scholarly journals Parent Stress in Relation to Use of Bedside Telehealth, an Initiative to Improve Family-Centeredness of Care in the Neonatal Intensive Care Unit

2020 ◽  
Vol 7 (6) ◽  
pp. 1378-1383
Author(s):  
Katherine Guttmann ◽  
Chavis Patterson ◽  
Tracey Haines ◽  
Casey Hoffman ◽  
Marjorie Masten ◽  
...  

Since the onset of the COVID-19 pandemic, telehealth technologies have become critical to providing family and patient-centered care. Little is known about the impact of these technologies on parent stress levels in the Neonatal Intensive Care Unit (NICU). We sought to determine the impact of bedside web cameras on stress levels of parents in the NICU in order to work toward interventions that might improve family-centered care. A validated survey, the Parental Stress Scale NICU, was administered to parents of babies admitted to the Children’s Hospital of Philadelphia Neonatal/Infant Intensive Care Unit on days 7 to 10 of hospitalization. Parents were also asked if they used the available AngelEye Camera while their baby was hospitalized. Stress levels were analyzed for associations with the use of the bedside cameras. Parents who reported using the bedside camera also reported lower levels of stress relating to being separated from their babies. Bedside web camera interventions may hold potential for reducing parent stress related to separation from their babies, especially in the setting of a global pandemic.

Children ◽  
2021 ◽  
Vol 8 (9) ◽  
pp. 755
Author(s):  
Laura Polloni ◽  
Francesco Cavallin ◽  
Elisabetta Lolli ◽  
Rossana Schiavo ◽  
Martina Bua ◽  
...  

The current SARS-CoV-2 disease (COVID-19) pandemic is a sudden major stressor superimposed on pre-existing high distress in parents of infants admitted to the neonatal intensive care unit (NICU). This study aimed to investigate the psychological wellbeing of NICU parents during the COVID-19 pandemic. Forty-four parents of 25 inpatients of the Padua University Hospital NICU were included from June 2020 to February 2021. At 7–14 days postpartum parents completed the Edinburgh Postnatal Depression Scale (EPDS), State-Trait Anxiety Inventory (STAI), Parental Stressor Scale: NICU (PSS:NICU) and an ad-hoc questionnaire measuring parental COVID-19 related stress. About one third of parents reported extreme/high stress and a relevant negative impact on parenthood experience. Less time (82%) and less physical contact (73%) with infants due to COVID-19 preventive measures were the most frequent negative factors. Higher COVID-19 related parental stress was positively associated with anxiety, depression, NICU parental stress, stress related to NICU environment, and parental role alterations. Depression symptoms, stress related to infant condition and parental role alterations were higher in mothers. The pandemic affected parental emotional and relational wellbeing directly through additional stress due to COVID-19 concerns and indirectly through the impact of restrictions on the experience of becoming parents.


2016 ◽  
Vol 4 (1) ◽  
pp. 148 ◽  
Author(s):  
Ruma Agrawal ◽  
Ajay Gaur

Background: The birth of an infant that needs care in a neonatal intensive care unit (NICU) can be stressful for the parents. The parent-infant bonding process that occurs during the newborn period establishes the foundation for a lifelong relationship. This typical process does not occur when the infant spends the first several weeks or months in the NICU. Quantifying stress levels of parents and identifying the greatest environmental stressor by understanding the aspects of infants, parents and the environment that can cause stress may be useful in assisting the health personnel in understanding their importance and in improving the quality of care. The objective of the study was to quantify stress levels of parents of babies admitted in NICU and compare the sources of stress for mothers and fathers.Methods: This was a cross-sectional, observational, hospital based study where stress levels were assessed using Parental Stressor Scale: neonatal intensive care unit (PSS: NICU) questionnaire among parents of 400 newborn admitted in NICU. Stress was quantified using 5 point Likert scale from 1 (not at all stressful) to 5 (extremely stressful). The overall stress levels were calculated for each subscale and total scale and compared.Results: NICU environment is moderately stressful for both mother and father. The highest score was in the field of Relationship with the baby and parental role for mothers as well as for fathers. Mothers had significantly higher stress scores for each subscale and the total scale compared to fathers.Conclusions: NICU parents are under significant stress and this is need of time to give family centered care. 


2012 ◽  
Vol 25 (2) ◽  
pp. 171-176 ◽  
Author(s):  
Sandra Regina de Souza ◽  
Giselle Dupas ◽  
Maria Magda Ferreira Gomes Balieiro

OBJETIVO: Traduzir, realizar a adaptação cultural e validar a escala Parental Stress Scale:Neonatal Intensive Care Unit (PSS:NICU) para a língua portuguesa. MÉTODOS: Utilizou-se o método descritivo de validação de instrumentos de medida, baseado nas etapas propostas por Guillemin et al. A análise da confiabilidade foi realizada por meio dos testes e retestes e da consistência interna. Na validação clínica, participaram 163 pais de recém-nascidos internados em Unidade de Terapia Intensiva Neonatal (UTIN). RESULTADOS: Os coeficientes de correlação intraclasse ficaram em torno de 0,70 mostrando boa estabilidade entre as duas avaliações. A análise fatorial pelo método de componentes principais utilizou os mesmos critérios da escala original, com rotação Varimax, com grau de variância adequado de 57,9%. Os maiores níveis de estresse dos pais foram obtidos na subescala "alteração do papel de pais". CONCLUSÃO: A PSS:NICU na versão em português é uma ferramenta válida e confiável para avaliação do estresse de pais com filho internado na UTIN.


Rev Rene ◽  
2019 ◽  
Vol 20 ◽  
pp. e39767 ◽  
Author(s):  
Bruna Caroline Rodrigues ◽  
Roberta Tognollo Borotta Uema ◽  
Gabrieli Patrício Rissi ◽  
Larissa Carolina Segantini Felipin ◽  
Ieda Harumi Higarashi

Author(s):  
Barbara Zych ◽  
Witold Błaż ◽  
Ewa Dmoch-Gajzlerska ◽  
Katarzyna Kanadys ◽  
Anna Lewandowska ◽  
...  

The experience of hospitalization of a newborn in the Neonatal Intensive Care Unit (NICU) may become distressing both for the baby and parent. The study aimed to assess the degree of parental stress and coping strategies in parents giving KMC to their babies hospitalized in NICU compared to the control group parents not giving KMC. The prospective observational study enrolled a cohort of 337 parents of premature babies hospitalized in NICU in 2016 in Eastern Poland. The Parental Stressor Scale: Neonatal Intensive Care Unit, Coping Inventory for Stressful Situations were used. The level of stress in parents giving KMC was defined as low or moderate. Analysis confirmed its greater presence in the group of parents initiating KMC late (2–3 weeks) compared to those starting this initiative in week 1 of a child’s life. An additional predictor of a higher level of stress in parents initiating KMC “late” was the hospital environment of a premature baby. Task oriented coping was the most common coping strategy in the study group. KMC and direct skin-to-skin contact of the parent with the baby was associated with a higher level of parental stress only initially and decreased with time and KMC frequency.


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