J Obstet Gynecol Neonatal Nurs. 2024 Sep;53(5):534-542. doi: 10.1016/j.jogn.2024.04.007. Epub 2024 May 29.
To explore parents' shared experiences of separation from their newborns after birth in Denmark.
Phenomenological hermeneutic design.
A NICU in the Capital Region of Denmark.
Four sets of parents (N = 8) with prematurely born neonates who were admitted to the NICU.
We used dyadic interviews for data collection. We applied a phenomenological hermeneutic approach inspired by Ricoeur's theory of interpretation to analyze the data.
Two overarching themes emerged that reflected two distinct temporal phases of separation. Initial separation caused an experience of becoming parents at different paces. Separation based on care needs (i.e., the NICU vs. maternity unit) left parents at the juncture between separation and closeness.
Separation from their newborns complicated parents' transitions into parenthood. Their sense of unity was undermined when different units assumed responsibility for the mother and newborn. This challenged family-centered care. Our findings indicate the need to minimize separation through initiatives such as zero separation and couplet care.
探索丹麦父母在新生儿出生后与新生儿分离的共同经历。
现象学诠释学设计。
丹麦首都大区的新生儿重症监护病房。
4 对(N=8)有早产儿的父母,他们的新生儿被收入新生儿重症监护病房。
我们使用了对偶访谈进行数据收集。我们应用了受里克尔解释理论启发的现象学诠释学方法来分析数据。
出现了两个总体主题,反映了分离的两个不同的时间阶段。最初的分离导致父母以不同的速度成为父母。基于护理需求的分离(即新生儿重症监护病房与产科病房)使父母处于分离与亲近的交界处。
与新生儿的分离使父母的父母角色过渡复杂化。当不同的单位负责母亲和新生儿时,他们的统一感受到了破坏。这对以家庭为中心的护理提出了挑战。我们的研究结果表明,需要通过零分离和对偶护理等举措来尽量减少分离。