1. Family-centred care as a mediator in the relationship between parental nurse support and parental stress in neonatal intensive care units.
- Author
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Loutfy, Ahmed, Zoromba, Mohamed Ali, Mohamed, Mai Adel, El-Gazar, Heba Emad, Andargeery, Shaherah Yousef, El-Monshed, Ahmed Hashem, Van Belkum, Corrien, and Ali, Ahmed Salah
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PEDIATRIC nurses , *PATIENTS' families , *CROSS-sectional method , *PEARSON correlation (Statistics) , *MEDICAL personnel , *RESEARCH funding , *T-test (Statistics) , *NEONATAL intensive care units , *SCIENTIFIC observation , *STATISTICAL sampling , *QUESTIONNAIRES , *INTERVIEWING , *PARAMETERS (Statistics) , *NEONATAL intensive care , *PARENT attitudes , *CHILDREN'S hospitals , *STRUCTURAL equation modeling , *DESCRIPTIVE statistics , *CHI-squared test , *MATHEMATICAL statistics , *FAMILY-centered care , *PSYCHOLOGICAL stress , *NURSES' attitudes , *STATISTICS , *ANALYSIS of variance , *MATHEMATICAL models , *SOCIAL support , *FACTOR analysis , *DATA analysis software , *THEORY , *CONFIDENCE intervals , *CRITICAL care nurses - Abstract
Background: Within the NICU, there is a delicate equilibrium between providing assistance to parents by nurses and prioritising family-centred care (FCC). The FCC assumes the role of a mediator, effectively conveying compassion. The intricate dynamics between FCC, parental nurse support, and parental stress in neonatal intensive care units (NICUs) necessitate comprehensive investigation. Objective: This study examines the mediating effect of FCC on the relationship between parental nurse support and parental stress in NICUs. Methods: This cross-sectional observational study used convenience sampling to select 223 parents (202 mothers) from Mansoura City hospitals in Egypt. Data were collected using the Nurse Parent Support Tool (NPST), Family-Centered Care Self-Assessment Tool (FCCS-NICU), and the Parental Stressor Scale: NICU (PSS: NICU). Mediation analysis was used to examine the relationships between variables. Results: Nurse support was positively associated with FCC (β = 0.81, p < 0.001) and negatively related to parental stress (β=-1.156, p < 0.001). FCC was found to reduce parental stress (β=-0.18, p < 0.001). Mediation analysis confirmed that FCC partially mediated the relationship between nurse support and parental stress (indirect effect β = 0.145, 95% CI: 0.055–1.007). Conclusions: This study highlights a significant association in the mediating role of FCC between nurse support and parental stress. Strengthening FCC practices can be an effective strategy for nurses to support parents and alleviate their stress in NICU settings. Implications to practice: NICUs should implement FCC-oriented training for nurses, foster a culture that supports FCC principles, and develop policies to establish FCC as a cornerstone of neonatal care. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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