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Parents’ and health care providers’ perceptions and experiences of supportive care in neonatal wards: A qualitative metasynthesis
Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Sexuell, reproduktiv och perinatal hälsa.
Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Sexuell, reproduktiv och perinatal hälsa.
2018 (engelsk)Independent thesis Advanced level (degree of Master (Two Years)), 10 poäng / 15 hpOppgave
Abstract [en]

Background:

Four million infants die with in the first month of life and 27% of these deaths are directly related to low birth weight (LBW) or preterm birth. The main causes of infant death in premature and LBW infants is neonatal infections. It is thus crucial that the infant is taken care of in an appropriate way regarding caring and feeding and that care is provided to improve the child’s chances of survival and to lay the foundation for a healthy life. Aim: The aim of this meta-synthesiswas to examine parent`s and health care providers perceptions and experiences of supportive care in neonatal wards. Method: A qualitative meta-synthesis based on peer-reviewed scientific literature, and meta-ethnographic analysis method. In this meta-synthesis 16 articles were included. Result: The results comprised of two categories, Parents’ perspective of supportive strategies with eight corresponding preliminary patterns and Health care providers’ perspective of supportive strategies with six corresponding preliminary patterns. In the result section, each categories are presented with its corresponding preliminary patterns. The mothers experienced that the baby was unstable and therefore they wanted to be close to the baby at all times if something happened. Important was closeness to the infant is important, parental support according to needs, adequate communication and information with parents, genuine caring and continuous support to get close to the child. It also meant less light and less noise and privacy for the infant and the parent in the NICU ward.

Conclusion

Parents wanted to be able to be with his infant as rapidly after birth be reunited in case something happened. The importance of receiving information about their infant’s condition underpinned all communications that the parents undertook with NICU staff both in co-care when together with the child and part-care, when separated. Information for the parents was an important requirement of accepting their situation and immediately affected their anxiety. Clinical implications: The organizers of care must take in account that parents and infants will not be befitted by being cared for apart from each other. When planning for co-care enabling infants to be close to the parents, the mother-baby dyad should be prioritized. Context specific interview studies are suggested on co-care and part-care, parents and care providers perspectives.

sted, utgiver, år, opplag, sider
2018.
Emneord [en]
Preterm, Skin-to-skin, Kangaroo Mother Care, NICU Environment, Organization of care.
HSV kategori
Identifikatorer
URN: urn:nbn:se:du-28930OAI: oai:DiVA.org:du-28930DiVA, id: diva2:1265675
Tilgjengelig fra: 2018-11-26 Laget: 2018-11-26

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