Facilitating nurturant fathering behavior in the NICU.

Many of the roles required of the father of a NICU infant are new and unfamiliar, difficult to carry out, unrehearsed, and yet called for in an unexpected crisis. At a time when they too need nurturing, fathers of high-risk infants are expected to adapt readily and be models of self-control. It is apparent from this investigation that the primary nurse is in a strategic position to assist the new father in his acquaintance with and early adjustment to his infant. Although some of the fathers will become actively involved with their children, others prefer less involvement in infant care taking and display minimal nurturant behaviors. A nurse must be able to recognize these differences and support a father's (and mother's) choice. A couple's sociocultural ideology and perceptions of the father's role, as well as the family dynamics and values, need to be given primary consideration in planning nursing care. In order for the nurse to fulfill an important teaching role for the fathers (parents) of NICU infants, the nurse must meet the needs of each individual father in relation to the family system. This requires systematic and nonjudgmental assessment and caring facilitation of paternal role development and early father-infant and father-mother-infant interactions.