Nursing Support for Parents of Hospitalized Children

Background: Having a child in hospital is a stressful experience for most parents. Support from nurses can assist parents to maintain their parenting role and promote quality pediatric nursing care. Aims and objectives: The aim of the study is to describe the quality of nurse-parent support in Iranian parents of hospitalized children in pediatric sites. Methods: This was a descriptive study using a convenience sample. Two hundred and thirty parents (183 mothers and 47 fathers) with hospitalized children took part in this survey that used the Nurse Parent Support Tool (NPST). This validated instrument has 21 items and 4 subscales (Informational Giving and Communication Support; Emotional Support; Appraisal Support and Instrumental Support), and was translated into Farsi. Results: The total mean of the NPST was M = 4.1 (SD = 0.7). There was a significant difference between gender of the parents and the Instrumental Support subscale. Also, there was significant difference between among education level of parents and Emotional Support. In addition, there was significant difference related to the gender of the child and Information Giving and Communication Support and Appraisal Support. There was no significant difference in any of the subscales when analyzed for length of hospitalization, kind of diseases and age of children. Conclusions: The findings indicate that parents received a high level of support from nurses. Nurses can promote the quality of family care and should be aware of the importance of the several types of nursing support in meeting the requests of parents. It is important that nurses continue to develop their knowledge about types of communication with the family, especially in providing support for the parent role.

[1]  J. House Work stress and social support , 1981 .

[2]  S. Funk,et al.  The stress response of mothers and fathers of preterm infants. , 1992, Research in nursing & health.

[3]  Marsha H. Cohen,et al.  The stages of the prediagnostic period in chronic, life-threatening childhood illness: a process analysis. , 1995, Research in nursing & health.

[4]  A. Casey,et al.  Partnership nursing: influences on involvement of informal carers , 2006 .

[5]  Michael C. Roberts,et al.  Handbook of pediatric psychology , 1995 .

[6]  M. Curley Mutuality--an expression of nursing presence. , 1997, Journal of pediatric nursing.

[7]  I. Kristensson-Hallström,et al.  Parents' experience of hospitalization: different strategies for feeling secure. , 1997, Pediatric nursing.

[8]  M. Miles,et al.  The nurse parent support tool. , 1999, Journal of pediatric nursing.

[9]  J. Brazy,et al.  How Parents of Premature Infants Gather Information and Obtain Support , 2001, Neonatal Network.

[10]  M. McCubbin,et al.  Hospitalized children with chronic illness: parental caregiving needs and valuing parental expertise. , 2001, Journal of pediatric nursing.

[11]  J. Pearson,et al.  Evaluation of a Program to Promote Positive Parenting in the Neonatal Intensive Care Unit , 2001, Neonatal Network.

[12]  D. Holditch-Davis,et al.  Perceptions of stress, worry, and support in Black and White mothers of hospitalized, medically fragile infants. , 2002, Journal of pediatric nursing.

[13]  C. Canam,et al.  Parent-nurse interactions: care of hospitalized children. , 2003, Journal of advanced nursing.

[14]  P. Trask,et al.  Parent and Adolescent Adjustment to Pediatric Cancer: Associations with Coping, Social Support, and Family Function , 2003, Journal of pediatric oncology nursing : official journal of the Association of Pediatric Oncology Nurses.

[15]  A. Kazak,et al.  Families and Other Systems in Pediatric Psychology. , 2003 .

[16]  E. Hall,et al.  Expanding knowledge in family health care. , 2003, Scandinavian journal of caring sciences.

[17]  Karen M Stratton Parents experiences of their child's care during hospitalization. , 2004, Journal of cultural diversity.

[18]  R. Negarandeh,et al.  PATIENT ADVOCACY BARRIERS AND FACILITATORS IN NURSES’ EXPERIENCES , 2005 .

[19]  H. Hopia,et al.  Child in hospital: family experiences and expectations of how nurses can promote family health. , 2005, Journal of clinical nursing.

[20]  A. Chang,et al.  Parents' experiences of participation in the care of hospitalised children: a qualitative study. , 2006, International journal of nursing studies.

[21]  E. Mok,et al.  Nurses as providers of support for mothers of premature infants. , 2006, Journal of clinical nursing.

[22]  M. Hughes Parents' and nurses' attitudes to family-centred care: an Irish perspective. , 2007, Journal of clinical nursing.

[23]  K. Polley,et al.  Parental presence during pediatric invasive procedures. , 2008, Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners.

[24]  J. Benger,et al.  Factors influencing parent satisfaction in a children’s emergency department: prospective questionnaire-based study , 2008, Emergency Medicine Journal.