Abuidhail Jamila, Al-Motlaq Mohammad, Mrayan Lina, Salameh Taghreed
1PhD, RN, Associate Professor, Faculty of Nursing, Hashemite University, Jordan 2MSN, Doctoral Student, School of Nursing, University of Louisville, Kentucky, USA.
J Nurs Res. 2017 Apr;25(2):156-162. doi: 10.1097/JNR.0000000000000134.
Many international studies in the field of neonatal nursing have identified parental stress, coping difficulties, support issues, and various other experiences that are related to the birth of a preterm infant. However, no studies have assessed the interrelated issues of parental stress, social support, satisfaction, and nursing support in neonatal intensive care units (NICUs) in Jordan.
This study describes the lived experiences, needs in relation to care, and support systems of parents whose neonates were admitted to the NICU.
A qualitative design using a phenomenological approach was used to explore the experiences of Jordanian parents who gave birth to neonates in the NICU setting. Participants were recruited from the NICUs of government, teaching, and private hospitals. Data were collected using semistructured interviews that were conducted with parents in a suitable place. Ten participants were interviewed: eight mothers and two fathers. After interviews were transcribed, the methodology suggested by van Manen (1990) was used to analyze the data.
The shock, worry, and anxiety experienced by parents; the influences of NICU admission on the experiences of parents and families; the information and assistance required and received by parents from healthcare professionals; and the emotions and satisfaction of parents were the main themes that emerged from the study to reflect the lived experience of parents of neonates in the NICU.
CONCLUSIONS/IMPLICATIONS FOR PRACTICE: The parents in this study were satisfied with the healthcare process in the NICUs, even when this care did not fulfill their expectations or needs for their infants. Nurses in the NICUs must develop interventions and strategies that minimize the stress experienced by parents and that support the emotional capacity of parents to deal with this stressful situation.
新生儿护理领域的许多国际研究已经确定了与早产儿出生相关的父母压力、应对困难、支持问题以及各种其他经历。然而,尚无研究评估约旦新生儿重症监护病房(NICU)中父母压力、社会支持、满意度和护理支持的相互关联问题。
本研究描述了新生儿入住NICU的父母的生活经历、护理需求和支持系统。
采用质性设计,运用现象学方法探讨在NICU环境中分娩新生儿的约旦父母的经历。参与者从政府、教学和私立医院的NICU招募。通过在合适场所与父母进行半结构化访谈收集数据。共访谈了10名参与者:8名母亲和2名父亲。访谈转录后,采用范曼恩(1990)提出的方法进行数据分析。
父母经历的震惊、担忧和焦虑;NICU入院对父母及家庭经历的影响;父母从医护人员那里获得和需要的信息与帮助;以及父母的情绪和满意度,是该研究中出现的主要主题,反映了NICU中新生儿父母的生活经历。
结论/对实践的启示:本研究中的父母对NICU的医疗过程感到满意,即使这种护理未能满足他们对婴儿的期望或需求。NICU的护士必须制定干预措施和策略,以尽量减少父母所经历的压力,并支持父母应对这种压力情况的情感能力。