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Neonatal nurses’ perspectives of family‐centred care: a qualitative study

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  • Suza Trajkovski
  • Virginia Schmied
  • Margaret Vickers
  • Debra Jackson

Abstract

Aims and objectives. The aim of this study is to explore neonatal nurses’ perspectives of their role in facilitating family centred care in the neonatal intensive care unit. Background. The philosophy of family centred care focuses on the health and wellbeing of the newborn and their family, through the development of a respectful partnership between the health care professional and the infant’s parents. Many studies report family centred care in the context of paediatric care; however, few studies explore neonatal nurses’ perspective of family centred care in the context of neonatal care. Design. Qualitative interpretative approach. Methods. Four focus groups and five individual face‐to‐face interviews were conducted with neonatal intensive care nurses (total n = 33) currently practicing in a tertiary Neonatal Intensive Care Unit in Australia. Each focus group and face to face interview was audio‐taped and transcribed. Data was analysed using thematic analysis. Results. Four dominant themes emerged from the data: (1) Getting to know parents and their wishes (2) Involving family in the day to day care (3) Finding a ‘happy’ medium (4) Transitioning support across the continuum. Conclusion. These findings revealed a general understanding of family centred care principles. Nurses reported the potential benefits and challenges of adopting a family centred care approach to deliver optimal care for neonates and their families. The study highlighted that nurses need ongoing organisation support, guidance and further education to assist them in delivering family centred care effectively. Relevance to clinical practice. Family centred care is a central tenet underpinning neonatal care. Understanding neonatal nurses’ perspectives will be useful when developing strategies to strengthen family centred care in the neonatal intensive care unit, and potentially improve neonatal care and family outcomes.

Suggested Citation

  • Suza Trajkovski & Virginia Schmied & Margaret Vickers & Debra Jackson, 2012. "Neonatal nurses’ perspectives of family‐centred care: a qualitative study," Journal of Clinical Nursing, John Wiley & Sons, vol. 21(17‐18), pages 2477-2487, September.
  • Handle: RePEc:wly:jocnur:v:21:y:2012:i:17-18:p:2477-2487
    DOI: 10.1111/j.1365-2702.2012.04138.x
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    Cited by:

    1. Tiffany Conroy, 2018. "Factors influencing the delivery of the fundamentals of care: Perceptions of nurses, nursing leaders and healthcare consumers," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(11-12), pages 2373-2386, June.
    2. Pia Lundqvist & Janne Weis & Bengt Sivberg, 2019. "Parents’ journey caring for a preterm infant until discharge from hospital‐based neonatal home care—A challenging process to cope with," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(15-16), pages 2966-2978, August.
    3. Anne Brødsgaard & Jette Thise Pedersen & Palle Larsen & Janne Weis, 2019. "Parents' and nurses' experiences of partnership in neonatal intensive care units: A qualitative review and meta‐synthesis," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(17-18), pages 3117-3139, September.
    4. Mariana Bueno & Rebeca Nogueira Costa & Patrícia Ponce de Camargo & Taine Costa & Denise Harrison, 2018. "Evaluation of a parent‐targeted video in Portuguese to improve pain management practices in neonates," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(5-6), pages 1153-1159, March.
    5. Gina Clarkson & Mary Jo Gilmer & Elizabeth Moore & Mary S. Dietrich & Brent A. McBride, 2019. "Cross‐sectional survey of factors associated with paternal involvement in the neonatal intensive care unit," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(21-22), pages 3977-3990, November.

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