Primary Care Research Centre, University of Southampton, Southampton, UK.
University of Manchester, Manchester, UK.
J Adv Nurs. 2024 Oct;80(10):4214-4229. doi: 10.1111/jan.16070. Epub 2024 Feb 21.
To explore parents' perceptions/experiences of help-seeking for unsettled baby behaviours, including views and experiences of obtaining advice from primary healthcare professionals.
Semi-structured qualitative interviews.
Recruitment occurred via social media, general practice and health visiting teams. Remote semi-structured interviews were conducted with parents of babies. Babies were under 12 months old at time of interview, and parents had perceived unsettled baby behaviours in their first 4 months of life. Interviews were transcribed and data analysed using reflexive thematic analysis.
Based on interviews with 25 mothers, four main themes were developed. 'The need for answers' highlighted parental uncertainty about what constitutes normal baby behaviour, leading to help-seeking from multiple sources. 'The importance of health professionals' and 'Experiencing health professional support' identified perceptions about limited access, communication, mixed advice and how these influenced parental perception/management of behaviours. 'Foundations to help-seeking' highlighted important roles of social support and online help for valued shared experiences, emotional and practical support.
Health professional access and advice are important to parents, despite the increasing role of online help and importance of social support. More support and improved access to reliable sources of information is needed for parents.
IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Findings will inform future research and clinical practice to address parental uncertainties. Qualitative research with front-line health professionals is necessary.
Findings can inform the development of resources to support professionals/families managing unsettled babies.
Standards for Reporting Qualitative Research.
A public contributor was involved throughout all stages of the research. Emerging findings were discussed at a parent group. WHAT DOES THIS PAPER CONTRIBUTE TO THE WIDER GLOBAL CLINICAL COMMUNITY?: Addressing parental uncertainties is important; about what is normal, non-pharmacological approaches and when pharmacological intervention is required. A digital information/self-management intervention may be useful for parents/clinicians.
探讨父母对婴儿行为不安寻求帮助的看法/经验，包括从初级保健专业人员那里获得建议的看法和经验。
半结构化定性访谈。
通过社交媒体、全科医生和健康访视团队进行招募。对婴儿未满 12 个月的父母进行远程半结构化访谈。父母在婴儿出生后的前 4 个月就已经察觉到婴儿行为不安。对访谈进行转录，并使用反思性主题分析进行数据分析。
基于对 25 位母亲的访谈，得出了四个主要主题。“寻求答案的需要”强调了父母对正常婴儿行为的不确定性，导致他们从多个来源寻求帮助。“卫生专业人员的重要性”和“体验卫生专业人员的支持”确定了对有限获取、沟通、混合建议的看法，以及这些看法如何影响父母对行为的看法/管理。“寻求帮助的基础”强调了社会支持和在线帮助对宝贵的共同经验、情感和实际支持的重要作用。
尽管在线帮助的作用越来越大，社会支持也很重要，但卫生专业人员的可及性和建议对父母来说仍然很重要。父母需要更多的支持和改善获取可靠信息的途径。
对专业人员和/或患者护理的影响：研究结果将为未来的研究和临床实践提供信息，以解决父母的不确定性。需要对一线卫生专业人员进行定性研究。
研究结果可为支持专业人员/家庭管理不安定婴儿的资源开发提供信息。
定性研究报告标准。
一位公众参与者在研究的所有阶段都参与其中。在一个家长小组中讨论了新兴发现。
这篇论文对更广泛的全球临床社区有何贡献？：解决父母的不确定性很重要，包括了解什么是正常的、非药物治疗方法以及何时需要药物干预。对于父母/临床医生来说，数字信息/自我管理干预可能是有用的。
