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Region Hovedstaden - en del af Københavns Universitetshospital
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Parents' and nurses' experiences of partnership in neonatal intensive care units: a qualitative review and meta-synthesis

Publikation: Bidrag til tidsskriftReviewForskningpeer review

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AIMS AND OBJECTIVES: To explore how parents and nurses experience partnership in neonatal intensive care units (NICU) and to identify existing barriers and facilitators to a successful partnership.

BACKGROUND: Family-centered care (FCC) is recommended as a frame of reference for treatment and care in NICUs. A key element in FCC 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. Methodically quality assessed with QUARI/SUMARI and PRISMA.

FINDINGS: Through a meta-aggregative approach two synthesised findings were developed: 1) co-creation of mutual knowledge and 2) developing competencies and negotiating roles. The first synthesis embraced the categories: being respected and listened to, trust, 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 as well as 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 NICUs. This article is protected by copyright. All rights reserved.

OriginalsprogEngelsk
TidsskriftJournal of Clinical Nursing
ISSN0962-1067
DOI
StatusUdgivet - 21 maj 2019

Bibliografisk note

This article is protected by copyright. All rights reserved.

ID: 57308081