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Parents' and nurses' experiences of partnership in neonatal intensive care units: A qualitative review and meta‐synthesis

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  • Anne Brødsgaard
  • Jette Thise Pedersen
  • Palle Larsen
  • Janne Weis

Abstract

Aims and objectives To explore how parents and nurses experience partnership in neonatal intensive care units and to identify existing barriers and facilitators to a successful partnership. Background Family‐centred care is recommended as a frame of reference for treatment and care in neonatal intensive care units. A key element in family‐centred care is partnership. Such partnerships are characterised by complex interpersonal relationships and interactions between nurses and parents/families. Partnerships therefore appear to present a significant challenge. Design A qualitative review and meta‐synthesis. Methods Comprehensive searching in ten databases: CINAHL, PubMed (MEDLINE), EMBASE, PsycINFO, Scopus and SweMed+, OpenGrey, MedNar, Google Scholar and ProQuest Dissertations & Thesis Global. A total of 1,644 studies (after removal of duplicates) were critically assessed, and 21 studies fulfilled the inclusion criteria. A meta‐aggregation was used to synthesise the findings from the studies and was methodically quality assessed with QUARI/SUMARI and PRISMA. Findings Through a meta‐aggregative approach, two synthesised findings were developed: (a) co‐creation of mutual knowledge and (b) developing competencies and negotiating roles. The first synthesis embraced the categories: being respected and listened to, trust and sharing knowledge, and the second synthesis embraced the categories: space to learn with guidance, encouraging and enabling, being in control. In constructing the categories, findings were identified as characteristics, barriers and facilitators to application. Conclusion A successful relationship between parents and nurses can be achieved through co‐creation of mutual knowledge and development of competencies and negotiation of roles. Neonatal intensive care unit nurses are in a position where they exercise power, but they can change the culture if they are aware of what seems to facilitate or create a barrier to a partnership with parents. Relevance to clinical practice This new evidence may inform a change in policies and guidelines which could be integrated into nurses' clinical practice in neonatal intensive care units.

Suggested Citation

  • 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.
    • Handle: RePEc:wly:jocnur:v:28:y:2019:i:17-18:p:3117-3139
    DOI: 10.1111/jocn.14920
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    References listed on IDEAS

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    1. 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.
    2. Melanie Turner & Anna Chur‐Hansen & Helen Winefield, 2014. "The neonatal nurses' view of their role in emotional support of parents and its complexities," Journal of Clinical Nursing, John Wiley & Sons, vol. 23(21-22), pages 3156-3165, November.
    3. 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.
    4. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
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