Support needs of parents in neonatal intensive care unit : An integrative review

Journal article

Adama, Esther Abena, Adua, Eric, Bayes, Sara and Mörelius, Evalotte. (2021). Support needs of parents in neonatal intensive care unit : An integrative review. Journal of Clinical Nursing. https://doi.org/10.1111/jocn.15972
AuthorsAdama, Esther Abena, Adua, Eric, Bayes, Sara and Mörelius, Evalotte
Abstract

Background
Having an infant in the neonatal intensive care unit (NICU) is associated with intense emotional stress for both mothers and fathers. However, with the right support from staff, this stress can be reduced significantly. Although evidence on needs of parents in the neonatal unit exists, there is lack of a systematic integrative review on the support needs of parents in the neonatal unit. Current review evidence is needed to support busy neonatal unit clinicians in their practice.

Aim and objectives
The purpose of this integrative review is to explore the current available evidence to describe and understand the support needs of parents of infants in the NICU.

Methods
The integrative review process of Whittemore and Knafl (2005) was used to guide this study. Six databases—MEDLINE, CINHAL, PubMed, Scopus, Google Scholar and PsycINFO—were searched for eligible studies using relevant keywords. Primary studies published in English language from 2010 to 2021 were reviewed following a pre-determined inclusion criteria. Studies that met the inclusion criteria were critically appraised using the Mixed Methods Appraisal Tool (MMAT). The review report is guided by the PRISMA 2020 checklist for systematic reviews.

Results
Overall, 24 primary qualitative, quantitative and mixed methods studies were included in the review. Analysis of included studies resulted in six themes that demonstrate the support needs of parents in the NICU; 1. Information needs; 2. Emotionally intelligent staff; 3. Hands-on support; 4. Targeted support; 5. Emotional needs; and 6. Practical needs.

Conclusion
This review has presented the current evidence on the needs of parents from their own perspective. Healthcare workers’ understanding and supporting these needs in the NICU is likely to increase parental satisfaction and improve health outcomes for parents, infants and their family.

Relevance to clinical practice
Parents of infants in the NICU require staff support to enhance their experiences, well-being, caring and parenting confidence during admission and post-discharge. As parents are in constant need for informational, emotional and practical support, continuing professional development for NICU staff should place emphasis on effective communication strategies, enhancing emotional intelligence and empathy among staff. NICU staff should build positive ongoing relationships with parents and provide targetted support for mothers and fathers.

Keywordsinfants; needs; neonatal unit; NICU; parents; support
Year2021
JournalJournal of Clinical Nursing
PublisherWiley-Blackwell Publishing Ltd.
ISSN0962-1067
Digital Object Identifier (DOI)https://doi.org/10.1111/jocn.15972
Scopus EID2-s2.0-85111120599
Research or scholarlyResearch
Page range1-16
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusIn press
Publication dates
Online26 Jul 2021
Publication process dates
Accepted22 Jun 2021
Deposited24 Oct 2021
Permalink -

https://acuresearchbank.acu.edu.au/item/8wx8v/support-needs-of-parents-in-neonatal-intensive-care-unit-an-integrative-review

Log in to edit

Restricted files

Publisher's version

  • 93
    total views
  • 0
    total downloads
  • 5
    views this month
  • 0
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

