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Fathers’ perceptions of the barriers and facilitators to their involvement with their newborn hospitalised in the neonatal intensive care unit

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  • Nancy Feeley
  • Elana Waitzer
  • Kathryn Sherrard
  • Linda Boisvert
  • Phyllis Zelkowitz

Abstract

Aims and objectives. To explore what fathers perceive to be facilitators or barriers to their involvement with their infants. Background. Fathers make unique and important contributions to the development of their infants. Fathers of infants in the neonatal intensive care unit often feel that they have a limited role to play in their infant’s care, and surveys suggest that they are not typically involved in infant caregiving. Paradoxically, qualitative studies have found that fathers do want to be involved, and their lack of involvement is an important source of stress. Design. Qualitative descriptive. Methods. Eighteen fathers of infants, in the neonatal intensive care unit for at least one week, were interviewed and asked to describe what they perceived to be the barriers and facilitators to their involvement. Interviews were audio taped and transcribed, and the data was content analysed. Results. Three major categories of barriers/facilitators were identified: (1) infant factors (size and health status, twin birth and infant feedback), (2) interpersonal factors (the rewards of and attitudes and beliefs regarding fatherhood; family management; previous experiences) and (3) neonatal intensive care unit environmental factors (physical and social). These factors could often be a barrier or facilitator to involvement depending on the context. Conclusions. This study provides insights into what factors influence involvement, and how nursing staff can support involvement and best meet fathers’ needs. Relevance to clinical practice. Nurses should explore the forms of involvement that a father desires, as well as the demands on their time, and determine what might be done to promote involvement. Fathers should be assisted to maximise the time that they do have with the infant. Nurses must provide clear and consistent information about whether and when caregiving is advisable, and they can explain and demonstrate how fathers can care for their infant.

Suggested Citation

  • Nancy Feeley & Elana Waitzer & Kathryn Sherrard & Linda Boisvert & Phyllis Zelkowitz, 2013. "Fathers’ perceptions of the barriers and facilitators to their involvement with their newborn hospitalised in the neonatal intensive care unit," Journal of Clinical Nursing, John Wiley & Sons, vol. 22(3-4), pages 521-530, February.
  • Handle: RePEc:wly:jocnur:v:22:y:2013:i:3-4:p:521-530
    DOI: 10.1111/j.1365-2702.2012.04231.x
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    Cited by:

    1. Garnica-Torres, ZulyKatherine & Brarymi Dias, Greicyani & da Silva, Pedroso Janari, 2024. "A systematic review of fatherhood and kangaroo care in the NICU," Children and Youth Services Review, Elsevier, vol. 157(C).
    2. Comrie-Thomson, Liz & Gopal, Prerna & Eddy, Katherine & Baguiya, Adama & Gerlach, Nina & Sauvé, Caroline & Portela, Anayda, 2021. "How do women, men, and health providers perceive interventions to influence men's engagement in maternal and newborn health? A qualitative evidence synthesis," Social Science & Medicine, Elsevier, vol. 291(C).
    3. Mahni Rahkar Farshi & Leila Valizadeh & Vahid Zamanzadeh & Mryam Rssouli & Violeta Lopez & Michelle Cleary, 2018. "Perceptions of Iranian parents towards the paternal role in raising adolescent children," Nursing & Health Sciences, John Wiley & Sons, vol. 20(4), pages 479-485, December.
    4. 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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