Document Detail


Fathers' perceptions of the barriers and facilitators to their involvement with their newborn hospitalised in the neonatal intensive care unit.
MedLine Citation:
PMID:  23186388     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Aims and objectives.  To explore what fathers perceive to be facilitators or barriers to their involvement with their infants. Background.  Fathers make unique and important contributions to the development of their infants. Fathers of infants in the neonatal intensive care unit often feel that they have a limited role to play in their infant's care, and surveys suggest that they are not typically involved in infant caregiving. Paradoxically, qualitative studies have found that fathers do want to be involved, and their lack of involvement is an important source of stress. Design.  Qualitative descriptive. Methods.  Eighteen fathers of infants, in the neonatal intensive care unit for at least one week, were interviewed and asked to describe what they perceived to be the barriers and facilitators to their involvement. Interviews were audio taped and transcribed, and the data was content analysed. Results.  Three major categories of barriers/facilitators were identified: (1) infant factors (size and health status, twin birth and infant feedback), (2) interpersonal factors (the rewards of and attitudes and beliefs regarding fatherhood; family management; previous experiences) and (3) neonatal intensive care unit environmental factors (physical and social). These factors could often be a barrier or facilitator to involvement depending on the context. Conclusions.  This study provides insights into what factors influence involvement, and how nursing staff can support involvement and best meet fathers' needs. Relevance to clinical practice.  Nurses should explore the forms of involvement that a father desires, as well as the demands on their time, and determine what might be done to promote involvement. Fathers should be assisted to maximise the time that they do have with the infant. Nurses must provide clear and consistent information about whether and when caregiving is advisable, and they can explain and demonstrate how fathers can care for their infant.
Authors:
Nancy Feeley; Elana Waitzer; Kathryn Sherrard; Linda Boisvert; Phyllis Zelkowitz
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-11-27
Journal Detail:
Title:  Journal of clinical nursing     Volume:  -     ISSN:  1365-2702     ISO Abbreviation:  J Clin Nurs     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-11-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9207302     Medline TA:  J Clin Nurs     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 Blackwell Publishing Ltd.
Affiliation:
Authors:Nancy Feeley, RN, PhD, Associate Professor, School of Nursing, McGill University, Montreal, Quebec, Senior Researcher, Centre for Nursing Research, Jewish General Hospital, Montreal, Quebec and Co-Director, RIISIQ (Quebec Nursing Intervention Research Network), Montreal, Quebec; Elana Waitzer, RN, MSc, Staff Nurse, Jewish General Hospital, Montreal, Quebec; Kathryn Sherrard, RN, MSc, Family Nursing Consultant, Neonatal Intensive Care, Jewish General Hospital, Montreal, Quebec; Linda Boisvert, RN, MN, Clinical Nurse Specialist, Department of Nursing, McGill University Health, Montreal, Quebec; Phyllis Zelkowitz, EdD, Director of Research, Department of Psychiatry, Jewish General Hospital, Montreal, Quebec, Canada.
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