Implementing modified family integrated care in a U.S. neonatal intensive care unit: nursing perspectives and effects on parents

Journal of Perinatology, Journal Year: 2023, Volume and Issue: 43(4), P. 503 - 509

Published: Jan. 10, 2023

Language: Английский

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Prevalence of anxiety, depression, and stress among parents of neonates admitted to neonatal intensive care unit: a systematic review and meta-analysis

Clinical and Experimental Pediatrics, Journal Year: 2023, Volume and Issue: 67(2), P. 104 - 115

Published: Nov. 14, 2023

Background: Neonatal intensive care unit (NICU) admission causes significant distress that can hinder the successful transition into parenthood, child-parent relations, and child development.Purpose: This systematic review meta-analysis aimed to understand parental psychological phenomena. Here we assessed emotional response of parents newborns during NICU admission.Methods: Two authors independently searched PubMed, Cumulative Index Nursing Allied Health Literature, Embase, Clinical Key, Google Scholar databases for studies published between January 01, 2004, December 31, 2021. The followed Cochrane collaboration guidelines PRISMA (Preferred Reporting Items Systematic Review Meta-Analysis) statement. quality included was using modified Newcastle-Ottawa Scale. Stata software (version 16) used compute results.Results: comprised 6,822 (5,083 mothers, 1,788 fathers; age range, 18–37 years) patients. gestational ages neonatal weights were 25.5–42 weeks 750–2,920 g, respectively. pooled prevalence anxiety higher among mothers (effect size [ES], 0.51; 95% confidence interval [CI], 0.41–0.61; heterogeneity [I2]=97.1%; P<0.001) than fathers (ES, 0.26; CI, 0.11–0.42; I2=96.6%; P<0.001). Further, depression 0.31; 0.24–0.38; I2=91.5%; 0.12; 0.03–0.22; I2=85.6%; Similarly, stress 0.41; 0.31–0.51; I2= 93.9%; 0.22; 0.09–0.34; I2=85.2%; P<0.001).Conclusion: is more stressful affect mental health life. Mothers reported a stress, anxiety, fathers, possibly attributable their feelings about birthing sick child.

Language: Английский

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The Prevalence of PTSD of Mothers and Fathers of High-Risk Infants Admitted to NICU: A Systematic Review

Clinical Child and Family Psychology Review, Journal Year: 2022, Volume and Issue: 26(1), P. 33 - 49

Published: Dec. 23, 2022

Language: Английский

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Parenting Expectations, NICU Experiences, and Maternal Psychological Outcomes

Advances in Neonatal Care, Journal Year: 2024, Volume and Issue: 24(2), P. 195 - 207

Published: Jan. 12, 2024

Background: Infant neonatal intensive care unit (NICU) hospitalization increases maternal risk for psychological distress. However, no universal screening standards exist and predicting remains challenging. Reconceptualizing distress in relation to differences between parenting expectations NICU experiences may illuminate commonalities across a range of experiences. Purpose: This study explored expectation–experience (EEDs) among mothers assessed correlations EED scores outcomes 1 5 years post-NICU hospitalization. Methods: A 3-phase explanatory sequential mixed-methods design was used. Pearson's correlation coefficients were used measure relationships outcomes. Reflexive thematic analysis one-on-one, semi-structured interviews contextualized scores. Results: Most participants (92.9%) reported negative scores, indicating fell short expectations. Significant inverse found outcomes, including depression ( r = −0.25, P < .01), anxiety .01) posttraumatic stress disorder symptoms −0.41, .001), perceived self-efficacy −0.28, .01). Major qualitative themes included unexpected versus prepared, lost experiences, surviving thriving. Data synthesis revealed key meaning ascribed unmet Implications Practice Research: Preparing infant creating environment, which better supports their engagement tasks, help reduce Further research is needed elucidate the impacts EEDs this population.

Language: Английский

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The risk factors of post-traumatic stress disorder among parents of neonatal intensive care unit infants: A systematic review

Journal of Neonatal Nursing, Journal Year: 2025, Volume and Issue: 31(2), P. 101620 - 101620

Published: Feb. 12, 2025

Language: Английский

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Experiences of communication in the neonatal intensive care unit for mothers with a preferred language other than English

Journal of Perinatology, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 20, 2025

Language: Английский

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Outcomes of Preterm Infants

Clinics in Perinatology, Journal Year: 2023, Volume and Issue: 50(1), P. 1 - 16

Published: March 1, 2023

Language: Английский

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Parenting Self-Efficacy Moderates the Association Between Unmet Parenting Expectations and NICU-Related PTSD Symptoms Reported by Mothers 1–5 Years Post-Infant NICU Hospitalization

Issues in Mental Health Nursing, Journal Year: 2025, Volume and Issue: 46(1), P. 58 - 69

Published: Jan. 2, 2025

Infant neonatal intensive care unit (NICU) hospitalization increases maternal risk for post-traumatic stress disorder (PTSD) symptoms, which may negatively impact mother-child attachment and infant growth development. Prior studies have documented positive associations between unmet parenting expectations adverse psychological outcomes, including post-NICU discharge. However, no yet explored how be associated with NICU-related PTSD symptoms. The current paper reports a focused analysis of cross-sectional questionnaire data collected from NICU mothers (n = 128) during larger mixed methods study. Multiple linear regression was used to test the association expectation-experience differences (EEDs) symptoms reported by 1–5 years post-infant hospitalization. moderating role self-efficacy also examined. After adjusting covariates in main effects model, negative found EED scores (B −1.5, p< 0.001), perceived moderate (weaken) this association. Findings suggest that interventions practices aimed at better aligning experiences promoting among strengthen delivery supportive, family-centered lead improved child outcomes population.

Language: Английский

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“Trying to Grab Pieces of Hope”: Exploring the Experiences of Black and Hispanic Parents following a Congenital Heart Disease Diagnosis

American Journal of Perinatology Reports, Journal Year: 2025, Volume and Issue: 15(01), P. e6 - e17

Published: Jan. 1, 2025

Objective Congenital heart disease (CHD) is an important contributor to pediatric morbidity and mortality. Unfortunately, disparities in the diagnosis treatment of CHD exist across racial ethnic groups. The objective this study was share experiences Hispanic Black families with better understand their needs. Study Design This a descriptive qualitative involving two 2-part focus groups, one conducted English Spanish, consisting parents infants CHD. Focus groups were audio recorded, transcribed, analyzed via conventional content analysis approach. Results Six family members participated, representing range cardiac diagnoses. Two participants cited identity as non-Hispanic four Hispanic. Three organizing themes emerged related (1) communication, (2) psychosocial needs processing, (3) practical challenges associated having child Together, these supported singular global theme: structural socioemotional gaps care for that need be met order optimize patients families. Conclusion Societal systems-level factors, including inequities, contribute experienced by minority children Key Points

Language: Английский

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‘The transition home with a premature baby’: How prepared are parents for discharge from NICU: A narrative review

Journal of Neonatal Nursing, Journal Year: 2025, Volume and Issue: 31(2), P. 101601 - 101601

Published: Jan. 10, 2025

Language: Английский

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