Parents' Experiences of Support in NICU Single-Family Rooms

被引：13

作者：

Liu, Lisa Xiaoyang ^{[1
]}

Mozajarinia, Maryam ^{[2
,3
]}

Axelin, Anna ^{[4
,5
]}

Feeley, Nancy ^{[6
,7
]}

机构：

[1] Western Univ, Schulich Sch Med & Dent, London, ON, Canada

[2] McGill Univ, Montreal, PQ, Canada

[3] Une Chance de Vivre, Montreal, PQ, Canada

[4] Univ Turku, Turku, Finland

[5] SCENE, Turku, Finland

[6] McGill Univ, Ingram Sch Nursing, Montreal, PQ, Canada

[7] Jewish Gen Hosp, Lady Davis Inst Med Res, Montreal, PQ, Canada

来源：

NEONATAL NETWORK | 2019年 / 38卷 / 02期

关键词：

single-family room; NICU design; support; access to staff; isolation; parents; INTENSIVE-CARE-UNIT; PRETERM INFANTS; CENTERED CARE; SELF-EFFICACY; PRIVATE ROOM; OPEN WARD; DESIGN; STAFF; CLOSENESS; PERSPECTIVES;

D O I：

10.1891/0730-0832.38.2.88

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Purpose: This study aimed to explore support for mothers and fathers in single-family rooms (SFRs) of a NICU. Design: A qualitative descriptive design was employed. Sample: A convenience sample of 15 parents (nine mothers, six fathers) were recruited from a Level III NICU. Method: During their infants' hospitalization, each parent recorded their thoughts and feelings regarding support whenever appropriate over a period of 48 hours using Handy Application to Promote Preterm infant happY-life (HAPPY), an android recording application. Results: Parents felt supported when staff facilitated their learning in a collaborative manner, fostered their optimism, and provided situational assistance. Continuity and consistency of care and presence were important characteristics of supportive nursing care. Though SFRs offered privacy for parents to learn and to be with their infants, the design limited parental access to nursing and medical staff, which sometimes prevented parents from receiving adequate support and partaking in decision making concerning their infants' care.

引用

页码：88 / 97

页数：10

共 45 条

[1] Neonatologists can impede or support parents' participation in decision-making during medical rounds in neonatal intensive care units [J].

Axelin, Anna ;

Outinen, Jyri ;

Lainema, Kirsi ;

Lehtonen, Liisa ;

Franck, Linda S. .

ACTA PAEDIATRICA, 2018, 107 (12) :2100-2108

[2] Parents' early healthcare transition experiences with preterm and acutely ill infants: a scoping review [J].

Ballantyne, M. ;

Orava, T. ;

Bernardo, S. ;

McPherson, A. C. ;

Church, P. ;

Fehlings, D. .

CHILD CARE HEALTH AND DEVELOPMENT, 2017, 43 (06) :783-796

[3] SELF-EFFICACY - TOWARD A UNIFYING THEORY OF BEHAVIORAL CHANGE [J].

BANDURA, A .

PSYCHOLOGICAL REVIEW, 1977, 84 (02) :191-215

[4] SELF-EFFICACY MECHANISM IN HUMAN AGENCY [J].

BANDURA, A .

AMERICAN PSYCHOLOGIST, 1982, 37 (02) :122-147

[5] Expressing Human Milk in the NICU Coping Mechanisms and Challenges Shape the Complex Experience of Closeness and Separation [J].

Bujold, Maude ;

Feeley, Nancy ;

Axelin, Anna ;

Cinquino, Claudia .

ADVANCES IN NEONATAL CARE, 2018, 18 (01) :38-48

[6]

Carlson Beth, 2006, Adv Neonatal Care, V6, P271, DOI 10.1016/j.adnc.2006.06.008

[7] Families' views upon experiencing change in the neonatal intensive care unit environment: from the 'baby barn' to the private room [J].

Carter, B. S. ;

Carter, A. ;

Bennett, S. .

JOURNAL OF PERINATOLOGY, 2008, 28 (12) :827-829

[8] Families and health-care professionals' perspectives and expectations of family-centred care: hidden expectations and unclear roles [J].

Coyne, Imelda .

HEALTH EXPECTATIONS, 2015, 18 (05) :796-808

[9]

de Montigny F, 2005, J ADV NURS, V49, P387

[10] Documenting the NICU design dilemma: comparative patient progress in open-ward and single family room units [J].

Domanico, R. ;

Davis, D. K. ;

Coleman, F. ;

Davis, B. O. .

JOURNAL OF PERINATOLOGY, 2011, 31 (04) :281-288

← 1 2 3 4 5 →