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Fathers' Stress in a Neonatal Intensive Care Unit
BACKGROUND: Healthcare professionals in neonatal intensive care units (NICUs) tend to focus attention on the mothers and the newborn infants. Thus, fathers may find it difficult to establish an optimal father–child relationship and their stress may increase and persist during hospitalization. PURPOS...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health, Inc.
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6155352/ https://www.ncbi.nlm.nih.gov/pubmed/29746269 http://dx.doi.org/10.1097/ANC.0000000000000503 |
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author | Noergaard, Betty Ammentorp, Jette Garne, Ester Fenger-Gron, Jesper Kofoed, Poul-Erik |
author_facet | Noergaard, Betty Ammentorp, Jette Garne, Ester Fenger-Gron, Jesper Kofoed, Poul-Erik |
author_sort | Noergaard, Betty |
collection | PubMed |
description | BACKGROUND: Healthcare professionals in neonatal intensive care units (NICUs) tend to focus attention on the mothers and the newborn infants. Thus, fathers may find it difficult to establish an optimal father–child relationship and their stress may increase and persist during hospitalization. PURPOSE: To investigate the impact of a more father-friendly NICU on paternal stress and their participation in childcare. METHODS: A quasiexperimental design was conducted on Danish-speaking fathers of newborn infants 28 or more weeks' gestational age. The Parental Stressor Scale: Neonatal Intensive Care Unit (PSS:NICU) was used to measure paternal perceptions of stressors. Paternal participation in childcare was measured using 7 additional items. The questionnaires were distributed on admission to the NICU, at the 14th day of hospitalization, and at the time of discharge. The primary outcome was the difference in the PSS:NICU overall stress score on admission to the NICU and at the time of discharge in the control group compared with the intervention group. RESULTS: A total of 109 fathers were included. The overall PSS:NICU stress score increased after the intervention. Paternal involvement, staff expectations, and the social expectation to fulfill the traditional role of a breadwinner and additionally of a caregiver may have caused increased stress. IMPLICATIONS FOR PRACTICE: Healthcare professionals must be aware of the father's need to be an equal coparent. Nurses, as key persons, should motivate and expect fathers to be involved, and support them to establish a father–child relationship, although they might become more stressed. IMPLICATIONS FOR RESEARCH: More adequate outcome measures are needed to determine the effect of interventions on paternal stress. |
format | Online Article Text |
id | pubmed-6155352 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Wolters Kluwer Health, Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-61553522018-10-12 Fathers' Stress in a Neonatal Intensive Care Unit Noergaard, Betty Ammentorp, Jette Garne, Ester Fenger-Gron, Jesper Kofoed, Poul-Erik Adv Neonatal Care Original Research BACKGROUND: Healthcare professionals in neonatal intensive care units (NICUs) tend to focus attention on the mothers and the newborn infants. Thus, fathers may find it difficult to establish an optimal father–child relationship and their stress may increase and persist during hospitalization. PURPOSE: To investigate the impact of a more father-friendly NICU on paternal stress and their participation in childcare. METHODS: A quasiexperimental design was conducted on Danish-speaking fathers of newborn infants 28 or more weeks' gestational age. The Parental Stressor Scale: Neonatal Intensive Care Unit (PSS:NICU) was used to measure paternal perceptions of stressors. Paternal participation in childcare was measured using 7 additional items. The questionnaires were distributed on admission to the NICU, at the 14th day of hospitalization, and at the time of discharge. The primary outcome was the difference in the PSS:NICU overall stress score on admission to the NICU and at the time of discharge in the control group compared with the intervention group. RESULTS: A total of 109 fathers were included. The overall PSS:NICU stress score increased after the intervention. Paternal involvement, staff expectations, and the social expectation to fulfill the traditional role of a breadwinner and additionally of a caregiver may have caused increased stress. IMPLICATIONS FOR PRACTICE: Healthcare professionals must be aware of the father's need to be an equal coparent. Nurses, as key persons, should motivate and expect fathers to be involved, and support them to establish a father–child relationship, although they might become more stressed. IMPLICATIONS FOR RESEARCH: More adequate outcome measures are needed to determine the effect of interventions on paternal stress. Wolters Kluwer Health, Inc. 2018-10 2018-05-09 /pmc/articles/PMC6155352/ /pubmed/29746269 http://dx.doi.org/10.1097/ANC.0000000000000503 Text en © 2018 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the National Association of Neonatal Nurses. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (http://creativecommons.org/licenses/by-nc-nd/4.0/) (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. |
spellingShingle | Original Research Noergaard, Betty Ammentorp, Jette Garne, Ester Fenger-Gron, Jesper Kofoed, Poul-Erik Fathers' Stress in a Neonatal Intensive Care Unit |
title | Fathers' Stress in a Neonatal Intensive Care Unit |
title_full | Fathers' Stress in a Neonatal Intensive Care Unit |
title_fullStr | Fathers' Stress in a Neonatal Intensive Care Unit |
title_full_unstemmed | Fathers' Stress in a Neonatal Intensive Care Unit |
title_short | Fathers' Stress in a Neonatal Intensive Care Unit |
title_sort | fathers' stress in a neonatal intensive care unit |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6155352/ https://www.ncbi.nlm.nih.gov/pubmed/29746269 http://dx.doi.org/10.1097/ANC.0000000000000503 |
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