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Parent Perspectives on Communication Quality in the Neonatal Intensive Care Unit.
- Source :
- Advances in Neonatal Care (Lippincott Williams & Wilkins); Aug2024, Vol. 24 Issue 4, p382-388, 7p
- Publication Year :
- 2024
-
Abstract
- Background: Though prior literature has demonstrated that communication in the Neonatal Intensive Care Unit (NICU) needs to be improved, in-depth descriptions of parents' views of NICU communication are lacking. Purpose: We sought (1) to explore parent perceptions of communication in the NICU and (2) to understand parents' communication needs and preferences. Methods: We conducted in-depth semi-structured cognitive interviews utilizing concurrent probes with parents of 10 patients in our urban level IV Neonatal Intensive Care Unit over a period of 4 months (July 2021-October 2021). Interview questions were derived from the Quality of Communication scale. We conducted thematic analysis of interview transcripts modeled after work by Braun and Clarke. Results: Four overarching themes were identified: Strengths, Challenges, People, and Coping Strategies. Parents reported a range of communication quality in the NICU. Results revealed that the first 48 hours of NICU hospitalization represent a period of vulnerability and uncertainty for parents. Parents value clear yet hopeful communication about a baby's clinical status and expected course. Implications for Practice and Research: We hope that the concrete findings from this study can both inform practice in the NICU now and influence practice guidelines to include such components as emphasis on the first 48 hours, desire for proactive information sharing, and the importance of including hope. [ABSTRACT FROM AUTHOR]
- Subjects :
- PATIENTS' families
MEDICAL personnel
QUALITATIVE research
NEONATAL intensive care units
INTERVIEWING
NEONATAL intensive care
PARENT attitudes
JUDGMENT sampling
PSYCHOLOGICAL adaptation
UNCERTAINTY
HOSPITAL care of newborn infants
THEMATIC analysis
COMMUNICATION
RESEARCH methodology
PSYCHOLOGY of parents
NEEDS assessment
Subjects
Details
- Language :
- English
- ISSN :
- 15360903
- Volume :
- 24
- Issue :
- 4
- Database :
- Supplemental Index
- Journal :
- Advances in Neonatal Care (Lippincott Williams & Wilkins)
- Publication Type :
- Academic Journal
- Accession number :
- 178961083
- Full Text :
- https://doi.org/10.1097/ANC.0000000000001178