The Parental Experience of Having an Infant in the Newborn Intensive Care Unit

The purpose of this systematic review was to explore and describe the experience of parents with an infant in the newborn intensive care unit (NICU). A literature search covering the period 1998‐2008 was conducted. Fourteen articles reporting qualitative studies describing parental experiences and meeting the inclusion criteria were evaluated and themes were identified. Findings revealed that parents with an infant in the NICU experience depression, anxiety, stress, and loss of control, and they vacillate between feelings of inclusion and exclusion related to the provision of health care to their neonate. Nursing interventions that promote positive psychosocial outcomes are needed to decrease parental feelings of stress, anxiety, and loss of control. Interventions need to focus on family-centered and developmentally supportive care.

[1]  L. Wagner,et al.  How to facilitate parents and their premature infant for the transition home. , 2005, International nursing review.

[2]  L. Callister Making meaning: women's birth narratives. , 2004, Journal of obstetric, gynecologic, and neonatal nursing : JOGNN.

[3]  Hyunjeong Shin [Situational meaning and maternal self-esteem in mothers with high risk newborn]. , 2004, Taehan Kanho Hakhoe chi.

[4]  L. Franck,et al.  Parents' perceptions of their infant's pain experience in the NICU. , 2004, International journal of nursing studies.

[5]  E. Nelson,et al.  Neonatal intensive care: satisfaction measured from a parent's perspective. , 1999, Pediatrics.

[6]  Margo Charchuk,et al.  Hope, Disclosure, and Control in the Neonatal Intensive Care Unit , 2005, Health communication.

[7]  S. J. Phillips,et al.  Improving child and family outcomes following complicated births requiring admission to neonatal intensive care units , 2005 .

[8]  K. Galvin,et al.  Parents' perceptions of staff competency in a neonatal intensive care unit. , 2003, Journal of clinical nursing.

[9]  E. Ahmann,et al.  The many roles of family members in "family-centered care"--part I. , 2006, Pediatric nursing.

[10]  E. Hall Danish parents' experiences when their new born or critically ill small child is transferred to the PICU-a qualitative study. , 2005, Nursing in critical care.

[11]  A. Talmi,et al.  Family-based intervention to enhance infant-parent relationships in the neonatal intensive care unit. , 2005, Journal of pediatric psychology.

[12]  P. Callery Mothers of infants in neonatal nurseries had challenges in establishing feelings of being a good mother , 2002, Evidence-based nursing.

[13]  J. Heermann,et al.  Mothers in the NICU: outsider to partner. , 2005, Pediatric nursing.

[14]  G. McCarthy,et al.  First-time mothers - identifying their needs, perceptions and experiences. , 2003, Journal of clinical nursing.

[15]  Liisa Holsti,et al.  Fathers’ Experiences in the Neonatal Intensive Care Unit: A Search for Control , 2008, Pediatrics.

[16]  M. Redshaw,et al.  Infants in a neonatal intensive care unit: parental response , 2005, Archives of Disease in Childhood - Fetal and Neonatal Edition.

[17]  L. Rubarth The lived experience of nurses caring for newborns with sepsis. , 2003, Journal of obstetric, gynecologic, and neonatal nursing : JOGNN.

[18]  Cheryl Tatano Beck Birth Trauma: In the Eye of the Beholder , 2004, Nursing research.

[19]  Britt-Inger Saveman,et al.  Nurses' experiences of interactions with family members in intensive care units. , 2003, Scandinavian journal of caring sciences.

[20]  J. Schollin,et al.  From alienation to familiarity: experiences of mothers and fathers of preterm infants. , 2003, Journal of advanced nursing.

[21]  V. Schmied,et al.  'Chatting': an important clinical tool in facilitating mothering in neonatal nurseries. , 2001, Journal of advanced nursing.

[22]  E. Hall Being in an alien world: Danish parents' lived experiences when a newborn or small child is critically ill. , 2005, Scandinavian journal of caring sciences.

[23]  I. Hurst Imposed burdens: a Mexican American mother's experience of family resources in a newborn intensive-care unit. , 2004, Journal of obstetric, gynecologic, and neonatal nursing : JOGNN.

[24]  J. Leckman,et al.  The nature of the mother's tie to her infant: maternal bonding under conditions of proximity, separation, and potential loss. , 1999, Journal of child psychology and psychiatry, and allied disciplines.

[25]  A. Hellström,et al.  Mothers' experiences of having their newborn child in a neonatal intensive care unit. , 2006, Scandinavian journal of caring sciences.

[26]  J. Noyes,et al.  The impact of knowing your child is critically ill: a qualitative study of mothers' experiences. , 1999, Journal of advanced nursing.

[27]  Hyunjeong Shin,et al.  The conceptual structure of transition to motherhood in the neonatal intensive care unit. , 2007, Journal of advanced nursing.

[28]  J SMITH,et al.  Intensive care unit. , 1962, Nursing times.

[29]  K. Axelsson,et al.  Mothers' experience of being separated from their newborns. , 2002, Journal of obstetric, gynecologic, and neonatal nursing : JOGNN.