Department of Pediatrics, University of Alberta, Edmonton, Canada (Dr Shafey); Departments of Pediatrics and Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Canada (Dr Benzies); Department of Pediatrics, University of Toronto, Toronto, Canada (Drs Amin and Shah); and Department of Critical Care Medicine, University of Calgary, Calgary, Canada (Dr Stelfox).
J Perinat Neonatal Nurs. 2022;36(4):371-379. doi: 10.1097/JPN.0000000000000684.
The Family Integrated Care (FICare) program adapted for Alberta (AB) level II neonatal intensive care units (NICUs) aims to increase parental involvement and support during their NICU stay. The experience of fathers of preterm infants in a FICare program is currently unknown.
To describe the experiences of fathers of preterm infants born at 320/7 to 346/7 weeks' gestational age with AB FICare.
A qualitative substudy of a multicenter prospective cluster randomized controlled trial of FICare in 10 level II NICUs across Alberta. Fathers of preterm infants participated in a semistructured interview after discharge when their infants were at least 2 months' corrected gestational age. Journal entries written by fathers while in the NICU from the FICare intervention sites were also collected. Data were analyzed thematically and the interview and journal data were triangulated.
Thirteen fathers (9 from the FICare intervention and 4 from standard care) participated in semistructured interviews and there were 24 journals collected. Seven themes emerged: fear of the unknown, mental preparation, identifying the father's role, parenting with supervision, effective communication, postneonatal intensive care transition, and family life. Fathers enrolled in AB FICare attributed their level of confidence and positive neonatal intensive care experience that continued postdischarge to the care and attention they received during hospitalization.
AB FICare may improve experiences for fathers of preterm infants in the NICU with continuation postdischarge. Future research should include designing and evaluating father-specific NICU programs.
适应艾伯塔省（AB）二级新生儿重症监护病房（NICU）的家庭综合护理（FICare）计划旨在增加父母在 NICU 期间的参与度和支持度。目前尚不清楚接受 FICare 计划的早产儿父亲的体验。
描述胎龄 320/7 至 346/7 周的早产儿父亲在 AB FICare 计划中的体验。
这是一项多中心前瞻性集群随机对照试验的定性子研究，该试验在艾伯塔省的 10 个二级 NICU 中进行。当婴儿至少校正胎龄 2 个月时，早产儿父亲在出院后参加了半结构化访谈。还收集了来自 FICare 干预地点的父亲在 NICU 时写的日记条目。数据通过主题分析进行分析，并对访谈和日记数据进行三角剖分。
13 位父亲（9 位来自 FICare 干预组，4 位来自标准护理组）参加了半结构化访谈，共收集了 24 份日记。出现了 7 个主题：对未知的恐惧、心理准备、确定父亲的角色、在监督下育儿、有效沟通、新生儿重症监护后过渡和家庭生活。参加 AB FICare 的父亲将他们的信心水平和积极的新生儿重症监护体验归因于他们在住院期间得到的护理和关注，这种体验在出院后仍在继续。
AB FICare 可能会改善 NICU 中早产儿父亲的体验，并在出院后继续进行。未来的研究应包括设计和评估针对父亲的 NICU 计划。
