Family-centered care in neonatal intensive units: The perceptions of nursing technicians

Authors

DOI:

https://doi.org/10.12707/RV21144

Keywords:

family nursing, communication, neonatal nursing, family, intensive care units, neonatal

Abstract

Background: Using the child- and family-centered care (CFCC) model provides neonatal units with considerable benefits, such as decreasing parents’ suffering through their participation and autonomy, increasing breastfeeding rates, and decreasing sequelae of prematurity in infants.

Objective: To understand nursing technicians’ perceptions of CFCC delivery in a neonatal intensive care unit (NICU).

Methodology: A qualitative research study was conducted at a NICU of a teaching hospital located in the interior of São Paulo, Brazil, using open and semi-structured interviews with six nursing technicians. Data were analyzed using thematic analysis, based on the principles of CFCC.

Results: The study identified the six themes Integrating families into the care process; Promoting the family unit’s closeness; Welcoming the family unit; Sharing information with the families; Recognizing the NICU as a stressful environment for families; and Limitations of delivering CFCC at the NICU.

Conclusion: The results show that nursing professionals have a limited understanding of CFCC and that it is crucial to include this topic in the education of future professionals and continuous training activities.

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References

Boyamian, T. M., Mandetta, M. A., & Balieiro, M. M. (2021). Nurses’ attitudes towards families in neonatal units. Revista da Escola de Enfermagem da USP, 55, e03684. https://doi.org/10.1590/s1980-220x2019037903684

Coats, H., Bourget, E., Starks, H., Lindhorst, T., Saiki-Craighill, S., Curtis, J. R., Hays, R., & Doorenbos, A. (2018). Nurses’ reflections on benefits and challenges of implementing family-centered care in pediatric intensive care units. American Journal of Critical Care, 27(1), 52–58. https://doi.org/10.4037/ajcc2018353

Davidson, J. E., Aslakson, R. A., Long, A. C., Puntillo, K. A., Kross, E. K., Hart, J., Cox, C. E., Wunsch, H., Wickline, M. A., Nunnally, M. E., Netzer, G., Kentish-Barnes, N., Sprung, C. L., Hartog, C. S., Coombs, M., Gerritsen, R. T., Hopkins, R. O., Franck, L. S., Skrobik, Y., Kon, A. A., … Curtis, J. R. (2017). Guidelines for family-centered care in the neonatal, pediatric, and adult ICU. Critical Care Medicine, 45(1), 103–128. https://doi.org/10.1097/CCM.0000000000002169

Enke, C., Oliva, Y., Hausmann, A., Miedaner, F., Roth, B., & Woopen, C. (2017). Communicating with parents in neonatal intensive care units: The impact on parental stress. Patient Education and Counseling, 100(4), 710–719. https://doi.org/10.1016/j.pec.2016.11.017

Fontanella, B. J., Ricas, J., & Turato, E. R. (2008). Amostragem por saturação em pesquisas qualitativas em saúde: Contribuições teóricas. Cadernos de Saúde Pública, 24(1), 17-27. https://doi.org/10.1590/S0102-311X2008000100003

Hasanpour, M., Alavi, M., Azizi, F., Als, H., & Armanian, A. M. (2017). Iranian parent-staff communication and parental stress in the neonatal intensive care unit. Journal of Education and Health Promotion, 6, 49. https://doi.org/10.4103/jehp.jehp_117_15.

Hill, C., Knafl, K. A., & Santacroce, S. J. (2018). Family-centered care from the perspective of parents of children cared for in a pediatric intensive care unit: An integrative review. Journal of Pediatric Nursing, 41, 22–33. https://doi.org/10.1016/j.pedn.2017.11.007

Kuo, S. F., Chen, I. H., Chen, S. R., Chen, K. H., & Fernandez, R. S. (2021). The effect of paternal skin-to-kin care: A systematic review and meta-analysis of randomized control trials. Advances in Neonatal Care, 22(1), e22-e32. https://doi.org/10.1097/ANC.0000000000000890

Mirlashari, J., Valizadeh, S., Navab, E., Craig, J. W., & Ghorbani, F. (2019). Dark and bright-two sides of family-centered care in the NICU: A qualitative study. Clinical Nursing Research, 28(7), 869–885. https://doi.org/10.1177/1054773818758171

Noergaard, B., Ammentorp, J., Garne, E., Fenger-Gron, J., & Kofoed, P. E. (2018). Fathers’ stress in a neonatal intensive care unit. Advances in Neonatal Care, 18(5), 413–422. https://doi.org/10.1097/ANC.0000000000000503

Pados, B. F., & Hess, F. (2020). Systematic review of the effects of skin-to-skin care on short-term physiologic stress outcomes in preterm infants in the neonatal intensive care unit. Advances in Neonatal Care, 20(1), 48–58. https://doi.org/10.1097/ANC.0000000000000596

Pope, C., & Mays, N. (2009). Pesquisa qualitativa na atenção à saúde (3ª ed.). Artmed.

Resolução nº 466/2012 do Conselho Nacional de Saúde. (2012). Diário Oficial da União. https://bvsms.saude.gov.br/bvs/saudelegis/cns/2013/res0466_12_12_2012.html

Richards, C. A., Starks, H., O’Connor, M. R., & Doorenbos, A. Z. (2017). Elements of family-centered care in the pediatric intensive care unit: An integrative review. Journal of Hospice and Palliative Nursing, 19(3), 238–246. https://doi.org/10.1097/NJH.0000000000000335

Sampaio, A. A., Zonta, J. B., Ferreira, F. Y., & Okido, A. C. (2017). Cuidado centrado na família em unidade de terapia intensiva pediátrica: Percepção dos profissionais. Revista Rene, 18(4), 515-520. https://doi.org/10.15253/2175-6783.2017000400013

Silva, C. C., Souza, M. A., Cabeça, L. P., & Melo, L. L. (2020). Ways of being of nursing professionals in the pediatric intensive therapy: Experiences with families. Revista Mineira de Enfermagem, 24, e-1305. https://doi.org/10.5935/1415-2762.20200042

Waddington, C., Veenendaal, N. R., O’Brien, K., Patel, N., & International Steering Committee for Family Integrated Care. (2021). Family integrated care: Supporting parents as primary caregivers in the neonatal intensive care unit. Pediatric Investigation, 5(2), 148–154. https://doi.org/10.1002/ped4.12277

Weber, A. M., Voos, K. C., Bakas, T. M., Rice, J. B., Blatz, M. A., Ribeiro, A., Tubbs-Cooley, H. L., Rota, M. J., & Kaplan, H. C. (2021). A clinical-academic partnership to develop a family management intervention for parents of preterm infants. Journal of Clinical Nursing, 31(3-4), 318-328. https://doi.org/10.1111/jocn.15929

Zhang, R., Huang, R. W., Gao, X. R., Peng, X. M., Zhu, L. H., Rangasamy, R., & Latour, J. M. (2018). Involvement of parents in the care of preterm infants: A pilot study evaluating a family--centered care intervention in a Chinese neonatal ICU. Pediatric Critical Care Medicine, 19(8), 741–747. https://doi.org/10.1097/PCC.0000000000001586

Published

2022-09-08

How to Cite

Costa, J. S. da, Moraes, E. S., Carmona, E. V., & Mendes-Castillo, A. M. C. (2022). Family-centered care in neonatal intensive units: The perceptions of nursing technicians. Journal of Nursing Referência, 6(1), 1–8. https://doi.org/10.12707/RV21144

Issue

Section

Research Articles