The Emotional Transition to the Neonatal Intensive Care Unit

AFTER 20 YEARS AS AN OPERATING ROOM NURSE, I WAS ready for a change. The Neonatal Intensive Care Unit was an area of practice that I had always been interested in. The NICU at my hospital had expanded and was willing to train someone with no previous experience, and I was eager to learn. I was prepared to become a novice again, to wrestle with the frustrations and struggles of starting over in a new field. What I was not prepared for was the flood of emotions that I was to experience.

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Operating Room Within the Neonatal Intensive Care Unit—Experience of a Medical Center in Taiwan

Pediatrics & Neonatology ◽

10.1016/j.pedneo.2014.10.003 ◽

2015 ◽

Vol 56 (4) ◽

pp. 220-225 ◽

Cited By ~ 7

Author(s):

Ya-Lei Wang ◽

Suh-Fang Jeng ◽

Po-Nien Tsao ◽

Hung-Chieh Chou ◽

Chien-Yi Chen ◽

...

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Neonatal Intensive Care Unit ◽

Operating Room ◽

Neonatal Intensive Care ◽

Medical Center

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Broviac catheter insertion: Operating room or neonatal intensive care unit

Journal of Pediatric Surgery ◽

10.1016/s0022-3468(87)80645-0 ◽

1987 ◽

Vol 22 (9) ◽

pp. 823-824 ◽

Cited By ~ 18

Author(s):

Kevin P. Lally ◽

William D. Hardin ◽

Millie Boettcher ◽

Syed I. Shah ◽

G. Hossein Mahour

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Neonatal Intensive Care Unit ◽

Operating Room ◽

Neonatal Intensive Care ◽

Catheter Insertion

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The Psychosocial Aspects of Feeding in the Neonatal Intensive Care Unit and Beyond

Perspectives of the ASHA Special Interest Groups ◽

10.1044/2019_persp-19-00097 ◽

2019 ◽

Vol 4 (6) ◽

pp. 1507-1515

Author(s):

Lauren L. Madhoun ◽

Robert Dempster

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Neonatal Intensive Care Unit ◽

Hospital Discharge ◽

Neonatal Intensive Care ◽

Oral Feeding ◽

Medical Attention ◽

Primary Role ◽

Speech Language Pathologists ◽

The Family

Purpose Feeding challenges are common for infants in the neonatal intensive care unit (NICU). While sufficient oral feeding is typically a goal during NICU admission, this can be a long and complicated process for both the infant and the family. Many of the stressors related to feeding persist long after hospital discharge, which results in the parents taking the primary role of navigating the infant's course to ensure continued feeding success. This is in addition to dealing with the psychological impact of having a child requiring increased medical attention and the need to continue to fulfill the demands at home. In this clinical focus article, we examine 3 main areas that impact psychosocial stress among parents with infants in the NICU and following discharge: parenting, feeding, and supports. Implications for speech-language pathologists working with these infants and their families are discussed. A case example is also included to describe the treatment course of an infant and her parents in the NICU and after graduation to demonstrate these points further. Conclusion Speech-language pathologists working with infants in the NICU and following hospital discharge must realize the family context and psychosocial considerations that impact feeding progression. Understanding these factors may improve parental engagement to more effectively tailor treatment approaches to meet the needs of the child and family.

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