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Updated: Jun 7, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Developing nurse/parent relationships in the NICU through negotiated partnership
Misty D Reis1, Gwen R Rempel, Shannon D Scott
1Department, School of Nursing, University of North Carolina, Greensboro, NC, USA.
Parent satisfaction in the Neonatal Intensive Care Unit (NICU) hinges on strong nurse-parent relationships. Effective communication and consistent care from bedside nurses significantly enhance the NICU experience for families.
Area of Science:
- Neonatal Intensive Care Unit (NICU) care
- Parental experience in healthcare settings
- Nursing-parental relationships
Background:
- Parental satisfaction is crucial in Neonatal Intensive Care Units (NICUs).
- Understanding parental perspectives informs quality improvement initiatives.
Purpose of the Study:
- To explore parents' experiences and satisfaction with care in the NICU.
- To identify key factors influencing parental satisfaction within the NICU environment.
Main Methods:
- Qualitative design utilizing an interpretive description methodology.
- Interviews conducted with ten parents (nine mothers, one father) in a 69-bed tertiary-level NICU.
- Interviews analyzed using an evolving coding guide following transcription.
Main Results:
- The nurse-parent relationship was identified as the most significant factor in parental satisfaction.
- Parents described nurses' perceptive engagement, cautious guidance, and subtle presence as facilitators of a strong relationship.
- Nurses were perceived by parents as fulfilling roles of teacher, guardian, and facilitator in ideal interactions.
Conclusions:
- A collaborative and effective nurse-parent relationship is paramount for parental satisfaction in the NICU.
- Optimizing consistency and continuity of nursing care supports the development of strong nurse-parent relationships.
- Enhancing the nurse-parent bond is key to improving the overall NICU experience for families.
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