| 1. |
- Aagaard, Hanne, et al.
(författare)
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Parents’ experiences of transitioning to home with a very-low-birthweight infant : a meta-ethnography
- 2023
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Ingår i: Journal of Neonatal Nursing. - : Elsevier. - 1355-1841 .- 1878-089X. ; 29:3, s. 444-452
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Forskningsöversikt (refereegranskat)abstract
- Medical-technological advances and neurodevelopmental care have improved the survival of extremely- and very-low-birthweight infants born before 32 weeks' gestation. After months in neonatal care, the infants are discharged, and parents exited but full of anxiety. This review is designed as a meta-ethnography, addressing parents' discharge experiences to comprehend the synthesised research, which includes 12 eligible studies. From the analysis, we constructed three themes: ‘approaching discharge with both uncertainty and confidence’; ‘discharge as a longed-for though disordering turning point’; and ‘facing joys, worries and multiple challenges when at home’. The overarching interpretation was ‘discharge as double-edged sword’. We conclude that bringing home very-low-birthweight infants is a joyful event, yet parents also experience discharge as never-endingly worrying, as a time filled with challenges to which parents must adapt and as necessitating continuous support from knowledgeable providers.
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| 2. |
- Bergström, Eva-Britt, et al.
(författare)
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Postpartum depression in mothers of infants cared for in a Neonatal Intensive Care Unit : Incidence and associated factors
- 2012
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Ingår i: Journal of Neonatal Nursing. - : Elsevier. - 1355-1841 .- 1878-089X. ; 18:4, s. 143-51
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Tidskriftsartikel (refereegranskat)abstract
- This longitudinal cohort study investigated the incidence of postpartum depression (PPD) among mothers of infants cared for in two Neonatal Intensive Care Units (NICU) and factors related to PPD onset. 123 mothers were posted the Edinburgh Post-Natal Depression Scale (EPDS) and a questionnaire to record infant and maternal data at 1 month, and a repeat EPDS scale at 4 months post-discharge. PPD incidence was 15% at 1 month, 14% at 4 months, and varied by NICU (23% vs. 8%). Pre-pregnancy and/or antenatal depression was significantly associated with the incidence of PPD. Mothers who experienced PPD at 1 month had an almost eight fold risk of experiencing PPD at 4 months. Women who were not offered counselling during their infant’s stay on the NICU had a 60% increased risk for PPD onset. The findings highlight the need for routine pre-natal screening and targeted support for mothers with infants admitted to NICU.
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| 3. |
- Bruce, Elisabeth, et al.
(författare)
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Swedish neonatal nurses’ experiences of enhancing attachment to children born prematurely
- 2022
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Ingår i: Journal of Neonatal Nursing. - : Elsevier. - 1355-1841 .- 1878-089X. ; 28:5, s. 344-348
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Tidskriftsartikel (refereegranskat)abstract
- The purpose of this study was to illuminate pediatric neonatal nurses' (PNNs') experiences of enhancing early attachment for the premature children in neonatal intensive care (NIC). An interview study with 8 PNNs in NIC in southeastern Sweden was conducted, and analyzed by content analysis. Result, illustrated three categories: Enabling closeness between the child and the parents, Supporting parents’ sense of parenthood, and Obstacles to enhancing attachment. Discussion, PNNs have a great role to supporting parents, but several barriers need to be addressed to make it easier for the PNN in NIC to enhance attachment for the child.
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| 4. |
- Fisher, Duncan, et al.
