Exploring the lived experiences of fathers with their premature newborns in the neonatal intensive care unit: A phenomenological study

IF 2.3 4区 医学 Q2 NURSING
Najah Sami Shawish DNS, RN , Dua'a Al-Maghaireh PhD, MS, BSN , Andaleeb M. Abu Kamel PhD, RN , Mariam Kawafha PhD, RN , Lina Iyad Odeh , Murad H. Taani PhD, MPH, RN
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Abstract

Background

Premature neonates' birth and admission to neonatal intensive care unit (NICU) produce unique and significant challenges for the family. However, the paternal experience, specifically fathers, remains significantly under-studied. The purpose of this study was to explore the lived experiences of fathers with hospitalized premature neonate, particularly their emotional, psychological, and social challenges.

Methods

A qualitative study was conducted in the NICUs of the two largest governmental teaching hospitals in Jordan. A phenomenological approach with face-to-face, in-depth, semi-structured interviews were conducted with 42 fathers of hospitalized premature infants. The van Manen's phenomenological approach was used to analyze the data and identify themes and subthemes.

Results

Three core themes emerged from the analysis: 1) the psychological response, 2) the stressors in NICU, and 3) the crisis impact. They are further classified into eleven subthemes including: shock, sadness, shames, the NICU physical environment, infant appearance and behavior, father role, health care professionals' communication and behavior, lack of knowledge, physical impact, psychological impact, and social impact.

Conclusion

Fathers of premature neonates in NICU settings experience physical, psychological, emotional, and social challenges, highlighting the need for family-centered care and targeted support interventions to address these challenges.
探讨父亲与早产儿在新生儿重症监护病房的生活经验:一项现象学研究。
背景:早产儿的出生和入住新生儿重症监护病房(NICU)给家庭带来了独特而重大的挑战。然而,父亲的经历,特别是父亲的经历,仍然没有得到充分的研究。本研究的目的是探讨住院早产新生儿父亲的生活经历,特别是他们的情感、心理和社会挑战。方法:对约旦两所最大的政府教学医院的新生儿重症监护病房进行定性研究。采用现象学方法对42名住院早产儿父亲进行面对面、深入、半结构化访谈。采用范·曼南的现象学方法分析数据,识别主题和副主题。结果:分析得出三个核心主题:1)新生儿重症监护室的心理反应,2)压力源,3)危机影响。它们进一步分为11个子主题,包括:震惊、悲伤、羞耻、新生儿重症监护室物理环境、婴儿外观和行为、父亲角色、卫生保健专业人员的沟通和行为、缺乏知识、身体影响、心理影响和社会影响。结论:新生儿重症监护室早产儿的父亲面临着身体、心理、情感和社会方面的挑战,强调需要以家庭为中心的护理和有针对性的支持干预来应对这些挑战。
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来源期刊
CiteScore
3.70
自引率
8.30%
发文量
291
审稿时长
65 days
期刊介绍: Official Journal of the Society of Pediatric Nurses and the Pediatric Endocrinology Nursing Society (PENS) The Journal of Pediatric Nursing: Nursing Care of Children and Families (JPN) is interested in publishing evidence-based practice, quality improvement, theory, and research papers on a variety of topics from US and international authors. JPN is the official journal of the Society of Pediatric Nurses and the Pediatric Endocrinology Nursing Society. Cecily L. Betz, PhD, RN, FAAN is the Founder and Editor in Chief. Journal content covers the life span from birth to adolescence. Submissions should be pertinent to the nursing care needs of healthy and ill infants, children, and adolescents, addressing their biopsychosocial needs. JPN also features the following regular columns for which authors may submit brief papers: Hot Topics and Technology.
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