Understanding parents' emotional experiences for neonatal education: A narrative, interpretive approach.


Journal

Journal of clinical nursing
ISSN: 1365-2702
Titre abrégé: J Clin Nurs
Pays: England
ID NLM: 9207302

Informations de publication

Date de publication:
May 2019
Historique:
received: 09 09 2018
revised: 17 12 2018
accepted: 20 01 2019
pubmed: 31 1 2019
medline: 16 5 2019
entrez: 31 1 2019
Statut: ppublish

Résumé

To explore the emotional experiences of parents who have had premature babies to inform and educate neonatal nurses and health professionals in this field. Parents find the neonatal unit a daunting and unfamiliar place leading to anxiety, uncertainty and fear about the future of their baby. Parents have significant emotional needs in relation to assisting them to cope with their neonatal experience. In line with a family-centred approach to neonatal education, it is essential to teach health professionals about the emotional impact of neonatal care based on an appreciation of the parent experience. A narrative-based, interpretive approach was undertaken in line with constructivist learning theory. Twenty narrative interviews took place, with a total of 23 parents of premature babies. Following core story creation to create coherent stories from the raw transcripts, thematic analysis of the narrative constructs using the principles of Braun and Clarke's, International Journal of Qualitative Studies on Health and Well-Being, 2014, 9, 1, framework was undertaken. The study methods were compliant with the consolidated criteria for reporting qualitative research (COREQ). Thematic analysis revealed key themes relating to the following: parents' emotions through the whole neonatal experience, feelings towards the baby, the environment, the staff and the transitions through the different phases of neonatal care. Both negative and positive experiences were reported. Understanding the emotional experience from the parent's perspective, following birth of their premature baby, informs empathic, family-centred teaching and learning within the neonatal education arena. Students and health professionals alike can learn what is important in the delivery of care that addresses the emotional needs of parents and families. Educators can use narratives and key messages from parents, both negative and positive, to teach family-centred principles to nurses and health professionals as a core component of a narrative curricula and potentially to enhance empathy.

Sections du résumé

AIMS AND OBJECTIVES OBJECTIVE
To explore the emotional experiences of parents who have had premature babies to inform and educate neonatal nurses and health professionals in this field.
BACKGROUND BACKGROUND
Parents find the neonatal unit a daunting and unfamiliar place leading to anxiety, uncertainty and fear about the future of their baby. Parents have significant emotional needs in relation to assisting them to cope with their neonatal experience. In line with a family-centred approach to neonatal education, it is essential to teach health professionals about the emotional impact of neonatal care based on an appreciation of the parent experience.
DESIGN METHODS
A narrative-based, interpretive approach was undertaken in line with constructivist learning theory.
METHODS METHODS
Twenty narrative interviews took place, with a total of 23 parents of premature babies. Following core story creation to create coherent stories from the raw transcripts, thematic analysis of the narrative constructs using the principles of Braun and Clarke's, International Journal of Qualitative Studies on Health and Well-Being, 2014, 9, 1, framework was undertaken. The study methods were compliant with the consolidated criteria for reporting qualitative research (COREQ).
FINDINGS RESULTS
Thematic analysis revealed key themes relating to the following: parents' emotions through the whole neonatal experience, feelings towards the baby, the environment, the staff and the transitions through the different phases of neonatal care. Both negative and positive experiences were reported.
CONCLUSION CONCLUSIONS
Understanding the emotional experience from the parent's perspective, following birth of their premature baby, informs empathic, family-centred teaching and learning within the neonatal education arena.
RELEVANCE TO CLINICAL PRACTICE CONCLUSIONS
Students and health professionals alike can learn what is important in the delivery of care that addresses the emotional needs of parents and families. Educators can use narratives and key messages from parents, both negative and positive, to teach family-centred principles to nurses and health professionals as a core component of a narrative curricula and potentially to enhance empathy.

Identifiants

pubmed: 30698304
doi: 10.1111/jocn.14807
doi:

Types de publication

Journal Article

Langues

eng

Pagination

1911-1924

Informations de copyright

© 2019 John Wiley & Sons Ltd.

Auteurs

Julia Petty (J)

University of Hertfordshire, Hatfield, UK.

Joy Jarvis (J)

University of Hertfordshire, Hatfield, UK.

Rebecca Thomas (R)

Centre for Staff and Educational Development, University of East Anglia, Norwich, UK.

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Classifications MeSH