Parental Perspectives on the Postpartum Bonding Experience after Neonatal Intensive Care Unit Transfer to a Referral Hospital

2020 ◽  
Author(s):  
Yvonne Yui ◽  
Tessie W. October
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Thematic Analysis ◽  
Neonatal Intensive Care ◽  
Referral Hospital ◽  
Structured Interviews ◽  
Key Points ◽  
Parental Perspectives ◽  
Postpartum Bonding ◽  
Intensive Care Unit Transfer

Objective The aim of this study is to describe the postpartum bonding experience of parents whose newborns were transferred to a referral hospital while their mothers remained at the delivery hospital. Study Design A total of 18 semi-structured interviews conducted with mothers within 2 weeks of birth were completed. Thematic analysis was performed. Result In total, 72% of mothers were unable to hold their newborns, and mothers spent a median of 15 minutes with their newborn prior to transfer. Thematic analysis revealed five themes: three barriers to bonding (medical, hospital, and family barriers) and two themes of interventions that helped promote bonding (parent and hospital-initiated interventions). Using technology such as bedside cameras, recording of heart beats, and video chatting on rounds were extremely popular. Conclusion Parents identified multiple barriers to maternal–infant bonding and suggested several parent-focused and hospital-focused interventions to enhance bonding. Strategies that address barriers should be used to help parents promote bonding during separation from their newborns. Key Points

scholarly journals THE MEANINGS OF CARING FOR PRE-TERM CHILDREN IN THE VISION OF MALE PARENTS

2016 ◽  
Vol 25 (4) ◽  
Author(s):  
Rachel Leite de Souza Ferreira Soares ◽  
Marialda Moreira Christoffel ◽  
Elisa da Conceição Rodrigues ◽  
Maria Estela Diniz Machado ◽  
Adriana Loureiro da Cunha
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Gender Equity ◽  
Thematic Analysis ◽  
Neonatal Intensive Care ◽  
Paternal Care ◽  
Structured Interviews ◽  
Term Infants ◽  
Ethnographic Approach

ABSTRACT The purposes of the study was to analyze the meanings assigned by the father to the assistance of pre-term infants in a Neonatal Intensive Care Unit and to discuss how these meanings influence paternal care. It is a qualitative study with an ethnographic approach, carried out in a neonatal unit in Rio de Janeiro. Twenty-two fathers whose pre-term infants were hospitalized have been interviewed. Data were collected by means of a field logbook, participative observation and semi-structured interviews. Through thematic analysis, the inferred categories were a) father-child proximity and the permanence at the Neonatal Intensive Care Unit: overcoming obstacles and revealing motivations, b) the inclusion of fathers in caring for pre-term children: limits and possibilities. Nurses should favor the proximity of fathers and newborns to strengthen their relationship. The intensivist care neonatal practice should include strategies to support male parenting in pre-term birth considering the perspective of gender equity.

scholarly journals Importância da presença dos pais durante o internamento neonatal

2019 ◽  
Vol 13 ◽  
Author(s):  
Rosália Teixeira Luz ◽  
Talita Brito Silva Trindade ◽  
Diana De Souza Lima ◽  
Layres Canuta Cardoso Climaco ◽  
Ivana Santos Ferraz ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Health Education ◽  
Thematic Analysis ◽  
Neonatal Intensive Care ◽  
Descriptive Study ◽  
Neonatal Intensive Care Units ◽  
Structured Interviews ◽  
Qualitative Descriptive ◽  
Terapia Intensiva

RESUMOObjetivo: averiguar o conhecimento de pais e mães sobre a importância das suas presenças durante o internamento de filhos na UTI neonatal. Método: trata-se de estudo qualitativo, descritivo, envolvendo 20 pais a partir de entrevistas semiestruturadas e analisadas por meio da técnica de Análise Conteúdo na modalidade Análise Temática. Resultados: evidenciou-se que os pais compreendem que suas presenças colaboram para a recuperação da saúde do filho, diminuindo o tempo de internação. Conclusão: mostrou-se a educação em saúde realizada pelos profissionais uma excelente estratégia que serviu para instruir e sensibilizar os genitores quanto à importância das suas presenças durante o internamento, tornando-lhes corresponsáveis pelos cuidados voltados ao filho. Descritores: Recém-Nascido; Hospitalização; Unidades de Terapia Intensiva Neonatal; Pais; Mães; Educação em Saúde. ABSTRACT Objective: to verify the knowledge of parents about the importance of their presence during the hospitalization of children in the neonatal intensive care unit. Method: this is a qualitative, descriptive study, involving 20 parents from semi-structured interviews and analyzed through the technique of Content Analysis in the Thematic Analysis modality. Results: it was evidenced that the parents understand that their presences collaborate to recover the health of the child, reducing the time of hospitalization. Conclusion: it was shown the health education carried out by the professionals an excellent strategy that served to educate and sensitize the parents about the importance of their presence during the hospitalization, making them co-responsible for the care for the child. Descriptors: Newborn; Hospitalization; Neonatal Intensive Care Units; Parents; Mothers; Health education. RESUMEN Objetivo: averiguar el conocimiento de padres y madres sobre la importancia de sus presencias durante el internamiento de hijos en la UTI neonatal. Método: se trata de estudio cualitativo, descriptivo, involucrando a 20 padres a partir de entrevistas semiestructuradas y analizadas por medio de la técnica de Análisis Contenido en la modalidad Análisis Temático. Resultados: se evidenció que los padres comprenden que sus presencias colaboran para la recuperación de la salud del hijo, disminuyendo el tiempo de internación. Conclusión: se mostró la educación en salud realizada por los profesionales una excelente estrategia que sirvió para instruir y sensibilizar a los genitores en cuanto a la importancia de sus presencias durante el internamiento, haciéndoles corresponsables por los cuidados dirigidos al hijo. Descritores: Recién Nacido; hospitalización; Unidades de Cuidado Intensivo Neonatal; Padres; Madres; Educación en Salud.

