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Parental Role Beliefs and Neonatal Intensive Care Unit-Related Stress Among Turkish Parents: A Comparative
Esme Demir1, Burcu Aykanat Girgin2, Fatma Çarıkçı3
1Department of Pediatric, Develi Dr. Ekrem Karakaya State Hospital, Kayseri, Türkiye.
Insights
Parents of preterm infants in the neonatal intensive care unit (NICU) experience moderate stress and role beliefs. Factors like maternal age and infant characteristics influence parental beliefs, but stress and beliefs are not directly correlated.
Area of Science:
- Neonatal Intensive Care Unit (NICU) care
- Parental mental health
- Pediatric nursing
Background:
- Neonatal intensive care units (NICUs) present unique challenges for parents.
- Understanding parental stress and role beliefs is crucial for family-centered care.
Purpose of the Study:
- To determine and compare stress levels and parental role beliefs among parents of preterm infants in an İstanbul NICU.
- To identify factors associated with these experiences.
Main Methods:
- A descriptive, cross-sectional, comparative study involving 120 preterm infants' parents.
- Data collected using sociodemographic forms, Parental Stressor Scale: NICU, and NICU Parental Beliefs Scale.
Main Results:
- Both mothers and fathers reported moderate stress and role beliefs.
- Mothers had higher Parental Role Alterations scores; fathers had higher Parental Role Confidence and total Beliefs scores.
- Parental beliefs were associated with maternal age, infant birth weight/gestational age, and financial well-being, but not directly with stress levels.
Conclusions:
- No significant correlation was found between parental stress and role beliefs.
- Maternal age, financial well-being, and infant characteristics influence parental beliefs in the NICU.
- Family-centered care is recommended to mitigate parental stress and enhance role confidence.
Aim:
This study was conducted to determine and compare stress levels, parental role beliefs, and their associated factors among the parents of preterm infants hospitalized in a neonatal intensive care unit in İstanbul, Türkiye.
Methods:
This descriptive, cross-sectional, comparative study was carried out between April 2023 and April 2024 with both parents of 120 preterm infants hospitalized in the level-3 neonatal intensive care unit of a university hospital in İstanbul, Türkiye. Data were collected using sociodemographic information forms, the Parental Stressor Scale:neonatal intensive care unit, and the neonatal intensive care unit Parental Beliefs Scale.
Results:
Both mothers and fathers of preterm infants hospitalized in the neonatal intensive care unit reported moderate levels of stress and parental role beliefs. On the Parental Stressor Scale:neonatal intensive care unit scale, Parental Role Alterations subscale scores were significantly higher among mothers compared to fathers (p = .001). In contrast, Parental Role Confidence subscale and total neonatal intensive care unit-Parental Beliefs Scale scores were higher among fathers (p = .001). Parental Stressor Scale:neonatal intensive care unit and neonatal intensive care unit-Parental Beliefs Scale scores were not correlated (p > .05). Neonatal intensive care unit-Parental Beliefs Scale scores were positively associated with maternal age ≥35 years among mothers and with lower birth weight (p = .021), lower gestational age at birth (p = .026), and greater subjective financial well-being (p = .004) among fathers.
Conclusion:
No significant relationship between parental stress and role belief scores was observed in this study. Maternal age, subjective financial well-being, and infant birth weight and gestational age were factors affecting parental belief scores in the neonatal intensive care unit setting. Family-centered care practices are needed to reduce parents' stress and strengthen their caregiving role beliefs. Cite this article as: Demir, E., Aykanat-Girgin, B., & .arık.ı, F. (2026). Parental role beliefs and neonatal intensive care unit-related stress among Turkish parents: A comparative cross-sectional study. Florence Nightingale Journal of Nursing, 34, 0414, doi:10.5152/FNJN.2026.25414.
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