Generally, the need for support is one of the main findings of studies derived from the experiences of parents of premature newborns admitted to the neonatal intensive care unit. A systematic review in Iran showed that the need for assurance, awareness, closeness, support, and comfort was of the most essential needs of parents. Ability to talk daily with the health worker team, feeling that the hospital staff is taking good care of the patient, knowing what will happen to the patient, providing answers accurately and indeed questions, were among the most essential needs of mothers in NICU. Trained health care staff could help the mothers to participate in their newborn care and reduce the mothers’ stress by giving information. There are significant positive relationships between maternal stresses with primiparous pregnancies, marital status, distance from home, newborn gestational age, newborn’s gender, length of stay, and newborn medical condition. Various maternal and infant characteristics have an impact on maternal stress. Furthermore, the inability to perform parental roles could be result in their anxiety and acute grief. Alterations of parental role and newborn appearance and behavior are the most important sources of stress in the NICU. įour major NICU environment stressors were identified, including stressors of physical environment, newborn appearance and behavior, parent- newborn relationship, and staff. Mothers are at increased risk of postpartum depression, anxiety, and post-traumatic stress disorder. The impact of preterm birth and subsequent hospitalization in the NICU on maternal mental health is significant. Īccording to previous studies, mothers experience a moderate level of stress and anxiety during the hospitalization of their newborn . Most premature newborns, and full-term newborns with particular need of care such as congenital anomaly, maternal diabetes, hypertension, and necrotizing enterocolitis require hospitalization in the NICU. The Neonatal Intensive Care Unit (NICU) provides intensive and specialized therapeutic care for complicated newborns. Although, the health care staff believed that mothers' support was a necessity, it was not their main concerns, and they considered workload as a barrier for the mothers support in the NICU. The mothers experienced a gap between expected and actual support provided by health care staff. Two main themes of “insufficient provision of the mothers' support needs” (subthemes: inadequate accompany of the mothers in care, assigning monitoring and care to the mothers, inadequate sharing of medical the information) and “supporting the mothers in certain circumstances” (subthemes: reassuring the mothers, supporting the mothers with reduced functional capacity, providing information) were obtained.
Qualitative data analysis was conducted using the Roper and Shapira (2000) five-step framework. Observations and interviews with 21 mothers, 18 nurses, and five physicians were undertaken over a seven months period. MethodsĪ focused ethnographic approach was adopted.
This study aimed to explore health care staff and mothers' experiences of meeting the mothers' support needs in the NICU. This study aimed to explore health care staff and mothers' experiences of meeting the mothers support needs in the NICU. However, little is known about mothers' support needs in the NICU. Mothers of premature newborns in the neonatal intensive care unit (NICU) have complex needs and require a significant amount of support during the NICU admission.
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