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Hindering and buffering factors for parental sleep in neonatal care. A phenomenographic study
Ulla Edéll-Gustafsson1, Charlotte Angelhoff, Ewa Johnsson
1Department of Medicine and Health Sciences, Faculty of Health Sciences, Linköping University, Linköping, Sweden.
Insights
Parents in neonatal care experience poor sleep due to stress and environment. Family-centered care, information, and skin-to-skin contact can improve parental sleep and coping.
Area of Science:
- Neonatal care research
- Parental well-being studies
- Sleep science
Background:
- Parental stress is high with preterm/sick infants, impacting bonding.
- Family-centered care in single-family rooms allows 24/7 parental presence.
- Sleep deprivation can hinder parents' coping abilities.
Purpose of the Study:
- To explore and describe parental sleep perceptions in neonatal care.
- To understand factors influencing sleep for parents of vulnerable infants.
Main Methods:
- Phenomenographic study with an exploratory design.
- Semi-structured interviews with twelve parents of infants in neonatal care.
- Phenomenographic analysis to describe variations in sleep perception.
Main Results:
- Four categories emerged: stress impact, environmental effects, family togetherness benefits, and tiredness management.
- Anxiety, uncertainty, and powerlessness negatively affect sleep.
- Continuous information, guidance, and practical support are crucial.
Conclusions:
- Skin-to-skin care reduces stress, improves relaxation, and enhances sleep.
- Private spaces and family presence positively impact parental sleep.
- Involving older siblings can alleviate feelings of isolation.
Aims And Objectives:
To explore and describe how parents of preterm and/or sick infants in neonatal care perceive their sleep.
Background:
Parents experience many stressful situations when their newborn infant is preterm and/or sick. This affects bonding. By developing more family-centred care units with single-family rooms, parents are given the opportunity to stay and care for their newborn infant(s) 24 hours a day. Lack of sleep may affect new parents' ability to cope with the many challenges they face on a daily basis.
Design:
A phenomenographic study with an inductive and exploratory design.
Methods:
Semi-structured interviews were conducted with twelve parents of infants in neonatal care between January-March 2012. To describe variations in perception of the phenomenon, data were analysed using phenomenography.
Findings:
Four descriptive categories were identified within the phenomenon sleep in parents of preterm and/or sick infants in neonatal care: impact of stress on sleep; how the environment affects sleep; keeping the family together improves sleep; and, how parents manage and prevent tiredness.
Conclusion:
Anxiety, uncertainty and powerlessness have a negative influence on sleep. This can be decreased by continuous information, guidance and practical support. Skin-to-skin care was perceived as a stress-reducing factor that improved relaxation and sleep and should be encouraged by the nurse. The parents also mentioned the importance of being together. Having a private place where they could relax and take care of themselves and their newborn infant improved sleep. It was also desirable to involve older siblings in order to decrease feelings of loneliness, sadness and isolation.
Relevance For Clinical Practice:
Improved parental sleep in neonatal care may help the families cope with the situation and facilitate problem-solving, emotional regulation and the transition to parenthood.
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