A Mixed Methods Analysis of Parental Perspectives on Diagnosis and Prognosis of Neonatal Intensive Care Unit Graduates With Cerebral Palsy

2020 ◽  
Vol 35 (5) ◽  
pp. 336-343
Author(s):  
Katherine Guttmann ◽  
John Flibotte ◽  
Sara B. DeMauro ◽  
Holli Seitz
Keyword(s):  
Intensive Care Unit ◽  
Cerebral Palsy ◽  
Content Analysis ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Thematic Analysis ◽  
Neonatal Intensive Care ◽  
Free Text ◽  
Word Count ◽  
Linguistic Inquiry

This study aimed to evaluate how parents of former neonatal intensive care unit patients with cerebral palsy perceive prognostic discussions following neuroimaging. Parent members of a cerebral palsy support network described memories of prognostic discussions after neuroimaging in the neonatal intensive care unit. We analyzed responses using Linguistic Inquiry and Word Count, manual content analysis, and thematic analysis. In 2015, a total of 463 parents met eligibility criteria and 266 provided free-text responses. Linguistic Inquiry and Word Count analysis showed that responses following neuroimaging contained negative emotion. The most common components identified through the content analysis included outcome, uncertainty, hope/hopelessness, and weakness in communication. Thematic analysis revealed 3 themes: (1) Information, (2) Communication, and (3) Impact. Parents of children with cerebral palsy report weakness in communication relating to prognosis, which persists in parents’ memories. Prospective work to develop interventions to improve communication between parents and providers in the neonatal intensive care unit is necessary.

scholarly journals A Qualitative Analysis of Challenges and Successes in Retinopathy of Prematurity Screening

2018 ◽  
Vol 08 (02) ◽  
pp. e128-e133 ◽  
Author(s):  
Lisa Bain ◽  
Alexandria Kristensen-Cabrera ◽  
Henry Lee
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Thematic Analysis ◽  
Retinopathy Of Prematurity ◽  
Neonatal Intensive Care ◽  
Quality Care ◽  
Common Theme ◽  
Key Factors ◽  
Culture Education ◽  
Rop Screening

Objective The objective of this study is to identify characteristics of neonatal intensive care unit (NICU) practice that influence successful retinopathy of prematurity (ROP) screening. Study Design In this qualitative study, top, improved, and bottom performing NICUs in the California Perinatal Quality Care Collaborative were identified based on ROP screening rates and invited to participate. NICU personnel were interviewed using a semistructured questionnaire. Using thematic analysis, key factors that influence ROP screening were identified. Results Themes found in top performing hospitals include a commitment to quality improvement, a committed ophthalmologist, and a system of double checks. Improved NICUs had a common theme of utilizing telemedicine for exams and identification of eligible neonates on admission. The bottom performing hospital struggled with education and identification of eligible neonates and a lack of a dedicated ophthalmologist. Conclusion Structure, culture, education, and commitment all contribute to the success of ROP screening in the NICU.

Providing Support for Neonatal Intensive Care Unit Health Care Professionals: A Bereavement Debriefing Program

2020 ◽  
Author(s):  
Katheleen Hawes ◽  
Justin Goldstein ◽  
Sharon Vessella ◽  
Richard Tucker ◽  
Beatrice E. Lechner
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Health Care Professionals ◽  
Neonatal Intensive Care ◽  
Well Being ◽  
Mixed Methods Study ◽  
Emotional Impact ◽  
Key Points ◽  
Close Relationship

Objective The aim of this study is to evaluate formal bereavement debriefing sessions after infant death on neonatal intensive care unit (NICU) staff. Study Design Prospective mixed methods study. Pre- and postbereavement debriefing intervention surveys were sent to clinical staff. Evaluation surveys were distributed to participants after each debriefing session. Notes on themes were taken during each session. Results More staff attended sessions (p < 0.0001) and attended more sessions (p < 0.0001) during the postdebriefing intervention epoch compared with the predebriefing epoch. Stress levels associated with the death of a patient whose family the care provider have developed a close relationship with decreased (p = 0.0123). An increased number of debriefing session participants was associated with infant age at the time of death (p = 0.03). Themes were (1) family and provider relationships, (2) evaluation of the death, (3) team cohesion, (4) caring for one another, and (5) emotional impact. Conclusion Bereavement debriefings for NICU staff reduced the stress of caring for dying infants and contributed to staff well-being. Key Points

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