(författare)
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Fathers in neonatal units : Improving infant health by supporting the baby-father bond and mother-father coparenting
- 2018
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Ingår i: Journal of Neonatal Nursing. - : Elsevier. - 1355-1841 .- 1878-089X. ; 24:6, s. 306-312
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Tidskriftsartikel (refereegranskat)abstract
- The Family Initiative's International Neonatal Fathers Working Group, whose members are the authors of this paper, has reviewed the literature on engaging fathers in neonatal units, with the aim of making recommendations for improving experience of fathers as well as health outcomes in neonatal practice. We believe that supporting the father-baby bond and supporting co-parenting between the mother and the father benefits the health of the baby, for example, through improved weight gain and oxygen saturation and enhanced rates of breastfeeding. We find, however, that despite much interest in engaging with parents as full partners in the care of their baby, engaging fathers remains sub-optimal. Fathers typically describe the opportunity to bond with their babies, particularly skin-to-skin care, in glowing terms of gratitude, happiness and love. These sensations are underpinned by hormonal and neurobiological changes that take place in fathers when they care for their babies, as also happens with mothers. Fathers, however, are subject to different social expectations from mothers and this shapes how they respond to the situation and how neonatal staff treats them. Fathers are more likely to be considered responsible for earning, they are often considered to be less competent at caring than mothers and they are expected to be “the strong one”, providing support to mothers but not expecting it in return. Our review ends with 12 practical recommendations for neonatal teams to focus on: (1) assess the needs of mother and father individually, (2) consider individual needs and wants in family care plans, (3) ensure complete flexibility of access to the neonatal unit for fathers, (4) gear parenting education towards co-parenting, (5) actively promote father-baby bonding, (6) be attentive to fathers hiding their stress, (7) inform fathers directly not just via the mother, (8) facilitate peer-to-peer communication for fathers, (9) differentiate and analyse by gender in service evaluations, (10) train staff to work with fathers and to support co-parenting, (11) develop a father-friendly audit tool for neonatal units, and (12) organise an international consultation to update guidelines for neonatal care, including those of UNICEF.
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| 5. |
- Gerhardsson, Emma, et al.
(författare)
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Health care professionals report positive experience with a breastfeeding training program based on the Baby-Friendly Hospital Initiative for Neonatal Intensive Care
- 2023
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Ingår i: Journal of Perinatal & Neonatal Nursing. - : Elsevier. - 0893-2190 .- 1550-5073 .- 1355-1841 .- 1878-089X. ; 29:1, s. 75-80
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Tidskriftsartikel (refereegranskat)abstract
- Support from health care professionals (HCPs) with good knowledge and positive attitudes toward breastfeeding has been associated with better breastfeeding outcomes in the mothers of preterm infants. The aim of the study was to describe HCPs' experiences of a breastfeeding training program. A total of 48 specialist registered nurses, registered nurses, assistant nurses and physicians working at a neonatal intensive care unit attended a breastfeeding training program and answered a questionnaire including Likert scales and open-ended questions. The participants reported that their interest in breastfeeding had increased as a median (range) of 10 (8–10) on a 10-point scale and rated to what extent they had received new tools for breastfeeding support as a median of 10 (8–10) after training. There were no differences in the median between different professions' ratings. Qualitative content analysis of the open-ended questions resulted in two categories: Discussions of the case scenarios in the group and Knowledge regarding breastfeeding. The results showed that discussions based on breastfeeding scenarios were perceived as valuable; the health care professionals reported receiving new knowledge and useful practical skills. This program was shown to increase health care professionals’ interest in breastfeeding and is useful for different health care professions.
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| 6. |
- Lindberg, Birgitta
(författare)
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Access to videoconferencing in providing support to parents of preterm infants : Ascertaining parental views
- 2013
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Ingår i: Journal of Neonatal Nursing. - : Elsevier BV. - 1355-1841 .- 1878-089X. ; 19:5, s. 259-265
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Tidskriftsartikel (refereegranskat)abstract
- Having continued hospital support, even after returning home, in the form of videoconferencing between their home and neonatal intensive care unit (NICU), is of great importance for parents of preterm born infants. It is essential to elicit parents' views before providing videoconferencing access to parents. Therefore, the aim of this study was to ascertain the views of parents of preterm infants toward the use of real-time videoconferencing between their home and the NICU. Twelve parents, who participated in the study, were interviewed. Thematic content analysis of their interview texts was carried out. The analysis revealed three categories: willing to try; addition to the conventional care; might facilitate taking the step to go home. The theme identified from content analysis was ‘grabbing the chance to get extra support’. Parents view videoconferencing facility as a possible chance to get extra support. It appears to be one among several other ways to support families after returning home with their preterm infants.
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| 7. |
- Lindberg, Birgitta, et al.
