Journal of East-West Nursing Research (동서간호학연구지)

East-west Nursing Research Institute, Kyung Hee University (경희대학교 동서간호학연구소)
권호 표지
DOI QR코드

DOI QR Code

Nursing Needs of the Parents of Infants in Neonatal Intensive Care Unit

신생아집중치료실 입원 환아 부모의 간호요구

  • Park, Ji-Sun (Seoul National University Hospital) ;
  • Bang, Kyung-Sook (College of Nursing.The Research Institute of Nursing Science, Seoul National University)
  • 박지선 (서울대학교병원) ;
  • 방경숙 (서울대학교 간호대학.간호과학연구소)
  • Received : 2014.09.30
  • Accepted : 2014.11.18
  • Published : 2014.11.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purposes of this study were to identify the perceived nursing needs and the differences by general characteristics of parents of infants in a neonatal intensive care unit (NICU) and to provide useful evidences developing a new intervention for family-centered care in NICU. Methods: A convenience sample of 121 parents of infants in NICU was used and the participants asked to complete the Korean version of NICU Family Needs Inventory (NFNI) from April to May, 2014. Data were analyzed using descriptive statistics, t-test and ANOVA. Results: The participants reported high average score in the perceived nursing needs. In subscales, needs for assurance rated highest score and needs for information, proximity, support, and comfort were followed. Mothers reported higher nursing needs score than fathers except the subscale of support. Conclusion: The findings suggest that nurses in NICU actively provide information about treatment, nursing, results of laboratory tests, and current status to give reassurance to parents. Not only providing informational support of parents of NICU infants, but also finding methods to contact to parents is necessary. In addition, nurses need to provide optimized intervention in current healthcare system and hospital environment.

