TY - JOUR
T1 - Parents' and nurses' experiences of partnership in neonatal intensive care units
T2 - a qualitative review and meta-synthesis
AU - Brødsgaard, Anne
AU - Pedersen, Jette Thise
AU - Larsen, Palle
AU - Weis, Janne
N1 - © 2019 John Wiley & Sons Ltd.
PY - 2019/9
Y1 - 2019/9
N2 - 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.
AB - 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.
KW - family-centred care
KW - neonatal intensive care unit
KW - parent–nurse relationship
KW - partnership
KW - qualitative systematic review
KW - Humans
KW - Parents
KW - Professional-Family Relations
KW - Qualitative Research
KW - Intensive Care Units, Neonatal/organization & administration
KW - Family Nursing/methods
KW - Infant, Newborn
UR - http://www.scopus.com/inward/record.url?scp=85067434513&partnerID=8YFLogxK
U2 - 10.1111/jocn.14920
DO - 10.1111/jocn.14920
M3 - Review
C2 - 31112337
SN - 0962-1067
VL - 28
SP - 3117
EP - 3139
JO - Journal of Clinical Nursing
JF - Journal of Clinical Nursing
IS - 17-18
ER -