Experiences of the Iranian Neonatal Intensive Care Unit Nurses in Implementing Family-Centered Care: Walking on an Insecure Foundation
Background: Most of the nurses have accepted family-centered care (FCC) as a standard model of care; however, they meet difficulties using this model. The aim of this study was to explore the perception of Neonatal Intensive Care Unit (NICU) nurses about the implementation of FCC.Methods: This quali...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Mashhad University of Medical Sciences
2018-05-01
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| Series: | Iranian Journal of Neonatology |
| Subjects: | |
| Online Access: | http://ijn.mums.ac.ir/article_10863_e44f2d3f6911534090749831987f8965.pdf |
| _version_ | 1818905759888441344 |
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| author | Fatemeh Ghorbani Jila Mirlashari Elham Navab Wendy Higman Sousan Valizadeh |
| author_facet | Fatemeh Ghorbani Jila Mirlashari Elham Navab Wendy Higman Sousan Valizadeh |
| author_sort | Fatemeh Ghorbani |
| collection | DOAJ |
| description | Background: Most of the nurses have accepted family-centered care (FCC) as a standard model of care; however, they meet difficulties using this model. The aim of this study was to explore the perception of Neonatal Intensive Care Unit (NICU) nurses about the implementation of FCC.Methods: This qualitative study was carried out on 11 in-service NICU nurses with at least three years of work experience using an interpretative phenomenological approach. The study setting was three separate NICUs of three teaching hospitals affiliated with Tabriz University of Medical Sciences, Tabriz, Iran. Data collection was performed through semi-structured interviews and field notes. The data were analyzed using the seven-stage Diekelmann, Allen, and Tanner approach.Results: One of the important themes emerging in this study was “Walking on an insecure foundation” that included three subthemes of “Inappropriate base”, “A pathway with no lines” and “Unequal encounter”. The nurses described a lack of facilities, inadequate space, and staff’s specific instruction in encouraging parents’ engagement, as well as high work pressure due to short staffing as factors that affected their ability to provide an ideal FCC.Conclusion: As the findings indicated, the lack of essential substructures and absence of a systematic program to engage parents in the care process of their infants have resulted in different operations by the nurses and discontinuous FCC implementation in NICUs. Officials and policy-makers should consider basic requirements, adequate workforce, and explicit guidelines to contextualize and guarantee the continuity of FCC. |
| first_indexed | 2024-12-19T21:28:27Z |
| format | Article |
| id | doaj.art-faeacae8fa1541fe8dac50c62992e663 |
| institution | Directory Open Access Journal |
| issn | 2251-7510 2322-2158 |
| language | English |
| last_indexed | 2024-12-19T21:28:27Z |
| publishDate | 2018-05-01 |
| publisher | Mashhad University of Medical Sciences |
| record_format | Article |
| series | Iranian Journal of Neonatology |
| spelling | doaj.art-faeacae8fa1541fe8dac50c62992e6632022-12-21T20:05:02ZengMashhad University of Medical SciencesIranian Journal of Neonatology2251-75102322-21582018-05-0192424910.22038/ijn.2018.1086310863Experiences of the Iranian Neonatal Intensive Care Unit Nurses in Implementing Family-Centered Care: Walking on an Insecure FoundationFatemeh Ghorbani0Jila Mirlashari1Elham Navab2Wendy Higman3Sousan Valizadeh4Department of Pediatric Nursing, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, IranDepartment of Pediatric and Neonatal Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, IranDepartment of Critical Care Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, IranClinical Research Fellow, Coventry University, Coventry, EnglandDepartment of Pediatric Nursing, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, IranBackground: Most of the nurses have accepted family-centered care (FCC) as a standard model of care; however, they meet difficulties using this model. The aim of this study was to explore the perception of Neonatal Intensive Care Unit (NICU) nurses about the implementation of FCC.Methods: This qualitative study was carried out on 11 in-service NICU nurses with at least three years of work experience using an interpretative phenomenological approach. The study setting was three separate NICUs of three teaching hospitals affiliated with Tabriz University of Medical Sciences, Tabriz, Iran. Data collection was performed through semi-structured interviews and field notes. The data were analyzed using the seven-stage Diekelmann, Allen, and Tanner approach.Results: One of the important themes emerging in this study was “Walking on an insecure foundation” that included three subthemes of “Inappropriate base”, “A pathway with no lines” and “Unequal encounter”. The nurses described a lack of facilities, inadequate space, and staff’s specific instruction in encouraging parents’ engagement, as well as high work pressure due to short staffing as factors that affected their ability to provide an ideal FCC.Conclusion: As the findings indicated, the lack of essential substructures and absence of a systematic program to engage parents in the care process of their infants have resulted in different operations by the nurses and discontinuous FCC implementation in NICUs. Officials and policy-makers should consider basic requirements, adequate workforce, and explicit guidelines to contextualize and guarantee the continuity of FCC.http://ijn.mums.ac.ir/article_10863_e44f2d3f6911534090749831987f8965.pdfFamily-centered careInfantNeonatal intensive care unitNursephenomenology |
| spellingShingle | Fatemeh Ghorbani Jila Mirlashari Elham Navab Wendy Higman Sousan Valizadeh Experiences of the Iranian Neonatal Intensive Care Unit Nurses in Implementing Family-Centered Care: Walking on an Insecure Foundation Iranian Journal of Neonatology Family-centered care Infant Neonatal intensive care unit Nurse phenomenology |
| title | Experiences of the Iranian Neonatal Intensive Care Unit Nurses in Implementing Family-Centered Care: Walking on an Insecure Foundation |
| title_full | Experiences of the Iranian Neonatal Intensive Care Unit Nurses in Implementing Family-Centered Care: Walking on an Insecure Foundation |
| title_fullStr | Experiences of the Iranian Neonatal Intensive Care Unit Nurses in Implementing Family-Centered Care: Walking on an Insecure Foundation |
| title_full_unstemmed | Experiences of the Iranian Neonatal Intensive Care Unit Nurses in Implementing Family-Centered Care: Walking on an Insecure Foundation |
| title_short | Experiences of the Iranian Neonatal Intensive Care Unit Nurses in Implementing Family-Centered Care: Walking on an Insecure Foundation |
| title_sort | experiences of the iranian neonatal intensive care unit nurses in implementing family centered care walking on an insecure foundation |
| topic | Family-centered care Infant Neonatal intensive care unit Nurse phenomenology |
| url | http://ijn.mums.ac.ir/article_10863_e44f2d3f6911534090749831987f8965.pdf |
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