Experiences of the Iranian Neonatal Intensive Care Unit Nurses in Implementing Family-Centered Care: Walking on an Insecure Foundation

Authors

  • Elham Navab Department of Critical Care Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
  • Fatemeh Ghorbani Department of Pediatric Nursing, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
  • Jila Mirlashari Department of Pediatric and Neonatal Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
  • Sousan Valizadeh Department of Pediatric Nursing, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
  • Wendy Higman Clinical Research Fellow, Coventry University, Coventry, England
Abstract:

Background: Most of the nurses have accepted family-centered care (FCC) as a standard model of care; however, they meet difficulties using this model. The aim of this study was to explore the perception of Neonatal Intensive Care Unit (NICU) nurses about the implementation of FCC.Methods: This qualitative study was carried out on 11 in-service NICU nurses with at least three years of work experience using an interpretative phenomenological approach. The study setting was three separate NICUs of three teaching hospitals affiliated with Tabriz University of Medical Sciences, Tabriz, Iran. Data collection was performed through semi-structured interviews and field notes. The data were analyzed using the seven-stage Diekelmann, Allen, and Tanner approach.Results: One of the important themes emerging in this study was “Walking on an insecure foundation” that included three subthemes of “Inappropriate base”, “A pathway with no lines” and “Unequal encounter”. The nurses described a lack of facilities, inadequate space, and staff’s specific instruction in encouraging parents’ engagement, as well as high work pressure due to short staffing as factors that affected their ability to provide an ideal FCC.Conclusion: As the findings indicated, the lack of essential substructures and absence of a systematic program to engage parents in the care process of their infants have resulted in different operations by the nurses and discontinuous FCC implementation in NICUs. Officials and policy-makers should consider basic requirements, adequate workforce, and explicit guidelines to contextualize and guarantee the continuity of FCC.

Upgrade to premium to download articles

Sign up to access the full text

Already have an account?login

similar resources

Lived Experiences of the Caregivers of Infants about Family-Centered Care in the Neonatal Intensive Care Unit: A Phenomenological Study

Background: Family-centered care (FCC) has recently been recognized as the most effective approach in pediatric and family care. Despite the emphasis of healthcare systems on commitment to the philosophy and application of FCC, the nature of this method remains unknown in the related studies. The present study aimed to describe and interpret the experiences of professional and familial caregive...

full text

EFFECT OF FAMILY-CENTERED CARE ON FAMILY FUNCTION OF PRETERM NEWBORNS HOSPITALIZED IN THE NEONATAL INTENSIVE CARE UNIT (NICU)

Background & Aims: The birth of a premature baby and his/her hospitalization at birth, affects on family function. This study aimed to identify the effect of family-centered care on family function of preterm newborns hospitalized in the Neonatal Intensive Care Unit (NICU). Materials & Methods: In this quasi-experimental study, Parents of 60 premature infants with fetal age between 30 and 36 w...

full text

Nurses' Experiences of Palliative Care in the Neonatal Intensive Care Unit

Background & purpose: Despite recent advances in infant care technology, a number of infants are at risk in infancy period and need to palliative care. Nurses are responsible for the palliative care of the infants and the families. Therefore, the present study was conducted to explain the Nurses' Experiences of Palliative Care in the Neonatal Intensive Care Unit. Materials and Methods: This st...

full text

Effect of Family-centered Intervention in Neonatal Intensive Care Unit on Anxiety of Parents

Background Birth of a premature infant and hospitalization in the neonatal intensive care unit (NICU) is a stressful phenomenon and lead to parents’ anxiety. In such situation, fathers have important role to reduce mothers’ anxiety. This study aimed to investigate the effect of family-centered intervention in the NICU on the anxiety of parents. Materials and Methods In this clinical trial, 60 ...

full text

The Effect of Implementing Family-Centered Empowerment Model on the Quality of Life of Parents of Premature Infants Admitted to Neonatal Intensive Care Unit

Introduction: Infant hospitalization in the intensive care unit is a psychological crisis for the family that causes stress and disability for the family. In critical situations, the knowledge of the healthcare team is devoted to patient care, while it is necessary to emphasize the needs of the family. Numerous studies report a lack of support for family caregivers and a lack of attention to th...

full text

family-centered care in neonatal intensive care unit: a concept analysis

background: the concept of family- centered care in neonatal intensive care unit has changed drastically in protracted years and has been used in various contexts differently. since we require clarity in our understanding, we aimed to analyze this concept. methods: this study was done on the basis of developmental approach of rodgers’s concept analysis. we reviewed the existing literature in sc...

full text

My Resources

Save resource for easier access later

Save to my library Already added to my library

{@ msg_add @}


Journal title

volume 9  issue 2

pages  42- 49

publication date 2018-05-01

By following a journal you will be notified via email when a new issue of this journal is published.

Hosted on Doprax cloud platform doprax.com

copyright © 2015-2023