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Published on: January 7, 2020
Needs of parents in a surgical neonatal intensive care unit
Priya Govindaswamy1,2, Sharon Laing3, Donna Waters2,4
1Grace Centre for Newborn Care, Children's Hospital at Westmead, Sydney, New South Wales, Australia.
Insights
Parents of infants in the surgical neonatal intensive care unit (NICU) prioritize reassurance and information. Healthcare professionals effectively met these crucial needs, supporting family-centered care principles.
Area of Science:
- Neonatal intensive care
- Surgical neonatology
- Parental support
Background:
- Parental needs in the neonatal intensive care unit (NICU) are documented, but less is known about parents of newborns undergoing general surgery.
- This population represents an under-researched group with unique care requirements.
Purpose of the Study:
- To identify the specific needs of parents with newborns admitted to a surgical NICU.
- To evaluate the extent to which healthcare professionals meet these identified parental needs.
Main Methods:
- A prospective cohort study involving 111 parents of newborns admitted to a surgical NICU in Australia.
- Parents completed the Neonatal Family Needs Inventory (NFNI) at admission and discharge.
- Data analysis utilized parametric and non-parametric statistical techniques.
Main Results:
- Parents consistently ranked Assurance, Proximity, and Information as their most important needs at both admission and discharge.
- Mothers placed a significantly higher importance on Assurance needs compared to fathers.
- Key needs, such as honest answers and frequent infant contact, were met for over 96% of parents.
Conclusions:
- Reassurance emerges as a primary need for parents in the surgical NICU setting.
- Family-centered and individualized care approaches are recommended to optimally address the distinct needs of mothers and fathers.
Aim:
While there is evidence of parental needs in the neonatal intensive care unit (NICU), parents of newborns admitted for general surgery are an under-researched population. This study aimed to identify needs in parents of newborns admitted to the NICU for general surgery and whether health-care professionals meet these needs.
Methods:
This was a prospective cohort study of 111 parents (57% mothers) of newborns admitted to a surgical NICU for general surgery in Australia from January 2014 to September 2015. Parents completed the Neonatal Family Needs Inventory (NFNI), comprising 56 items in five subscales (Support, Comfort, Information, Proximity, Assurance) at admission and discharge, as well as the Social Desirability Scale (SDS). Data were analysed using parametric and non-parametric techniques.
Results:
At both admission and discharge, parents rated Assurance (M = 3.8, standard deviation (SD) = 0.24) needs as the most important, followed by Proximity (M = 3.6, SD = 0.32) and Information (M = 3.5, SD = 0.38). Mothers rated Assurance significantly more important than fathers (P < 0.02). Overall, parents' most important needs were having questions answered honestly (M = 3.96, SD = 0.19), seeing their infant frequently and knowing about the medical treatment (both M = 3.95, SD = 0.23). The 10 most important needs were met for more than 96% of parents, with no evidence of response bias.
Conclusions:
Reassurance is a priority need for parents in the surgical NICU. Mothers' and fathers' needs may be best met by practices based on family-centred, individualised care principles.
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Parenting Styles
Authoritarian Parenting
This style is strict and controlling, with little room for open dialogue. Authoritarian parents demand obedience and often enforce rules with minimal warmth. Children raised this way may lack social skills and initiative, usually comparing themselves to others unfavorably.
Authoritative...
Measurement: Derived Units
Measurement: Standard Units
Relationship with Parents: Attachment

