RNQualitativeScandinavian journal of caring sciences2021

Fathers' lived experiences of caring for their preterm infant at the neonatal unit and in neonatal home care after the introduction of a parental support programme: A phenomenological study.

Sofia Hemle Jerntorp, Bengt Sivberg, Pia Lundqvist

PMID 33179339

WHAT IT FOUND

Fathers of preterm infants described NICU and neonatal home-care support as helpful, but often felt excluded and unsure how to take responsibility.

They wanted nurses to invite them into care and decision-making, not only support the mother.

Key findings

01Fathers described placing the mother’s needs above their own and leaving decision-making to her.

02Although professionals encouraged fathers, some felt forgotten and not fully responsible, and wished for more active guidance.

03Fathers described neonatal home care as helping them feel more like parents and take greater responsibility.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

Only seven fathers were analysed, so the accounts cannot be treated as a pattern across all fathers of preterm infants. All fathers were Swedish and lived with the infant’s mother, so the findings may not apply to other cultures, family structures, or fathers who are not living with the mother. Interviews took place about one to two weeks after discharge, so positive recent home-care memories may have been easier to recall than earlier NICU experiences. This paper describes fathers’ experiences after a support programme was introduced; it does not compare fathers who received the programme with fathers who did not, so it cannot show that the programme caused the reported feelings. Some of the original interviews were excluded because they were less informative, which may have narrowed the range of narratives.

Declared interests

The authors declared no conflict of interest.

The easy way to misread this

Do not read this as evidence that the parental support programme improves fathers’ experiences or reduces parental stress. It reports seven fathers’ experiences after the programme was introduced and does not compare them with fathers who did not receive it.

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