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Effect of Parent Presence During Multidisciplinary Rounds on NICU-Related Parental Stress

Kathryn W Gustafson, Michelle A LaBrecque, Dionne A Graham

    Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN
    |August 7, 2016
    PubMed

    Insights

    Parent participation in multidisciplinary rounds did not significantly reduce NICU parental stress. However, mothers reported higher stress levels than fathers during their infant's NICU stay.

    Area of Science:

    • Neonatal Intensive Care Unit (NICU) care
    • Parental stress and well-being
    • Healthcare communication and family-centered care

    Background:

    • Parental stress is a significant concern in Neonatal Intensive Care Units (NICUs).
    • Multidisciplinary rounds are common in NICUs, involving healthcare professionals discussing patient care.
    • Parental involvement in these rounds is increasingly explored as a way to support families.

    Purpose of the Study:

    • To evaluate the impact of parent presence during multidisciplinary rounds on NICU-related parental stress.
    • To determine if active participation in rounds influences parental stress levels.

    Main Methods:

    • A quasi-experimental study was conducted in a university-affiliated, 24-bed NICU.
    • 132 parents of infants admitted for the first time participated.
    • Parents completed the Parent Stressor Scale: NICU (PSS:NICU) on Study Days 0 and 3; the experimental group could attend multidisciplinary rounds.

    Main Results:

    • Overall PSS:NICU scores decreased significantly in the experimental group (p < .001) but not significantly differently compared to the control group (p = .25).
    • The Parental Role Alteration subscale showed the largest decrease in the experimental group (p < .0001), though not significantly different between groups (p = .06).
    • Mothers reported significantly higher overall PSS:NICU stress scores than fathers (p < .001).

    Conclusions:

    • Offering parents the opportunity to participate in multidisciplinary rounds did not significantly affect NICU-related parental stress.
    • Mothers consistently reported higher levels of stress compared to fathers in the NICU setting.
    Abstract

    Keywords:
    PSS:NICUfathersparent roleparent stress

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