Building the plane while it’s flying : Implementation lessons from integrating a co-located exercise clinic into oncology care
Kennedy, Mary A., Bayes, Sara, Newton, Robert U., Zissiadis, Yvonne, Spry, Nigel A., Taaffe, Dennis R., Hart, Nicolas H. and Galvão, Daniel A.. (2022). Building the plane while it’s flying : Implementation lessons from integrating a co-located exercise clinic into oncology care. BMC Health Services Research. 22, p. Article 1235. https://doi.org/10.1186/s12913-022-08607-w
Communication surrounding initiation and withdrawal of non-invasive ventilation in adults with motor neurone disease
Chapman, Charlotte, Bayes, Sara Jayne and Sim, Moira. (2022). Communication surrounding initiation and withdrawal of non-invasive ventilation in adults with motor neurone disease. International Journal of Palliative Nursing. 28(7), pp. 298-306. https://doi.org/10.12968/ijpn.2022.28.7.298
Factors that enable midwives to stay in the profession : Why do midwives stay in midwifery?
Bloxsome, Dianne, Bayes, Sara Jayne and Ireson, Deborah. (2022). Factors that enable midwives to stay in the profession : Why do midwives stay in midwifery? Evidence Based Midwifery. 20(1), pp. 25-32.
Midwives’ strategies for coping with barriers to providing quality maternal and neonatal care : A Glaserian grounded theory study
Ismaila, Yakubu, Bayes, Sara and Geraghty, Sadie. (2021). Midwives’ strategies for coping with barriers to providing quality maternal and neonatal care : A Glaserian grounded theory study. BMC Health Services Research. 21(1), p. Article 1190. https://doi.org/10.1186/s12913-021-07049-0
Barriers to quality midwifery care : A systematic review and meta-synthesis of qualitative data
Ismaila, Yakubu, Bayes, Sara and Geraghty, Sadie. (2021). Barriers to quality midwifery care : A systematic review and meta-synthesis of qualitative data. International Journal of Childbirth. 11(3), pp. 84-100. https://doi.org/10.1891/IJCBIRTH-D-20-00037
Communication surrounding initiation and withdrawal of non-invasive ventilation in adults with motor neuron(e) disease : Clinicians’ and family members’ perspectives
Chapman, Charlotte, Bayes, Sara and Sim, Moira. (2021). Communication surrounding initiation and withdrawal of non-invasive ventilation in adults with motor neuron(e) disease : Clinicians’ and family members’ perspectives. International Journal of Care Coordination. 24(3-4), pp. 96-106. https://doi.org/10.1177/20534345211010132
Understanding the barriers to Ghanaian midwives’ ability to provide quality care : Using classic Grounded theory methodology in a new context
Ismaila, Yakubu, Bayes, Sara and Geraghty, Sadie. (2021). Understanding the barriers to Ghanaian midwives’ ability to provide quality care : Using classic Grounded theory methodology in a new context. International Journal of Africa Nursing Sciences. 15, p. Article 100374. https://doi.org/10.1016/j.ijans.2021.100374
Exploring concepts and definitions of plateaus during normal labor and birth : A scoping review protocol
Weckend, Marina J., Bayes, Sara and Davison, Clare. (2021). Exploring concepts and definitions of plateaus during normal labor and birth : A scoping review protocol. JBI Evidence Synthesis. 19(3), pp. 644-651. https://doi.org/10.11124/JBIES-20-00105
Does midwifery-led care demonstrate care ethics : A template analysis
Buchanan, Kate, Newnham, Elizabeth, Ireson, Deborah, Davison, Clare and Bayes, Sara Jayne. (2021). Does midwifery-led care demonstrate care ethics : A template analysis. Nursing Ethics. pp. 1-13. https://doi.org/10.1177/09697330211008638
Implementation barriers to integrating exercise as medicine in oncology : An ecological scoping review
Kennedy, Mary A., Bayes, Sara, Newton, Robert U., Zissiadis, Yvonne, Spry, Nigel A., Taaffe, Dennis R., Hart, Nicolas H. and Galvão, Daniel A.. (2021). Implementation barriers to integrating exercise as medicine in oncology : An ecological scoping review. Journal of Cancer Survivorship. pp. 1-17. https://doi.org/10.1007/s11764-021-01080-0
