Identification of internal and external stressors in parents of newborns in intensive care.

The purpose of this study was to identify parents' self-reported stressors as they experience their baby's course in the neonatal intensive care unit (NICU). Miles, Funk & Carlson (1993) Parental Stressor Scale: Neonatal Intensive Care Unit was used to survey 119 parents of neonatal infants, born at 24 weeks to full term, in the 28-bed level 3 NICU of a mid-Atlantic, Magnet-designated acute care hospital with 665 licensed beds. The newly developed Grosik, Snyder, Cleary and Tidwell NICU External Stressors and Stress Reduction Scale (2006), a 5-point Likert scale, was also used. Intrapersonal and interpersonal stressors were categorized as internal (occurring within the NICU) and extrapersonal (occurring outside the NICU) as external stressors. The findings were used to develop a new practice in the NICU to help reduce parental stressors.

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

[2]  L. Howland,et al.  Preterm Birth: Implications for Family Stress and Coping , 2007 .

[3]  R. Bramwell,et al.  Using the Parental Stressor Scale: Nicu with a British sample of mothers of moderate risk preterm infants , 2003 .

[4]  S G Funk,et al.  Parental Stressor Scale: Neonatal Intensive Care Unit , 1993, Nursing research.

[5]  M. Preyde,et al.  Effectiveness of a parent "buddy" program for mothers of very preterm infants in a neonatal intensive care unit. , 2003, CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne.

[6]  M. Miles,et al.  Preparation of parents for the ICU experience: what are we missing? , 1991, Children's health care : journal of the Association for the Care of Children's Health.

[7]  C. Poets,et al.  Helping Parents Cope With the Trauma of Premature Birth: An Evaluation of a Trauma-Preventive Psychological Intervention , 2005, Pediatrics.

[8]  M. Alligood,et al.  Nursing Theorists and Their Work , 1993 .

[9]  K. Dyer.  Identifying, Understanding, and Working with Grieving Parents in the NICU, Part II: Strategies , 2005, Neonatal Network.

[10]  Bernadette Mazurek Melnyk,et al.  Reducing Premature Infants' Length of Stay and Improving Parents' Mental Health Outcomes With the Creating Opportunities for Parent Empowerment (COPE) Neonatal Intensive Care Unit Program: A Randomized, Controlled Trial , 2006, Pediatrics.

[11]  M. J. Peebles-kleiger.  Pediatric and neonatal intensive care hospitalization as traumatic stressor: implications for intervention. , 2000, Bulletin of the Menninger Clinic.

[12]  E. Fairbanks,et al.  Effectiveness of informational/behavioral interventions with parents of low birth weight (LBW) premature infants: an evidence base to guide clinical practice. , 2002, Pediatric Nursing.

[13]  D. Holditch-Davis,et al.  Posttraumatic stress symptoms in mothers of premature infants. , 2003, Journal of obstetric, gynecologic, and neonatal nursing : JOGNN.

[14]  N. Marlow,et al.  Mothers' experiences of interacting with their premature infants , 2007 .

[15]  Lynn Clark Callister,et al.  The Parental Experience of Having an Infant in the Newborn Intensive Care Unit , 2009, Journal of Perinatal Education.

[16]  K. Arheart,et al.  Effectiveness of an Intervention to Improve Parent‐Professional Collaboration in Neonatal Intensive Care , 2005, The Journal of perinatal & neonatal nursing.

[17]  Susan Epps,et al.  Family reactions during infants' hospitalization in the neonatal intensive care unit. , 2002, American journal of perinatology.

[18]  Ros Bramwell,et al.  A new stressor scale for parents experiencing neonatal intensive care: the NUPS (Neonatal Unit Parental Stress) scale , 2007 .

[19]  K. Dionne,et al.  Partnering with Parents: Establishing Effective Long-Term Relationships with Parents in the NICU , 2006, Neonatal Network.