(författare)
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Taking care of their baby at home but with nursing staff as support : the use of videoconferencing in providing neonatal support to parents of preterm infants
- 2009
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Ingår i: Journal of Neonatal Nursing. - : Elsevier BV. - 1355-1841 .- 1878-089X. ; 15:2, s. 47-55
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Tidskriftsartikel (refereegranskat)abstract
- The aim was to describe the experiences of parents of preterm infants on the use of real-time videoconferencing between their home and the Neonatal Intensive Care Unit (NICU). Ten couples participated in the study. After taking their infant home, parents had access, via video and sound in real-time, to the staff at the NICU. Data were collected by notes and interviews with the parent; thereafter a thematic content analysis was used to analyze the texts. The analysis revealed four categories: security provided by access to the staff; face-to-face supportive meetings; need for control over the use of videoconferencing; other possible uses of videoconferencing. The identified theme was 'feeling strengthened by having a link between the home and the NICU'. Parents experienced videoconferencing as positive, which empowered them and gave them confidence in their new situation of being at home with their infant.
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| 8. |
- Lindberg, Birgitta, et al.
(författare)
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The birth of a premature infant : experiences from the fathers' perspective
- 2007
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Ingår i: Journal of Neonatal Nursing. - : Elsevier BV. - 1355-1841 .- 1878-089X. ; 13:4, s. 142-149
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to describe the experiences from the birth of premature infants in the fathers' perspective. Eight fathers participated; their infants were born prematurely and thereby needed care in a neonatal intensive care unit. Narrative interviews were conducted and a thematic content analysis was used to analyze the interviews. Fathers described their experiences of having a preterm infant, as getting into the midst of something never previously reflected on. It was important to have information and to know what was going on, but it was difficult to understand what was happening. The fathers were protective over the mother and infant. They wanted to be with both the mother and the infant as much as possible and wished to be seen as a natural part in the care. However, fathers had their own needs and, therefore, needed to be cared for, as well.
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| 9. |
- Scherman, Elna, et al.
(författare)
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Procedural pain in neonates : Do nurses follow national guidelines? A survey to Swedish neonatal units
- 2014
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Ingår i: Journal of Neonatal Nursing. - : Elsevier. - 1355-1841 .- 1878-089X. ; 10:1, s. 31-36
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: to investigate if nurses at neonatal units in Sweden have adopted national guidelines when neonates are exposed to intravenous catheter, capillary heel prick, venepuncture and injections, to identify the frequency of documentation of pharmacological and behavioural treatments and to compare the answers from the nurses with results from an earlier national survey completed by the chief neonatologists at the same units.Design and sample: Four nurses at a total of 44 neonatal units in Sweden, received questionnaires. A total number of 116 surveys were analysed (response rate 66 %).Main outcome and results: All units had written guidelines for prevention and treatment of pain. Behavioural treatments were used in every painful procedure in the study, but only1/5 used EMLA® often or always. There was a higher tendency to document the use of drugs than behavioural treatments. The chief neonatologist reported higher use of glucose than did nurses.Conclusions: Swedish national guidelines are not used consistently in some neonatal units. There is a considerably larger cohort of nurses who use behavioral treatments, rather than using drugs when painful procedures are performed. It was also evident that it was more common to document the use of drugs than behavioral treatments.
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| 10. |
- van den Berg, Johannes, et al.
(författare)
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Back transport of infants to community hospitals : 12 years´ experience of an intervention to prepare parents for their infants´ transfer from neonatal intensive care to community hospital
- 2011
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Ingår i: Journal of Neonatal Nursing. - : Elsevier. - 1355-1841 .- 1878-089X. ; 17:3, s. 116-125
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Tidskriftsartikel (refereegranskat)abstract
- Effective regionalized neonatal intensive care includes back transport of stable infants to community hospitals. This transition can be pleasant or frightening for the family, and psychological preparation is critical. The aim of this study was to evaluate an intervention performed in collaboration with the neonatal intensive care unit (NICU) and community hospitals (CH) in the northern health care region of Sweden. Questionnaires were sent to families who had an infant transported from NICU to CH and discharged to home over three periods from 1994 to 2007. Families rated information about the CH more accurate, reception at the CH better, and their preparation for the transition better when they were contacted by the CH during their stay at the NICU. Both NICU and CH staff have a responsibility to facilitate back transport by promoting communication between families and staff at the hospital to which they are to be transported.
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