How is organisational fit addressed in Australian entry level midwifery job advertisements
Bloxsome, Dianne, Glass, Courtney and Bayes, Sara. (2021). How is organisational fit addressed in Australian entry level midwifery job advertisements. BMC Health Services Research. 21, p. Article 183. https://doi.org/10.1186/s12913-021-06169-x
We say we are doing primary health care but we're not: Remote area nurses’ perspectives on the challenges of providing primary health care services
McCullough, Kylie, Bayes, Sara Jayne, Whitehead, Lisa, Williams, Anne and Cope, Vicki. (2021). We say we are doing primary health care but we're not: Remote area nurses’ perspectives on the challenges of providing primary health care services. Collegian. 28(5), pp. 534-540. https://doi.org/10.1016/j.colegn.2021.02.006
Remote area nursing : Best practice or paternalism in action? The importance of consumer perspectives on primary health care nursing practice in remote communities
McCullough, Kylie, Whitehead, Lisa, Bayes, Sara and Schultz, Rebecca. (2021). Remote area nursing : Best practice or paternalism in action? The importance of consumer perspectives on primary health care nursing practice in remote communities. Australian Journal of Primary Health. 27(1), pp. 62-66. https://doi.org/10.1071/PY20089
Midwifery leaders’ views on the factors considered crucial to implementing evidence-based practice in clinical areas
De Leo, Annemarie, Bayes, Sara, Butt, Janice, Bloxsome, Dianne and Geraghty, Sadie. (2021). Midwifery leaders’ views on the factors considered crucial to implementing evidence-based practice in clinical areas. Women and Birth. 34(1), pp. 22-29. https://doi.org/10.1016/j.wombi.2020.08.013
Learning objectives of cultural immersion programs : A scoping review
Buchanan, Kate, Velandia, Marrianne, Weckend, Marina and Bayes, Sara. (2021). Learning objectives of cultural immersion programs : A scoping review. Nurse Education Today. 100, p. Article 104832. https://doi.org/10.1016/j.nedt.2021.104832
Graduating midwifery students’ preferred model of practice and first job decisions : A qualitative study
Kuliukas, Lesley, Bayes, Sara, Geraghty, Sadie, Bradfield, Zoe and Davison, Clare. (2021). Graduating midwifery students’ preferred model of practice and first job decisions : A qualitative study. Women and Birth. 34(1), pp. 61-68. https://doi.org/10.1016/j.wombi.2020.07.005
Sociocultural practices affecting the care of preterm infants in the Ghanaian community
Adama, Esther Abena, Sundin, Deborah and Bayes, Sara. (2021). Sociocultural practices affecting the care of preterm infants in the Ghanaian community. Journal of Transcultural Nursing. 32(5), pp. 458-465. https://doi.org/10.1177/1043659620975098
Paediatric nurses’ satisfaction with organisational communication, job satisfaction, and intention to stay : A structural equation modelling analysis
Doleman, Gemma, Twigg, Di, Bayes, Sara and Chivers, Paola. (2020). Paediatric nurses’ satisfaction with organisational communication, job satisfaction, and intention to stay : A structural equation modelling analysis. Collegian. 28(4), p. 376–384. https://doi.org/10.1016/j.colegn.2020.11.005
A comparison of middle managers' and paediatric nurses' satisfaction with organisational communication
Doleman, Gemma, Twigg, Di and Bayes, Sara. (2020). A comparison of middle managers' and paediatric nurses' satisfaction with organisational communication. Journal of Nursing Management. 28(6), pp. 1223-1232. https://doi.org/10.1111/jonm.13064
We have the program, what now? Development of an implementation plan to bridge the research-practice gap prevalent in exercise oncology
