J A Heermann1, M E Wilson. 1. University of Nebraska Medical Center College of Nursing, Nebraska Health Systems, Omaha, USA. jheerman@unmc.edu
Abstract
PURPOSE: To explore and describe nurses' experiences while working with parents and infants receiving family-focused developmental care (FFDC), to gain insight into the process of changing from a traditional model of care to FFDC. DESIGN: The qualitative design was based on Spradley's method. SAMPLE: Data were collected by interviewing ten nurses who worked in an NICU during a pilot study of FFDC. Transcripts were analyzed using Spradley's domain analysis. FINDINGS: Four themes describe aspects of the transition from traditional care to FFDC: (1) negative experiences of FFDC, (2) transitions central to partnering with parents, (3) positive experiences of parental participation, and (4) organizational transitions necessary for the move to a family-centered model of care. CONCLUSION: Learning to share responsibility with families will require change in the NICU culture as well as in nurses' role identity.
PURPOSE: To explore and describe nurses' experiences while working with parents and infants receiving family-focused developmental care (FFDC), to gain insight into the process of changing from a traditional model of care to FFDC. DESIGN: The qualitative design was based on Spradley's method. SAMPLE: Data were collected by interviewing ten nurses who worked in an NICU during a pilot study of FFDC. Transcripts were analyzed using Spradley's domain analysis. FINDINGS: Four themes describe aspects of the transition from traditional care to FFDC: (1) negative experiences of FFDC, (2) transitions central to partnering with parents, (3) positive experiences of parental participation, and (4) organizational transitions necessary for the move to a family-centered model of care. CONCLUSION: Learning to share responsibility with families will require change in the NICU culture as well as in nurses' role identity.
Authors: Barry M Lester; Robin J Miller; Katheleen Hawes; Amy Salisbury; Rosemarie Bigsby; Mary C Sullivan; James F Padbury Journal: Semin Perinatol Date: 2011-02 Impact factor: 3.300