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A Concept Analysis of Parental Uncertainty in Illness of an Infant
Kathryn Jeanne Malin1, Teresa S Johnson
1Kathryn Jeanne Malin is a PhD Student, The University of Wisconsin Milwaukee, and Neonatal Nurse Practitioner, Children's Hospital of Wisconsin Milwaukee, Milwaukee, WI. The author can be reached via e-mail at kmalin@uwm.edu. Teresa S. Johnson is a Professor, College of Nursing, The University of Wisconsin Milwaukee, Milwaukee, WI.
Insights
Parental uncertainty in illness is a cognitive and emotional experience for parents of infants, potentially disrupting their role development. Understanding this experience is key for effective nursing care and parental coping strategies.
Area of Science:
- Nursing
- Parental Health
- Child Health
Background:
- Uncertainty in illness is a recognized concept across disciplines.
- Parental uncertainty in infant illness requires updated analysis due to healthcare changes.
- Existing research lacks comprehensive information on parental uncertainty with infants.
Purpose of the Study:
- To identify antecedents, attributes, and consequences of parental uncertainty in illness.
- Utilized Rodgers' Evolutionary Concept Analysis method for a thorough examination.
Main Methods:
- Conducted a literature search across PubMed, CINAHL, and PsycInfo.
- Included articles published in English between 2000 and 2017.
- Used keywords such as 'parental uncertainty', 'infants', and 'parental uncertainty in illness'.
Main Results:
- Parental uncertainty in infant illness is a paradoxical, cognitive, and emotional experience.
- This uncertainty stems from an inability to create meaning.
- It can disrupt the development of the parental role.
Conclusions:
- Nursing care must acknowledge and be sensitive to parental uncertainty.
- Nurses can help normalize this experience for parents.
- Nurses play a vital role in facilitating healthy coping mechanisms for parents facing infant illness.
Background:
The concept of uncertainty in illness has been well described and applied to many different areas of nursing and other disciplines. Specifically, parental uncertainty in illness of an infant is a meaningful concept that has specific attributes and implications. A current concept analysis that considers the changing healthcare setting, historical conceptual inconsistencies, and a lack of information concerning parents of infants is needed.
Purpose:
To identify essential antecedents, attributes, and consequences of parental uncertainty in illness using Rodgers' Evolutionary Concept Analysis method.
Methods:
A literature search was conducted using PubMed, CINAHL, and PsycInfo. The following keywords were used in combination using the Boolean terms "AND" and "OR": parental uncertainty; infants; parental uncertainty in illness; preterm infants; parent; uncertainty.
Inclusion Criteria:
articles published between 2000 and 2017 and published in English. The search included 38 articles published from 2000 to 2017 with a specific focus on parental uncertainty in illness.
Findings:
Parental uncertainty in illness of an infant is a paradoxical, cognitive, and emotional experience in which there is an inability to create meaning and may cause disruption in parental role development.
Implications For Practice:
Nursing care of parents with ill infants and children must include sensitivity to parents' experiences of uncertainty in illness. Nurses are uniquely positioned to normalize parental uncertainty and facilitate healthy coping.
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Acute illness is severe...
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