Asian Nursing Research
Volume 1, Issue 3 , Pages 199-210, December 2007

Parental Perception of Neonates, Parental Stress and Education for NICU Parents

  • Young-Mee Ahn, RN, PhD

      Affiliations

    • Associate Professor, Department of Nursing, College of Medicine, Inha University, Incheon, Korea
    • Corresponding Author InformationCorrespondence to: Young-Mee Ahn, RN, PhD, Associate Professor, Department of Nursing, College of Medicine, Inha University, 253 Yonghyun-dong, Nam-ku, Incheon, 402-751, Korea
    • ,
  • Nam-Hee Kim, RN, MSN

      Affiliations

    • Clinical Teaching Staff, Department of Nursing, College of Medicine, Inha University, Incheon, Korea

Article Outline

Purpose

The purpose of this study was to conduct a comparative analysis between the perception of parents with premature infants in the NICU and parents with full-term newborns, and in the process to evaluate the effects of NICU educational support on parents with regard to their perception of neonate and parental stress.

Methods

A mixed quantitative design was employed to compare parental perception of neonates using the Neonatal Perception Index (NPI) between the parents of 26 full-term infants (full-term group) and the parents of 22 premature infants in the NICU (NICU group), and also to evaluate the effect of NICU educational support on NPI and parental stress using the Parental Stress Scale (PSS) between the mothers and fathers in the NICU group.

Results

NICU mothers showed the lowest NPI score among full-term and NICU parents. However, no difference in direction of NPI scores was observed between parents in either the full-term or NICU group. NICU education improved NPI and decreased PSS in fathers but not in mothers.

Conclusion

Environmental modifications of the nursery setting, particularly its remote location to the NICU, could improve mothers' perception of full-term neonates. NICU mothers, as the principal care- givers, may suffer from culturally-grounded, psychoemotional disturbances after giving birth to a sick infant, which may not be applicable to fathers. The quality of family-centered care in the NICU environment, parental role alteration, and the condition of infants need to be improved to decrease parental stress in the NICU. Fathers may have significant potential in caring for mothers and sick infants during the transition to parenthood. Education for NICU parents should be done for both mothers and fathers in the acute postpartum period.

Key Words:  education , intensive care units , neonatal , parenting , premature infant , stress

