Enhancing person‐centred communication in NICU: a comparative thematic analysis
- 14 November 2013
- journal article
- research article
- Published by Wiley in Nursing in Critical Care
- Vol. 20 (6), 287-298
- https://doi.org/10.1111/nicc.12062
Abstract
Aims of this article were (a) to explore how parents of premature infants experience guided family-centred care (GFCC), and (b) to compare how parents receiving GFCC versus standard care (SC) describe nurse-parent communication in the neonatal intensive care unit. Family-centred care (FCC) is acknowledged as fundamental to supporting parents of premature infants, and communication is central to this practice. Accordingly, nurses need good communication skills. GFCC is an intervention developed to improve nurse-parent communication in the neonatal intensive care unit. This intervention helps nurses to realize person-centred communication as an approach to optimize contemporary practice. Our qualitative study had a descriptive and comparative design using semi-structured interviews to explore the parent's experience of GFCC. We conducted 10 dyad interviews with parents (n = 20) and two individual interviews with mothers of premature infants (n = 2). Parents in the intervention group versus SC group were 13 versus 9. Thematic analysis was applied. GFCC was generally experienced as supportive. Three interrelated themes were identified that illustrated how the intervention helped parents cope as persons, parents and couples: (a) discovering and expressing emotions, (b) reaching a deeper level of communication, and (c) obtaining mutual understanding. In contrast, SC communication was more superficial and less structured. Factors such as inaccessibility of nurses, inability to ask for assistance and parent popularity impaired successful communication. Our study suggested that compared to SC, GFCC provided structured delivery of supportive communication between nurses and parents of premature infants. The intervention promoted the discovery of the parents' individual preferences and concerns, which enabled more focused communication, and set the stage for better nurse-parent and parent-parent understanding. We recommend GFCC as a method to improve communication in the neonatal intensive care unit.Keywords
This publication has 41 references indexed in Scilit:
- What does family-centred care mean to nurses and how do they think it could be enhanced in practiceJournal of Advanced Nursing, 2011
- Impact of communication skills training on parents perceptions of care: intervention studyJournal of Advanced Nursing, 2010
- Core measures for developmentally supportive care in neonatal intensive care units: theory, precedence and practiceJournal of Advanced Nursing, 2009
- Disruption of parent participation: nurses’ strategies to manage parents on children's wardsJournal of Clinical Nursing, 2008
- Parenting in the Neonatal Intensive Care UnitJournal of Obstetric, Gynecologic & Neonatal Nursing, 2008
- The Impact of Communication and the Neonatal Intensive Care Unit Environment on Parent InvolvementNewborn and Infant Nursing Reviews, 2007
- Negotiation of parental roles within family‐centred care: a review of the researchJournal of Clinical Nursing, 2006
- Using thematic analysis in psychologyQualitative Research in Psychology, 2006
- Infants in a neonatal intensive care unit: parental responseArchives of Disease in Childhood: Fetal & Neonatal, 2005
- Parenting Stress, Marital Quality, and Child Behavior Problems at Age 7 YearsPublic Health Nursing, 2004