Parents’ expectations of staff in the early bonding process with their premature babies in the intensive care setting: a qualitative multicenter study with 60 parents

BMC Pediatrics

Research Article

Elodie Amrani¹  Xavier Durrmeyer²  Claude Danan²  Laurence Caeymaex³  Natacha Michelin⁴  Sandra Lescure⁵  Elodie Zana-Taïeb⁵  Pierre-Henri Jarreau⁵  Brigitte Benier⁶  Sonia Guillaume⁶  Charlotte Bony⁶  Olivier Baud⁷ 

[1] PremUp, Paris, France;Service de Médecine Néonatale, Centre Hospitalier Intercommunal de Creteil, 40 avenue de Verdun, Créteil, France;PremUp, Paris, France;Service de Médecine Néonatale, Centre Hospitalier Intercommunal de Creteil, 40 avenue de Verdun, Créteil, France;CRC CHI, Créteil, France;PremUp, Paris, France;Service de Médecine Néonatale, Centre Hospitalier Intercommunal de Creteil, 40 avenue de Verdun, Créteil, France;CRC CHI, Créteil, France;INSERM U669, Université Paris Descartes UMR-S0669, Paris, France;PremUp, Paris, France;Service de Médecine et Reanimation néonatales, Hôpital Port-Royal Cochin, APHP, Paris, France;PremUp, Paris, France;Service de Médecine et Reanimation néonatales, Hôpital Port-Royal Cochin, APHP, Paris, France;Université Paris Descartes, Paris, France;Réanimation et Pédiatrie Néonatales, Hôpital Robert Debré, APHP, Paris, France;PremUp, Paris, France;Réanimation et Pédiatrie Néonatales, Hôpital Robert Debré, APHP, Paris, France;PremUp, Paris, France;Département Hospitalo-Universitaire "PROTECT", Université Paris-Diderot, Sorbonne Paris Cité, Paris, France;INSERM U676, Paris, France;

关键词: Prematurity;    Bond;    Child development;    Newborn;    NICU;    Nurses;    Family centered care;    Parenting;   

DOI  :  10.1186/1471-2431-13-18

 received in 2012-09-26, accepted in 2013-01-24,  发布年份 2013

来源: Springer

【 摘 要 】

BackgroundDuring the first weeks of hospitalization, premature babies and their parents encounter difficulties in establishing early bonds and interactions. Only a few studies have explored what caregivers can do to meet parents' needs in relation to these interactions and help optimize them. This study sought to explore parents' perception of these first interactions and to identify the actions of caregivers that help or hinder its development.MethodsProspective study, qualitative discourse analysis of 60 face-to-face interviews conducted with 30 mothers and 30 fathers of infants born before 32 weeks of gestation (mean ± SD: 27 ± 2 weeks of gestational age), during their child's stay in one out of three NICUs in France. Interviews explored parental experience, from before birth up to the first month of life.ResultsData analysis uncovered two main themes, which were independent of parents' geographical or cultural origin but differed between mothers and fathers. First, fathers described the bond with their child as composed more of words and looks and involving distance, while mothers experienced the bond more physically. Secondly, two aspects of the caregivers' influence were decisive: nurses' caring attitude towards baby and parents, and their communication with parents, which reduced stress and made interactions with the baby possible. This communication appeared to be the locus of a supportive and fulfilling encounter between parents and caregivers that reinforced parents' perception of a developing bond.ConclusionsAt birth and during the first weeks in the NICU, the creation of a bond between mothers and fathers and their premature baby is rooted in their relationship with the caregivers. Nurses' caring attitude and regular communication adapted to specific needs are perceived by parents as necessary preconditions for parents' interaction and development of a bond with their baby. These results might allow NICU staff to provide better support to parents and facilitate the emergence of a feeling of parenthood.

【 授权许可】

Unknown   
© Guillaume et al.; licensee BioMed Central Ltd. 2013. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.