Kennedy, Mary A., Bayes, Sara, Newton, Robert U., Zissiadis, Yvonne, Spry, Nigel A., Taaffe, Dennis R., Hart, Nicolas H., Davis, Michael, Eiszele, Aileen and Galvão, Daniel A.. (2020). We have the program, what now? Development of an implementation plan to bridge the research-practice gap prevalent in exercise oncology. International Journal of Behavioral Nutrition and Physical Activity. 17(1), p. 128. https://doi.org/10.1186/s12966-020-01032-4
The delivery of primary health care in remote communities : A grounded theory study of the perspective of nurses
McCullough, Kylie, Whitehead, Lisa, Bayes, Sara, Williams, Anne and Cope, Vicki. (2020). The delivery of primary health care in remote communities : A grounded theory study of the perspective of nurses. International Journal of Nursing Studies. 102, p. 103474. https://doi.org/10.1016/j.ijnurstu.2019.103474
If you build it, will they come? Evaluation of a co-located exercise clinic and cancer treatment centre using the RE-AIM framework
Kennedy, Mary A., Bayes, Sara, Galvão, Daniel A., Singh, Favil, Spry, Nigel A., Davis, Michael, Chee, Raphael, Zissiadis, Yvonne, Hart, Nicolas H., Taaffe, Dennis R. and Newton, Robert U.. (2020). If you build it, will they come? Evaluation of a co-located exercise clinic and cancer treatment centre using the RE-AIM framework. European Journal of Cancer Care. 29(4), pp. 1-12. https://doi.org/10.1111/ecc.13251
“I love being a midwife; it's who I am” : A Glaserian Grounded Theory Study of why midwives stay in midwifery
Bloxsome, Dianne, Bayes, Sara and Ireson, Deborah. (2020). “I love being a midwife; it's who I am” : A Glaserian Grounded Theory Study of why midwives stay in midwifery. Journal of Clinical Nursing. 29(1-2), pp. 208-220. https://doi.org/10.1111/jocn.15078
Midwives' use of best available evidence in practice : An integrative review
De Leo, Annemarie, Bayes, Sara, Geraghty, Sadie and Butt, Janice. (2019). Midwives' use of best available evidence in practice : An integrative review. Journal of Clinical Nursing. 28(23-24), pp. 4225-4235. https://doi.org/10.1111/jocn.15027
Factors associated with midwives’ job satisfaction and intention to stay in the profession : An integrative review
Bloxsome, Dianne, Ireson, Deborah, Doleman, Gemma and Bayes, Sara. (2019). Factors associated with midwives’ job satisfaction and intention to stay in the profession : An integrative review. Journal of Clinical Nursing. 28(3-4), pp. 386-399. https://doi.org/10.1111/jocn.14651
Skills for Midwifery Practice
De-Vitry Smith, Sally and Bayes, Sara. (2019). Skills for Midwifery Practice Elsevier Australia.
Australian midwives’ experiences of implementing practice change
Bayes, Sara, Juggins, Elaine, Whitehead, Lisa and De Leo, Annemarie. (2019). Australian midwives’ experiences of implementing practice change. Midwifery. 70, pp. 38-45. https://doi.org/10.1016/j.midw.2018.12.012
“Doing magic with very little” : Barriers to Ghanaian midwives' ability to provide quality maternal and neonatal care
Ismaila, Yakubu, Bayes, Sara and Geraghty, Sadie. (2019). “Doing magic with very little” : Barriers to Ghanaian midwives' ability to provide quality maternal and neonatal care. International Journal of Childbirth. 9(4), pp. 211-224. https://doi.org/10.1891/IJCBIRTH-D-19-00028
Effectiveness of acupuncture as an adjunct treatment for women with postnatal depression : A systematic review protocol
Wang, Carol Chunfeng, Zhu, Ruifang, Ge, Li, Tufanaru, Catalin, Bayes, Sara and De Jong, Gideon. (2018). Effectiveness of acupuncture as an adjunct treatment for women with postnatal depression : A systematic review protocol. The JBI Database of Systematic Reviews and Implementation Reports. 16(11), pp. 2080-2084. https://doi.org/10.11124/JBISRIR-2017-003719
Parents’ experiences of caring for preterm infants after discharge with grandmothers as their main support
Adama, Esther Abena, Bayes, Sara and Sundin, Deborah. (2018). Parents’ experiences of caring for preterm infants after discharge with grandmothers as their main support. 27(17-18), pp. 3377-3386. https://doi.org/10.1111/jocn.13868
