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Parents' and nurses' experiences of partnership in neonatal intensive care units: A qualitative review and meta‐synthesis.
- Source :
- Journal of Clinical Nursing (John Wiley & Sons, Inc.); Sep2019, Vol. 28 Issue 17/18, p3117-3139, 23p, 3 Diagrams, 3 Charts
- Publication Year :
- 2019
-
Abstract
- Aims and objectives: To explore how parents and nurses experience partnership in neonatal intensive care units and to identify existing barriers and facilitators to a successful partnership. Background: Family‐centred care is recommended as a frame of reference for treatment and care in neonatal intensive care units. A key element in family‐centred care is partnership. Such partnerships are characterised by complex interpersonal relationships and interactions between nurses and parents/families. Partnerships therefore appear to present a significant challenge. Design: A qualitative review and meta‐synthesis. Methods: Comprehensive searching in ten databases: CINAHL, PubMed (MEDLINE), EMBASE, PsycINFO, Scopus and SweMed+, OpenGrey, MedNar, Google Scholar and ProQuest Dissertations & Thesis Global. A total of 1,644 studies (after removal of duplicates) were critically assessed, and 21 studies fulfilled the inclusion criteria. A meta‐aggregation was used to synthesise the findings from the studies and was methodically quality assessed with QUARI/SUMARI and PRISMA. Findings: Through a meta‐aggregative approach, two synthesised findings were developed: (a) co‐creation of mutual knowledge and (b) developing competencies and negotiating roles. The first synthesis embraced the categories: being respected and listened to, trust and sharing knowledge, and the second synthesis embraced the categories: space to learn with guidance, encouraging and enabling, being in control. In constructing the categories, findings were identified as characteristics, barriers and facilitators to application. Conclusion: A successful relationship between parents and nurses can be achieved through co‐creation of mutual knowledge and development of competencies and negotiation of roles. Neonatal intensive care unit nurses are in a position where they exercise power, but they can change the culture if they are aware of what seems to facilitate or create a barrier to a partnership with parents. Relevance to clinical practice: This new evidence may inform a change in policies and guidelines which could be integrated into nurses' clinical practice in neonatal intensive care units. [ABSTRACT FROM AUTHOR]
- Subjects :
- CINAHL database
FAMILY medicine
MEDICAL information storage & retrieval systems
PSYCHOLOGY information storage & retrieval systems
INTERPROFESSIONAL relations
MEDICAL quality control
MEDICAL personnel
MEDLINE
NEONATAL intensive care
NURSES' attitudes
NURSING
ONLINE information services
PARENT-child relationships
SYSTEMATIC reviews
NEONATAL intensive care units
PARENT attitudes
HEALTH literacy
PATIENTS' families
DESCRIPTIVE statistics
META-synthesis
Subjects
Details
- Language :
- English
- ISSN :
- 09621067
- Volume :
- 28
- Issue :
- 17/18
- Database :
- Complementary Index
- Journal :
- Journal of Clinical Nursing (John Wiley & Sons, Inc.)
- Publication Type :
- Academic Journal
- Accession number :
- 138089700
- Full Text :
- https://doi.org/10.1111/jocn.14920