Keywords

References

  1. Ahn, Y. M., & Lee, S. M. (2004). The effects of the integrated NICU hospitalization education on maternal attachment, maternal self-esteem, and postpartum depression in the mothers of high-risk infants. Child Health Nursing Research, 10(3), 340-349.
  2. Al-Mutair, A. S., Plummer, V., O'Brien, A., & Clerehan, R. (2013). Family needs and involvement in the intensive care unit: A literature review. Journal of clinical nursing, 22(13-14), 1805-1817. http://dx.doi.org/10.1111/jocn.12065
  3. Bialoskurski, M. M., Cox, C. L., & Wiggins, R. D. (2002). The relationship between maternal needs and priorities in a neonatal intensive care environment. Journal of Advanced Nursing, 37(1), 62-69. https://doi.org/10.1046/j.1365-2648.2002.02057.x
  4. Billings, J. A. (2011). The end-of-life family meeting in intensive care part I: Indications, outcomes, and family needs. Journal of palliative medicine, 14(9), 1042-1050. http://dx.doi.org/10.1089/jpm.2011.0038
  5. Brown, L. P., York, R., Jacobsen, B., Gennaro, S., & Brooten, D. (1989). Very low birth-weight infants: Parental visiting and telephoning during initial infant hospitalization. Nursing research, 38(4), 233-235.
  6. Carter, J. D., Mulder, R. T., Bartram, A. F., & Darlow, B. A. (2005). Infants in a neonatal intensive care unit: Parental response. Archives of Disease in Childhood-Fetal and Neonatal Edition, 90(2), F109-F113. https://doi.org/10.1136/adc.2003.031641
  7. Chatzaki, M., Klimathianaki, M., Anastasaki, M., Chatzakis, G., Apostolakou, E., & Georgopoulos, D. (2012). Defining the needs of ICU patient families in a suburban/rural Greek population: A prospective cohort study. Journal of clinical nursing, 21(13-14), 1831-1839. http://dx.doi.org/10.1111/j.1365-2702.2011.04022.x
  8. Fisher, M. D. (1994). Identified needs of parents in a pediatric intensive care unit. Critical care nurse, 14(3), 82-90.
  9. Gu, B. N. (2002). A study on the maternal role confidence and nursing educational needs of premature infant mothers. The Research Institute of Kyungpook Nursing Science, 6(1), 39-56.
  10. Holditch-Davis, D., Blackburn, S. T., & Vandenberg, K. (2003). Newborn and infant neurobehavioral development. Comprehensive Neonatal Nursing: A Physiologic Perspective (3rd ed.). St Louis, MO: Saunders.
  11. Hopper, A. (2000). Sources of stress for parents of a sick neonate: A literature review. Pediatric Nursing, 12(4), 29-32.
  12. Hwang, H. N., & Kim, G. B. (2000). The lived experiences of inpatients' families in the intensive care units. Journal of Korean Academic Society of Adult Nursing, 12(2), 175-182.
  13. Kim, E. S., Park, J. S., & Park, J. J. (2002). A relation study on burden, health promotion behavior and health status of the family caregiver of intensive care unit patient. Journal of Korean Academy of Nursing, 32(5), 654-663. https://doi.org/10.4040/jkan.2002.32.5.654
  14. Kirschbaum, M. S. (1990). Needs of parents of critically ill children. Dimensions of Critical Care Nursing, 9(6), 344-353. https://doi.org/10.1097/00003465-199011000-00009
  15. Kosco, M., & Warren, N. A. (2000). Critical care nurses' perceptions of family needs as met. Critical care nursing quarterly, 23(2), 60-72. https://doi.org/10.1097/00002727-200008000-00008
  16. Lee, J. W., & Lim, S. Y. (2014). Burden and needs of the family members of the intensive care unit patients. Journal of Korea Contents Association, 14(2), 421-429. http://dx.doi.org/10.5392/JKCA.2014.14.02.421
  17. Lee, M. J., Suh, H. S., Hong, Y. H., Kim, S. Y., Yoo, E. J., Park, S. J. (2003). The educational needs and perception of the mothers of high risk infant and normal neonate. Child Health Nursing Research, 9(1), 18-27.
  18. Leske, J. S. (1986) Needs of relatives of critically ill patients: A follow-up. Heart & Lung, 15(2), 189-193.
  19. Molter, N. C. (1979). Needs of relatives of critically ill patients: A descriptive study. Heart & lung: the Journal of Critical Care, 8(2), 332-339.
  20. Mundy, C. A. (2010). Assessment of Family Needs in Neonatal Intensive Care Units. American Journal of Critical Care, 19(2), 156-163. http://dx.doi.org/ 10.4037/ajcc2010130
  21. Oh, G. S., Lim, J. Y., Cho, I. S., & Ham, O. K. (2010). A comparison of parent stress sick newborn in NICU. Journal of Korean Academic Society of Home Care Nursing, 17(1), 12-20.
  22. Oh, J. H. (1996). Stressors perceived by parents of the critically ill newborn. Nursing Science, 8(2), 169-181.
  23. Park, J. Y., & Bang, K. S. (2013). Knowledge and needs of premature infant development and rearing for mothers with premature infants. Korean Parent Child Health Journal, 16(1), 17-26.
  24. Park, K. M., Kwon, S. J., & Kwon, Y. S. (2002). Comparison of satisfaction for the ICU patient's family members who were provided with active informations and routine informations. Keimyung Nursing Science, 6(1), 23-32.
  25. Shin, H. J. (2004). Situational meaning and maternal self-esteem in mothers with high risk newborn. Journal of Korean Academy of Nursing, 34(1), 93-101. https://doi.org/10.4040/jkan.2004.34.1.93
  26. Son, B. I., & Jung, M. S. (2013). Family stress and family resiliency's effects on family adaptation - elederly family care services targets on -. Journal of the Korea Contents Association, 13(9), 193-203. http://dx.doi.org/10.5392/JKCA.2013.13.09.193
  27. Statistics Korea. (2013). Birth Statistics 2012. Retrieved July 30, 2014, from http://kosis.kr/
  28. Tak, G. J. (2010). Empirical studies of prematurity care 1: Education needs of mothers for childcare after discharge of high-risk newborn infants. Academy of Child Health Nursing Symposium, 133-155.
  29. Ward, K. (2001). Perceived needs of parents of critically ill infants in a neonatal intensive care unit (NICU). Pediatric Nursing, 27(3), 281-286.
  30. Yang, S. (2008). A mixed methods study on the needs of Korean families in the intensive care unit. Australian Journal of Advanced Nursing, 25(4), 79-86.

Cited by

  1. A Mother’s Experience of Hospitalization of Her Newborn in the Neonatal Intensive Care Unit vol.24, pp.4, 2018, https://doi.org/10.4094/chnr.2018.24.4.407
  2. 영유아 호흡기 감염 중증도에 따른 이환실태, 부모의 교육요구 및 관리수행정도 vol.21, pp.3, 2015, https://doi.org/10.4094/chnr.2015.21.3.227