Jabraeili Mahnaz, Hassankhani Hadi, Negarandeh Reza, Abbaszadeh Mohammad, Cleveland Lisa M
School of Nursing and Midwifery, Tabriz University of Medical Sciences, Iran (Drs Jabraeili and Hassankhani); Nursing and Midwifery Care Research Center, Tehran University of Medical Sciences, Iran (Dr Negarandeh); Faculty of Humanities and Social Sciences, University of Tabriz, Iran (Dr Abbaszadeh); and School of Nursing, University of Texas Health Science Center at San Antonio, Texas (Dr Cleveland).
Adv Neonatal Care. 2018 Aug;18(4):E3-E12. doi: 10.1097/ANC.0000000000000530.
Each year, 5% to 8% of Iranian newborns require care in a neonatal unit (NU). Reasons for admission include prematurity, infection, and congenital anomalies. Little research has been conducted on the culture of Iranian NUs and the impact this has on mothers' emotional caregiving experiences.
To explore the emotional caregiving experiences of mothers in an Iranian NU.
Focused ethnography was used for this study. Mothers (n = 19) of term and preterm infants participated. Data were collected using observations and interviews. Roper and Shapira's 5-step framework was used to analyze the data.
Four major themes emerged: (a) fear, (b) loneliness, (c) competence, and (d) pleasure. Fear occurred when mothers felt unprepared to care for their infants. They were afraid of harming their infant or repeating previous mistakes. Loneliness consisted of bearing the burden of care while feeling alone. Competence occurred when the mothers experienced an increasing ability to provide care for their infants and a growing self-confidence. Finally, the mothers described pleasure as they began to feel worthiness as mothers and intense love for their infants.
The sense of fear and loneliness shared by these mothers has significant implications for practice. While it may be a challenge for nurses to provide adequate support for mothers due to the heavy workload of Iranian NUs, close relatives and other support persons may play a key role.
Future research should be conducted on the impact of maternal support on mothers' NU experiences in Iran.
每年，5%至8%的伊朗新生儿需要在新生儿病房（NU）接受护理。入院原因包括早产、感染和先天性异常。关于伊朗新生儿病房的文化及其对母亲情感护理体验的影响，相关研究较少。
探讨伊朗新生儿病房中母亲的情感护理体验。
本研究采用聚焦人种志方法。足月和早产婴儿的母亲（n = 19）参与了研究。通过观察和访谈收集数据。使用罗珀和夏皮拉的五步框架对数据进行分析。
出现了四个主要主题：（a）恐惧，（b）孤独，（c）能力，（d）愉悦。当母亲们觉得自己没有准备好照顾婴儿时，就会产生恐惧。她们害怕伤害到自己的婴儿或重蹈覆辙。孤独包括在独自承担护理负担的同时，感到孤独。当母亲们照顾婴儿的能力不断增强且自信心不断提高时，就会产生能力感。最后，母亲们将愉悦描述为她们开始感受到作为母亲的价值以及对婴儿的强烈爱意。
这些母亲所共有的恐惧和孤独感对实践具有重要意义。由于伊朗新生儿病房的工作量很大，护士要为母亲们提供充分的支持可能具有挑战性，近亲及其他支持人员可能会发挥关键作用。
未来的研究应针对母亲支持对伊朗母亲在新生儿病房体验的影响展开。
