Family-centered care, which acknowledges parents as partners in care, is a desirable and essential part of neonatal nursing. There has been extensive research on parents’ experiences of parenting in neonatal intensive care units (NICU), but there is little research on nurses’ experiences of being in these enduring close relationships. More than 500,000 babies are born prematurely in the United States each year (March of Dimes. 2009). Infants born prematurely often require a lengthy stay in the neonatal intensive care unit (NICU) for weeks or even months. This hospitalization of a child is a stressful experience for the parents (Peebles-Klelger. 2000). Further, a number of investigators have reported that the hospitalization of a newborn infant in the (NICU) is traumatic for the parents with separation from the infant being particularly difficult (McGrath. 2001: Griffin, et al.. 1997). The parents and extended family may not see the newest addition to the family for several hours or days depending on the acuity of the child's condition. This delay in contact with the child impedes the bonding between the mother/family and the child. Maternal-child bonding is critical to the healthy development of the child and has been shown to be a significant predictor in the child's cognitive and social development (Cusson & Lee. 1994). Supporting maternal child bonding in the NICU is a challenge because of the restrictive environment of the setting and life-sustaining medical procedures taking priority over this bonding experience. The stress of having an infant in the NICU also places a strain on the parents' relationship and evokes negative feelings including stress, depression and anxiety (Shaw, et al., 2006). The purpose of communication in NICUs is not only to inform parents of their child’s clinical condition; the staff must also educate and guide parents so that they can actively participate in caring for their child and become true “partners” with the medical team in the decision-making process. Furthermore, the staff must also use their communication skills to understand and contain the anxieties and emotions of parents, supporting and comforting them through the most critical moments of their child’s illness and possibly even bereavement. This is certainly not an easy task and requires not only awareness and compassion, but also adequate and efficient training. Nowadays, parents in neonatal intensive care units (NICU) are regarded as important contributors to the caring team, providing care to the premature child. Consequently, providing support to parents has become a crucial part of nurses’ responsibilities. The role of a neonatal intensive care nurse is diverse and demanding, both technically and interpersonally. Even if close parent–nurse collaboration is desirable, parents’ presence and involvement seems to challenge the professional relationship. Nurses should be capable of being sufficiently involved to participate emotionally, spiritually and intellectually, while retaining adequate distance to maintain control and use their involvement to assist patients. Becoming parents to a premature child introduces parents to an alien world; their child is different, their parenting role is different and, not least, the caring context is different from what they would have anticipated and prepared for. Finding their way in this marginal situation makes support and respect from professionals important. Understanding parents’ situations is also crucial to nurses; they express how they strive to support parents without being intrusive or prejudiced. Taking care of vulnerable parents is an important part of the nursing role and failing to build a relationship is experienced as painful. That nurses carry such memories with them shows how great an impact these experiences have professionally, but also emotionally and personally. Because parents and nurses are together in the NICU for weeks and months,
Family Centred Care: A Parents perspective
Family centred care can be defined as the professional support of a child and their family, within a health setting that allows their care to be individualised so as to provide for the family as a whole, and not just the individual child (Jolley & Shields, 2009). Four key concepts should be met when planning and acting upon family centred care, these are dignity and respect, information sharing, participation and, collaboration (Davies, 2013). Over the…
On my first day as a pediatric resident at Cedars-Sinai Medical Center in Los Angeles, I was assigned to the neonatal intensive care unit. I was in awe of it. Three (and later four) large rooms were lined with clear plastic incubators, and inside each, a baby. Many of them were extremely premature.
Some were small enough to fit in the palm of my hand and weighed barely a pound. Their little chests heaved with each heartbeat. Their skin was paper-thin. Ventilators breathed for them; intravenous…
encourage you to follow your heart. Teachers and your parents tell you that you can be whatever you want to be when you grow up. Two careers that have always interested me are nursing and real estate.
The nursing field of the healthcare aspect is a great career to get in to. It is currently expected to grow 26 percent from present until 2020 (Occupational Outlook Handbook).As a registered nurse, you are required to provide and organize patient care, educate the public and patients, and provide emotional…
the last 15 years-in which I have worked for three practices specializing in pediatric care of children aged 0-5 years. As your practice specializes in the same age range, this is the perfect match for your needs. Moreover, I am great with kids, experienced in medicine, and work hard to ensure the optimum level of medical care is provided every child patient. I love people, and thus, love communicating with parents, children, and other caregivers. I know that for these reasons, I would make a great…
Management of RDS include both prevention and active management before during and after birth. Prevention of preterm delivery is very important as the vast majority of babies who develop RDS do so because they are born preterm. Late or lack of antenatal care, smoking, alcohol consumption, illegal drug use, domestic violence, lack of social support, high levels of stress and long working hours with lengthy periods of standing can all increase the risk of premature birth( Johnson et al, 2003). Current medical…
Should Children Be Vaccinated?
All children should be vaccinated. Medicine has come a long way in making sure that the children of today have the ability to be protected against diseases that killed many people from past times. Deadly and debilitating diseases such as polio, measles, and mumps are now rare if not extinct thanks to vaccinations. The key factor is that all children must receive these vaccines in order to be protected. Vaccines are not the same as what they used to be. They no longer…
analysis, management, and strategy embody my passion for evaluating competing opportunities and coordinating initiatives to maximize value creation of limited financial resources; it also defines the skills I believe can be perfected through Hult’s intensive, hands-on MBA program and eventually contributed to a company’s financial success and growth.
My family’s hard work and achievements have inspired my ambitions, and my work and educational experiences have enhanced them. Growing up witnessing the…
your child excels
NSW government schools create a positive experience for all students. Staff encourage students to excel in their studies and develop their talents. Each school has a strong discipline code and staff provide high quality pastoral care and support. The student welfare team includes the international student coordinator, year adviser, school counsellor, careers adviser and English as a Second Language support teachers and provides ongoing assistance for your child.
Quality of Long Term Care Institutions
Professor Susan Stunlund
The satisfaction of a person living in a longterm care institution is very important.
What is so important about this is the fact that these are places people go to
spend the rest of their life until it’s over. Some don’t have a choice because they
are terminally ill or are dying of old age. They may not get a choice in wither they
have to be a nursing home but they do get a choice in which nursing home they…
Week 5 Assignment
What are three major problems facing
the health care system in the United
The healthcare system in America needs serious reform. In my opinion, the three major problems with our health care system are that people are uninsured; many don’t have access to affordable healthcare, and that the quality of our healthcare isn’t the best. The lack of health insurance cause taxes to go up, and requires the government to take…