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Family perceptions of prematurity, neurodevelopment, and early intervention: a qualitative study
Nathália de Figueiredo Silva1, Francelio Silva de Sousa Júnior2, Beatriz de Oliveira Silva2
1Graduate Program in Physiotherapy, Federal University of Rio Grande Do Norte, Natal, RN, Brazil.
Insights
Family involvement is crucial for premature infants. Parents often feel insecure in the Neonatal Intensive Care Unit (NICU) and need better understanding of ongoing neurodevelopmental care post-discharge.
Area of Science:
- Neonatal care
- Developmental pediatrics
- Family-centered care
Background:
- Family involvement is vital for premature infant care.
- Understanding family perceptions is key for effective support.
- Early intervention requires informed parental participation.
Purpose of the Study:
- To explore family perceptions of prematurity.
- To understand family views on neurodevelopmental care.
- To assess family insights on early intervention needs.
Main Methods:
- Qualitative study using focus groups and interviews.
- Involved family members of premature infants.
- Utilized Bardin's Content Analysis for interpretation.
Main Results:
- Families showed limited understanding of prematurity.
- Insecurity was prevalent in the Neonatal Intensive Care Unit (NICU).
- Kangaroo Care Unit did not effectively promote post-discharge autonomy.
Conclusions:
- NICU environment can impede parental engagement.
- Transition to home care was challenging post-Kangaroo Care Unit.
- Outpatient follow-up revealed gaps in understanding long-term needs.
Introduction:
Given that family involvement is essential for both short- and long-term care of premature infants, it is critical to understand the family's perceptions on prematurity, neurodevelopment, and the need for early intervention.
Objective:
To explore family perceptions on prematurity, neurodevelopment, and early intervention.
Methodology:
This exploratory, descriptive, and qualitative study involved two focus groups and ten semi-structured interviews with family members of premature infants across three neonatal care settings: the Neonatal Intensive Care Unit (NICU), Kangaroo Care Unit, and Follow-up Clinic. The guiding script contained five questions aimed at understanding family perceptions of prematurity and their care for neurodevelopment, ranging from the support resources available during hospitalization to family involvement in intervention programs. Bardin's Content Analysis was employed for data inference and interpretation.
Results:
A limited understanding of prematurity was identified among family members, along with their participation in neurodevelopmental care, highlighting the significance of their role in intervention programs. Families reported feelings of insecurity, particularly in the NICU, indicating a reliance on the care provided by the professional team. The Kangaroo Care Unit proved to be ineffective in fostering family autonomy in post-discharge care, as comments from families in outpatient follow-up suggested a lack of understanding regarding the need for continued care for the development of premature infants.
Conclusion:
The NICU environment appears to hinder parental engagement, leaving parents feeling insecure. The Kangaroo Care Unit was not fully effective in transitioning families to the home environment. Parents in outpatient follow-up exhibited limited understanding of prematurity-related issues.
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