Parental stress and nurse-parent support in the neonatal intensive care unit: a cross-sectional study

Dilek Konukbay1,2, Mürşide Vural3, Dilek Yildiz3

  • 1Gulhane Faculty of Nursing, Department of Pediatric Nursing, University of Health Sciences Turkey, Ankara, Turkey. dilek.konukbay@gmail.com.

BMC Nursing
|November 13, 2024
PubMed

Insights

NICU nurses provide crucial support to parents of preterm infants, impacting stress levels and well-being. This study highlights factors influencing parental stress and nurse support in the Neonatal Intensive Care Unit (NICU).

Area of Science:

  • Neonatal Intensive Care Unit (NICU) nursing
  • Parental adaptation to infant hospitalization
  • Psychosocial support in critical care

Background:

  • Admission of a preterm infant to the Neonatal Intensive Care Unit (NICU) is a significant source of stress for parents.
  • NICU nurses are vital in providing support, positively influencing parental health and stress management.
  • Understanding the interplay between parental stress and nurse support is crucial for optimizing family-centered care.

Purpose of the Study:

  • To assess parental stress and nurse support for parents with preterm infants in the NICU.
  • To explore the relationship between parental stress, nurse support, and demographic/infant variables.
  • To identify factors influencing the quality and effectiveness of nurse-parent interactions in the NICU.

Main Methods:

  • A descriptive cross-sectional study involving 150 parents (75 mothers, 75 fathers) of preterm infants in a NICU.
  • Data collection utilized the Parent and Infant Information Form, Parental Stressor Scale: NICU (PSS: NICU), and Nurse-Parent Support Tool (NPST).
  • Statistical analyses were performed to examine correlations and differences in stress and support scores based on parental and infant characteristics.

Main Results:

  • No significant overall correlation was found between Parental Stressor Scale: NICU (PSS: NICU) and Nurse-Parent Support Tool (NPST) scores.
  • Significant differences were observed in overall NPST scores and the emotional support subscale.
  • Parental stress and nurse support were influenced by factors such as infant information, marital duration, number of children, infant respiratory status, and parental participation in infant care.

Conclusions:

  • Mothers reported receiving greater nurse support compared to fathers.
  • Maternal nurse support was higher for mothers with one child, while mechanical ventilation and having multiple children were associated with reduced support for mothers.
  • Lower stress levels were observed in mothers married for 6-10 years, those well-informed about their infant, and fathers actively involved in infant care, particularly those with multiple children.
Abstract

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