Rafii Forough, Alinejad-Naeini Mona, Peyrovi Hamid
Nursing Care Research Center, Iran University of Medical Sciences, Tehran, Iran.
Department of Neonatal Intensive Care Nursing, Nursing Care Research Center, Iran University of Medical Sciences, Tehran, Iran.
Iran J Nurs Midwifery Res. 2020 Jun 17;25(4):304-313. doi: 10.4103/ijnmr.IJNMR_201_19. eCollection 2020 Jul-Aug.
A review of the literature shows that there is little consensus on the practical definition of maternal role attainment in the field of neonatal nursing care. The initial interaction between mother and neonate most often begins in the hospital and can be influenced by neonatal nurses, so it is necessary to clarify this concept in nursing. The purpose of this study was to show the basic characteristics and practical definition of maternal role attainment in mothers with term neonate in a new context.
This study used a hybrid model three-step concept analysis: theoretical, fieldwork, and final analysis phases. At theoretical phase, articles indexed in credential databases were searched using keywords. Totally, 33 articles were analyzed. At fieldwork phase, 12 participants were interviewed. At final phase, the findings of the two earlier phases were analyzed. The study lasted from August to November 2018. After determining the attributes, antecedents, and consequences, a final definition of maternal role attainment was introduced.
The concept of maternal role attainment was defined as "a developmentally, interactive, adaptive, and committed multi-dimensional process based on the discovery of pregnancy, characteristics of the mother, receiving social support, which leads to maternal identity, formation of maternal skills, resiliency, development of newborn, improvement of mother-newborn interactions and increased well-being of the mother".
This study identifies the concept of maternal role attainment in nursing, providng a good basis for evaluating and applying this concept.
文献综述表明,在新生儿护理领域,对于母亲角色实现的实际定义几乎没有共识。母亲与新生儿之间的最初互动大多始于医院,且可能受到新生儿护士的影响,因此有必要在护理中明确这一概念。本研究的目的是在新背景下展现足月儿母亲母亲角色实现的基本特征和实际定义。
本研究采用混合模型三步概念分析:理论、实地调查和最终分析阶段。在理论阶段,使用关键词在权威数据库中检索文章。共分析了33篇文章。在实地调查阶段,对12名参与者进行了访谈。在最后阶段,对前两个阶段的结果进行了分析。研究从2018年8月持续到11月。在确定了属性、前因和后果后,引入了母亲角色实现的最终定义。
母亲角色实现的概念被定义为“一个基于怀孕的发现、母亲的特征、获得社会支持的发展性、互动性、适应性和投入性的多维过程,这导致母亲身份认同、母亲技能的形成、恢复力、新生儿的发育、母婴互动的改善以及母亲幸福感的提升”。
本研究确定了护理中母亲角色实现的概念,为评估和应用这一概念提供了良好的基础。