RNQualitativeScandinavian journal of caring sciences2021

Parents' experiences of family health conversations after having a child in need of neonatal intensive care.

Marie Åberg Petersson, Carina Persson, Pamela Massoudi and 2 others

PMID 33336821

WHAT IT FOUND

Parents of babies in neonatal care described nurse-led family conversations as time to hear each other, feel seen, and prepare for future challenges.

Fathers especially valued being included. This is about their experiences, not proof the conversations work.

Key findings

01Parents said the conversations gave them time to talk about themselves and hear their partner's experience.

02Fathers said they had felt invisible in maternity and child health care and valued being seen as parents in the conversations.

03Parents described the conversations as helpful for moving on and feeling ready for future challenges, although emotionally challenging.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

This was a qualitative interview study of parents' experiences, not a trial of effectiveness. Only families from the intervention group were interviewed, so the study does not describe the control group's experiences. The interview sample came from the first 13 families in the intervention group, and all but one family agreed. Parents who were not fluent in written and spoken Swedish were excluded, so their experiences were not heard. No verification was made that all core components of the family health conversation model were included in each conversation. Parents also received standard family-centred neonatal care, including NIDCAP, Kangaroo Mother Care, family rooms, and neonatal home care, so the contribution of the conversations alone cannot be separated. Interviews happened about six months after the last conversation, so recall may have shaped the accounts.

Declared interests

The authors reported no conflicts of interest. The study received financial support from the Medical Research Council of Southeast Sweden, with support code FORSS-470751.

The easy way to misread this

Do not read these positive experiences as proof that family health conversations improve parental mental health or family functioning. Parents received standard family-centred neonatal care, including NIDCAP, Kangaroo Mother Care, family rooms, and neonatal home care, so the conversations cannot be isolated as the cause.

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