The real ‘cost’ of study in Australia and the ramifications for China, Australia, and the Chinese nursing students: what do these three players want? A narrative review
Wang, Carol Chunfeng, Whitehead, Lisa and Bayes, Sara. (2017). The real ‘cost’ of study in Australia and the ramifications for China, Australia, and the Chinese nursing students: what do these three players want? A narrative review. Globalization Societies and Education. 15(5), pp. 590-606. https://doi.org/10.1080/14767724.2016.1195727
Registered nurses’ experiences of caring for pregnant and postpartum women in general hospital settings : A systematic review and meta-synthesis of qualitative data
Bayes, Sara and Ewens, Beverley. (2017). Registered nurses’ experiences of caring for pregnant and postpartum women in general hospital settings : A systematic review and meta-synthesis of qualitative data. Journal of Clinical Nursing. 26(5-6), pp. 599-608. https://doi.org/10.1111/jocn.13524
Ghanaian fathers' experiences of caring for preterm infants ; journey of exclusion
Adama, Esther Abena, Sundin, Deborah and Bayes, Sara. (2017). Ghanaian fathers' experiences of caring for preterm infants ; journey of exclusion. Journal of Neonatal Nursing. 23(6), pp. 275-281. https://doi.org/10.1016/j.jnn.2017.05.003
Examples of health practitioners’ approaches to planning and evaluating CPD
Bayes, Sarah, Devey, Lisa, Bidgood, Síobhán, Gilbert-Hunt, Sue, Acker, Joe and Gleadhill, Kearney. (2017). Examples of health practitioners’ approaches to planning and evaluating CPD. In In Andre, Kate, Heartfield, Marie and Cusack, Lynette (Ed.). Portfolios for health professionals pp. 98-123 Elsevier Australia.
Nursing education in China : Meeting the global demand for quality healthcare
Wang, Carol Chunfeng, Whitehead, Lisa and Bayes, Sara. (2016). Nursing education in China : Meeting the global demand for quality healthcare. International Journal of Nursing Studies. 3(1), pp. 131-136. https://doi.org/10.1016/j.ijnss.2016.02.009
Readiness for practice change : Evaluation of a tool for the Australian midwifery context
Bayes, Sara, Fenwick, Jennifer and Jennings, David. (2016). Readiness for practice change : Evaluation of a tool for the Australian midwifery context. Women and Birth. 29(3), pp. 240-244. https://doi.org/10.1016/j.wombi.2015.11.001
Parents' experiences of caring for preterm infants after discharge from Neonatal Intensive Care Unit : A meta-synthesis of the literature
Adama, Esther Abena, Bayes, Sara and Sundin, Deborah. (2016). Parents' experiences of caring for preterm infants after discharge from Neonatal Intensive Care Unit : A meta-synthesis of the literature. Journal of Neonatal Nursing. 22(1), pp. 27-51.
Exploring midwives' perception of confidence around facilitating water birth in Western Australia : A qualitative descriptive study
Nicholls, Sarah, Hauck, Yvonne L., Bayes, Sara and Butt, Janice. (2016). Exploring midwives' perception of confidence around facilitating water birth in Western Australia : A qualitative descriptive study. Midwifery. 33, pp. 73-81. https://doi.org/10.1016/j.midw.2015.10.010
The relationship is everything : Women’s reasons for choosing a privately practising midwife in Western Australia
Davison, Clare, Hauck, Yvonne L., Bayes, Sara J., Kuliukas, Lesley J. and Wood, Jennifer. (2015). The relationship is everything : Women’s reasons for choosing a privately practising midwife in Western Australia. Midwifery. 31(8), pp. 772-778. https://doi.org/10.1016/j.midw.2015.04.012
Effectiveness of a mindfulness-based childbirth education pilot study on maternal self-efficacy and fear of childbirth
Byrne, Jean, Hauck, Yvonne, Fisher, Colleen, Bayes, Sara and Schutze, Robert. (2014). Effectiveness of a mindfulness-based childbirth education pilot study on maternal self-efficacy and fear of childbirth. Journal of Midwifery & Womens Health. 59(2), pp. 192-197. https://doi.org/10.1111/jmwh.12075