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Factors affecting parents' presence with their extremely preterm infants in a neonatal intensive care room
(Neonatal Intensive Care Unit)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health. (Perinatal neonatal kardiologi/Hellström-Westas)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Pediatrics. (Barnendokrinologisk forskning/Gustafsson)
2013 (English)In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 102, no 7, 695-702 p.Article in journal (Refereed) Published
Abstract [en]

Aim To describe parents' experiences of factors that influenced their stay with their extremely preterm infants in a neonatal intensive care unit (NICU). Methods This study has a qualitative descriptive design based on semistructured interviews conducted with seven mothers and six fathers. Results Opportunities to stay overnight together with their infant facilitated parental presence, and opportunities for taking over their infant's care empowered the parents in their parental role and increased their motivation to stay. Kangaroo mother care helped them to feel in control and feel needed, which increased their presence. High levels of illumination and noise rendered it difficult for parents to sleep and stay overnight with the infant. Low staffing levels limited their use of kangaroo mother care when they had to wait for assistance to transfer the infant from the incubator. Several participants perceived the performance of painful procedures on their child as stressful and as an obstacle to their presence. Conclusion Kangaroo mother care and active involvement in the infant's care gave parents a sense of control and strengthened their motivation to be with their infant. High levels of noise and illumination and a dismissive staff attitude were obstacles to parents' presence.

Place, publisher, year, edition, pages
2013. Vol. 102, no 7, 695-702 p.
Keyword [en]
Environment, Extremely preterm infants, Kangaroo mother care, Neonatal intensive care unit, Parent
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-203515DOI: 10.1111/apa.12267ISI: 000319741800021OAI: oai:DiVA.org:uu-203515DiVA: diva2:637267
Available from: 2013-07-17 Created: 2013-07-15 Last updated: 2017-12-06Bibliographically approved

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Hellström-Westas, LenaNyqvist, Kerstin Hedberg

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