IDEAS home Printed from https://ideas.repec.org/a/wly/jocnur/v23y2014i23-24p3478-3489.html
   My bibliography  Save this article

Improved nurse–parent communication in neonatal intensive care unit: evaluation and adjustment of an implementation strategy

Author

Listed:
  • Janne Weis
  • Vibeke Zoffmann
  • Ingrid Egerod

Abstract

Aims and objectives To evaluate and adjust systematic implementation of guided family‐centred care in a neonatal intensive care unit. Background Family‐centred care is valued in neonatal intensive care units internationally, but innovative strategies are needed to realise the principles. Guided family‐centred care was developed to facilitate person‐centred communication by bridging the gap between theory and practice in family‐centred care. Main mechanisms of guided family‐centred care are structured dialogue, reflection and person‐centred communication. Design Qualitative and quantitative data were used to monitor participatory implementation of a systematic approach to training and certification of nurses delivering guided family‐centred care. Methods Systematic implementation of guided family‐centred care included workshops, supervised delivery and certification. Evaluation and adjustment of nurse adherence to guided family‐centred care was conducted by monitoring (1) knowledge, (2) delivery, (3) practice uptake and (4) certification. Results Implementation was improved by the development of a strategic framework and by adjusting the framework according to the real‐life context of a busy neonatal care unit. Promoting practice uptake was initially underestimated, but nurse guided family‐centred care training was improved by increasing the visibility of the study in the unit, demonstrating intervention progress to the nurses and assuring a sense of ownership among nurse leaders and nonguided‐family‐centred‐care‐trained nurses. Conclusions An adjusted framework for guided family‐centred care implementation was successful in overcoming barriers and promoting facilitators. Relevance to clinical practice Insights gained from our pioneering work might help nurses in a similar context to reach their goals of improving family‐centred care.

Suggested Citation

  • Janne Weis & Vibeke Zoffmann & Ingrid Egerod, 2014. "Improved nurse–parent communication in neonatal intensive care unit: evaluation and adjustment of an implementation strategy," Journal of Clinical Nursing, John Wiley & Sons, vol. 23(23-24), pages 3478-3489, December.
    • Handle: RePEc:wly:jocnur:v:23:y:2014:i:23-24:p:3478-3489
    DOI: 10.1111/jocn.12599
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/jocn.12599
    Download Restriction: no
    File URL: https://libkey.io/10.1111/jocn.12599?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Parle, Michael & Maguire, Peter & Heaven, Cathy, 1997. "The development of a training model to improve health professionals' skills, self-efficacy and outcome expectancies when communicating with cancer patients," Social Science & Medicine, Elsevier, vol. 44(2), pages 231-240, January.
    2. Flacking, Renée & Ewald, Uwe & Nyqvist, Kerstin Hedberg & Starrin, Bengt, 2006. "Trustful bonds: A key to "becoming a mother" and to reciprocal breastfeeding. Stories of mothers of very preterm infants at a neonatal unit," Social Science & Medicine, Elsevier, vol. 62(1), pages 70-80, January.
    3. Lupton, Deborah & Fenwick, Jennifer, 2001. "'They've forgotten that I'm the mum': constructing and practising motherhood in special care nurseries," Social Science & Medicine, Elsevier, vol. 53(8), pages 1011-1021, October.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. 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.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Flacking, Renée & Ewald, Uwe & Starrin, Bengt, 2007. ""I wanted to do a good job": Experiences of 'becoming a mother' and breastfeeding in mothers of very preterm infants after discharge from a neonatal unit," Social Science & Medicine, Elsevier, vol. 64(12), pages 2405-2416, June.
    2. Dam, Mie S. & Juhl, Sandra M. & Sangild, Per T. & Svendsen,, Mette N., 2017. "Feeding premature neonates: Kinship and species in translational neonatology," Social Science & Medicine, Elsevier, vol. 179(C), pages 129-136.
    3. 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.
    4. Jacqueline Elizabeth van Wijlen, 2019. "Breastfeeding woman or lactating object? A critical philosophical discussion on the influence of Cartesian dualism on breastfeeding in the neonatal intensive care unit," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(5-6), pages 1022-1031, March.
    5. Sanne Angel & Solfrid Vatne, 2017. "Vulnerability in patients and nurses and the mutual vulnerability in the patient–nurse relationship," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(9-10), pages 1428-1437, May.
    6. Palmquist, Aunchalee E.L. & Holdren, Sarah M. & Fair, Cynthia D., 2020. "“It was all taken away”: Lactation, embodiment, and resistance among mothers caring for their very-low-birth-weight infants in the neonatal intensive care unit," Social Science & Medicine, Elsevier, vol. 244(C).
    7. Zhigeng Geng & Sijian Wang & Menggang Yu & Patrick O. Monahan & Victoria Champion & Grace Wahba, 2015. "Group variable selection via convex log-exp-sum penalty with application to a breast cancer survivor study," Biometrics, The International Biometric Society, vol. 71(1), pages 53-62, March.
    8. Neely, Eva, 2023. "Theorising mother-baby-assemblages: The vital emergence of maternal health," Social Science & Medicine, Elsevier, vol. 317(C).
    9. Deeney, Kathleen & Lohan, Maria & Spence, Dale & Parkes, Jackie, 2012. "Experiences of fathering a baby admitted to neonatal intensive care: A critical gender analysis," Social Science & Medicine, Elsevier, vol. 75(6), pages 1106-1113.
    10. Evalotte Mӧrelius & Kajsa Kling & Eva Haraldsson & Siw Alehagen, 2020. "You can't flight, you need to fight—A qualitative study of mothers' experiences of feeding extremely preterm infants," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(13-14), pages 2420-2428, July.
    11. Flacking, Renée & Ewald, Uwe & Nyqvist, Kerstin Hedberg & Starrin, Bengt, 2006. "Trustful bonds: A key to "becoming a mother" and to reciprocal breastfeeding. Stories of mothers of very preterm infants at a neonatal unit," Social Science & Medicine, Elsevier, vol. 62(1), pages 70-80, January.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:jocnur:v:23:y:2014:i:23-24:p:3478-3489. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://doi.org/10.1111/(ISSN)1365-2702 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.