RNOtherAdvances in neonatal care : official journal of the National Association of Neonatal Nurses2021

Patterns of Parenting Confidence Among Infants With Medical Complexity: A Mixed-Methods Analysis.

Ashlee J Vance, Kathleen Knafl, Debra H Brandon

PMID 32366808

WHAT IT FOUND

Parents of medically complex infants described confidence as a feeling or a behavior.

Most interviewed parents reported stable-high or increasing confidence, and said nurse reassurance and engagement in care helped their confidence.

Key findings

01Parents described confidence either as a feeling (n = 6) or as behaviors (n = 4).

02Most interviewed parents had increasing or stable-high confidence patterns (n = 6).

03Parents said positive reassurance from nurses and opportunities to engage in care activities helped their confidence.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The interview sample was small and purposively selected, with only 10 parents, so the themes describe these parents and do not establish patterns for all families. Only 1 father was interviewed, so the findings are mostly mothers' perspectives. The study excluded parents younger than 18, adoptive or foster parents, and multiple gestation births, so it does not cover those parenting contexts. The supplied text does not state the total number of parents who completed all 3 surveys; it reports 39 who expressed interest and 10 interviewed. Self-esteem, psychological factors, and infant health or developmental outcomes were not measured, so factors behind low confidence remain unclear. The paper describes associations between confidence patterns and technology dependence, not a tested effect of nursing support or any intervention.

The easy way to misread this

Do not conclude that nurse reassurance and care engagement cause higher parenting confidence. The study reports parents' perceptions from 10 purposively selected interviews and did not compare different care approaches or measure infant outcomes.

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