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Nurses' experiences working with families in an NICU during implementation of family-focused developmental care
1University of Nebraska Medical Center College of Nursing, Nebraska Health Systems, Omaha, USA. jheerman@unmc.edu
Purpose:
To explore and describe nurses' experiences while working with parents and infants receiving family-focused developmental care (FFDC), to gain insight into the process of changing from a traditional model of care to FFDC.
Design:
The qualitative design was based on Spradley's method.
Sample:
Data were collected by interviewing ten nurses who worked in an NICU during a pilot study of FFDC. Transcripts were analyzed using Spradley's domain analysis.
Findings:
Four themes describe aspects of the transition from traditional care to FFDC: (1) negative experiences of FFDC, (2) transitions central to partnering with parents, (3) positive experiences of parental participation, and (4) organizational transitions necessary for the move to a family-centered model of care.
Conclusion:
Learning to share responsibility with families will require change in the NICU culture as well as in nurses' role identity.