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References 

  1. Baker MA , Quinkert K . Women's reactions to reproductive problems . Psychological Reports . 1983;53:159–166
  2. Barrett L , Dunbar R , Lycett J . Evolutionary psychology: A beginner's guide . New York: One World Publications; 2005;
  3. Bjorklund DF , Pellegrini AD . Child development and evolutionary psychology . Child Development . 2000;71:1687–1708
  4. Broussard ER . Assessment of the adaptive potential of the mother–infant system: The neonatal perception inventories . Seminars in Perinatology . 1979;3:91–100
  5. Carter JD , Mulder RT , Bartram AF , Darlow BA . Infants in a neonatal intensive care unit: Parental response . Archives of Disease in Childhood. Fetal and Neonatal Edition . 2005;90:109–113
  6. Doering LV , Dracup K , Moser D . Comparison of psychosocial adjustment of mothers and fathers of high-risk infants in the neonatal intensive care unit . Journal of Perinatology . 1999;19:132–137
  7. Franck LS , Cox S , Allen A , Winter I . Measuring neonatal intensive care unit-related parental stress . Journal of Advanced Nursing . 2005;49:608–615
  8. Geary DC . Evolution and proximate expression of human paternal investment . Psychological Bulletin . 2000;126:55–77
  9. Holditch-Davis D , Schwartz T , Black B , Scher M . Correlates of mother–premature infant interactions . Research in Nursing and Health . 2007;30:333–346
  10. Jackson K , Ternestedt BM , Schollin J . From alienation to familiarity: Experiences of mothers and fathers of preterm infants . Journal of Advanced Nursing . 2003;43:120–129
  11. Kabira WM , Gachukia EW , Matiangi FO . The effect of women's role on health: The paradox . International Journal of Gynaecology and Obstetrics . 1997;8:23–34
  12. Kang KA , Kim SJ , Son EJ . A study on the mothers perception, caring-confidence, and attitude towards own newborn infants . Korean Journal of Child Health Nursing . 2004;10:311–320
  13. Kim TI . A study on the perceived stress level of mothers in the neonatal intensive care unit patients . Korean Journal of Child Health Nursing . 2000;6:224–239
  14. Kleberg A , Hellström-Westas L , Widström AM . Mothers' perception of Newborn Individualized Developmental Care and Assessment Program (NIDCAP) as compared to conventional care . Early Human Development . 2007;83:403–411
  15. Kook, J. H. (2007). The changes of rate and mortality of low birth weight infants and its relating factors. Unpublished doctoral dissertation, Chonnam National University, Gwangju, Korea.
  16. Korea National Statistical Office  . 2006 birth rate statistics . Retrieved August 22, 2007, from http://www.kosis.kr/search/totalSearch2.jsp 2007;
  17. Landzelius K . The incubation of a social movement? Preterm babies, parent activists, and neonatal productions in the US context . Social Science & Medicine . 2006;62:668–682
  18. Lee AR , Park MH . Differences in breast feeding and bottle feeding. Primiparas' perceptions of their babies during the early time of post-partum period . Korean Journal of Child Health Nursing . 1997;3:178–189
  19. Lee, S. M. (2003). The effects of NICU-informational education on the perception of their newborn and maternal attachment in the mothers of premature newborns. Unpublished master's thesis, Inha University, Incheon, Korea.
  20. Melnyk BM , Feinstein N , Fairbanks E . Two decades of evidence to support implementation of the COPE program as standard practice with parents of young unexpectedly hospitalized/critically ill children and premature infants . Pediatric Nursing . 2006;32:475–481
  21. Miles MS , Funk SG , Carlson J . Parental Stressor Scale: Neonatal intensive care unit . Nursing Research . 1993;42:148–152
  22. Miles MS , Holditch-Davis D . Parenting the prematurely born child: Pathways of influence . Seminars in Perinatology . 1997;21:254–266
  23. National Institute of Nursing Research  . Recent findings from the National Institute of Nursing Research related to neonatal care . Neonatal Network . 2005;24:65–70
  24. Nystrom K , Ohrling K . Parenthood experiences during the child's first year: Literature review . Journal of Advanced Nursing . 2004;46:319–330
  25. Palisin H . The Neonatal Perception Inventory: Failure to replicate . Child Development . 1980;51:737–742
  26. Palisin H . The Neonatal Perception Inventory: A review . Nursing Research . 1981;30:285–288
  27. Rubin R . Maternal identity and the maternal experience . New York: Springer; 1984;
  28. Spear ML , Leef K , Epps S , Locke R . Family reactions during infants' hospitalization in the neonatal intensive care unit . American Journal of Perinatology . 2002;19:205–213
  29. Sung MH . Study on the perceived stress degree and content of mother of high-risk infants in neonatal intensive care unit . Korean Journal of Child Health Nursing . 2002;8:97–109
  30. Sung MH , Ahn NS , Jang MS . Study on the perceived stress of father of high-risk infants in neonatal intensive care unit (NICU) . Korean Journal of Child Health Nursing . 2004;10:251–261
  31. Trivers RL . Parent–offspring conflict . American Zoologist . 1974;14:249–264
  32. Ward K . Perceived needs of parents of critically ill infants in a neonatal intensive care unit (NICU) . Pediatric Nursing . 2001;27:281–286

PII: S1976-1317(08)60022-5

doi:10.1016/S1976-1317(08)60022-5

Asian Nursing Research
Volume 1, Issue 3 , Pages 199-210, December 2007

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