main stressors reported by the families were the alteration of parenting, 2,3,9,11,37,39-43 the appearance and behavior of the child, 2,3,9,11,14,37,38,[42][43][44]46 the care environment, 11,25,38,42,44,46 and communication with health care staff. 40,44,46 These stressors are linked to the most frequently used measure of parental stress, the Parental Stress Scale (PSS): NICU.…”

Section: Neonatal Carementioning

confidence: 99%

“…Other interventions involved fostering communication with parents, 2,3,37,39,40,46 taking into account the stress factors present. 3,11,24,31,42,44 For instance, Akkoyun and Arslan 37 suggested providing support to mothers by giving them information. Finally, other recommended interventions involved encouraging parents to use social support during this experience to enable them to become actively involved as parents.…”

Section: Neonatal Carementioning

confidence: 99%

Nursing Interventions to Reduce Stress in Families of Critical Care Patients: An Integrative Review

Lebel

Charette

2021

Critical Care Nurse

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Background Having a family member admitted to an intensive care unit is a stressful experience that may lead to psychological symptoms including depression, anxiety, and posttraumatic stress disorder. Objective To better understand the phenomenon of stress experienced by families of intensive care unit patients and identify nursing interventions that may help reduce it. Methods An integrative literature review was performed to identify principal stressors for families of patients receiving care in neonatal, pediatric, and adult intensive care units and recommended nursing interventions. Results The principal stressors in the 3 types of intensive care units were change in parental role or family dynamics, appearance and behavior of the patient, the care setting, and communication with the health care staff. Nursing interventions should focus on valuing the role of family members in patient care, improving communication, and providing accurate information. Clinical Relevance Family members of intensive care patients will benefit from nursing interventions that adequately acknowledge and address the stress they experience. Conclusion Nurses play a crucial role in helping to reduce the stress experienced by family members of intensive care unit patients.

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“…Hospitalization of the neonate for a longer period results in family members; mothers in particular, feel they are isolated from their babies and their emotions turns into stress. Intervention to the mothers in the form of educational information and psychological support were proved to be effective in reducing the maternal psychological problems in the NICU [7]. Performing proper orientation for the parents of the preemies, especially mothers, will help them familiarize with the NICU environment.…”

Section: Res Pediatr Neonatolmentioning

confidence: 99%

Effectiveness of Mother Steered Essential Preemies Care Bundle on The Level of Anxiety Among Mothers of Preemies

Hemamalini

Jaya

Jayanthi³

2020

RPN

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Background:The birth of a baby prior to the expected date of its arrival to this world is associated with the emotions, feelings of anxiety, fear over danger, infrequent access and interaction with the infant during the period of hospitalization in the Neonatal Intensive Care Unit. Aim and objective:The objective of the study was to assess the effectiveness of a Mother Steered Essential Preemies Care Bundle on the level of anxiety among mothers of preemies. Methodology:A quantitative research approach with quasi-experimental study was adopted. Atotal of 240 mothers of preemies (120 each in the experimental and control group) participated in the study. Non-probability purposive sampling technique was used to select the subjects. Data was collected using Modified Perinatal Anxiety Screening Scale.Result: Comparison of the level of anxiety based on the statistics revealed that the 't' value for anxiety in the experimental group was 10.83. This has shown a very high statistical significance at p≤0.001. Conclusion:The Mother Steered Essential Preemies Care Bundle was effective in significantly reducing the anxiety of mothers of preemies.

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The effectiveness of a structured nursing intervention program on maternal stress and ability among mothers of premature infants in a neonatal intensive care unit

Abstract: The results of the study could help neonatal nurses to develop an appropriate nursing intervention for parents with premature infants in the NICU.

Cited by 26 publications

References 21 publications

Educational intervention to increase parental care of preterm neonates at district hospital in Kigali

Educational intervention to increase parental care of preterm neonates at district hospital in Kigali

Nursing Interventions to Reduce Stress in Families of Critical Care Patients: An Integrative Review

Effectiveness of Mother Steered Essential Preemies Care Bundle on The Level of Anxiety Among Mothers of Preemies

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