Mothers' Perceptions of Quality of Family-Centered Care and Environmental Stressors in Neonatal Intensive Care Units: Predictors of and Relationships with Psycho-emotional Outcomes and Postpartum Attachment.
Objectives: Maternal attachment to promote role development in mothers of preterm infants is critical for babies' optimal growth and development. However, few models specify how neonatal intensive care units (NICUs) and their environments work to foster postpartum attachment (PPA) after preterm birt...
| Published in: | Maternal & Child Health Journal Vol. 24; no. 5; pp. 601 - 612 |
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| Main Authors: | , , , , , |
| Format: | research tables/charts Journal Article |
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Springer Nature
May2020
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=142815853&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 142815853 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10927875 N9J jtl: Maternal & Child Health Journal issn: 10927875 maglogo: N pubinfo: dt: May2020 vid: 24 iid: 5 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 142815853 142815853 142815853 10.1007/s10995-020-02876-9 142815853 ppf: 601 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Mothers' Perceptions of Quality of Family-Centered Care and Environmental Stressors in Neonatal Intensive Care Units: Predictors of and Relationships with Psycho-emotional Outcomes and Postpartum Attachment. aug: au: Kim, Ah Rim Tak, Young Ran Shin, Yong Soon Yun, E. Hwa Park, Hyun-Kyung Lee, Hyun Ju affil: School of Nursing & The Graduate School of Information and Clinical Nursing, Hanyang University, 222 Wangsimni-ro, Seongdong-gu, 04763, Seoul, South Korea sug: subj: Mothers Psychosocial Factors Quality of Health Care Family Centered Care Health Facility Environment Stress, Psychological Parent-Infant Bonding Postnatal Period Childbirth, Premature Intensive Care Units, Neonatal Human Emotions Maternal Attitudes Cross Sectional Studies Structural Equation Modeling South Korea Questionnaires Scales Self Concept Multivariate Analysis Infant, Very Low Birth Weight Support, Psychosocial Infant, Hospitalized Convenience Sample Snowball Sample Correlational Studies Stress Disorders, Post-Traumatic Data Analysis Software Descriptive Statistics Pearson's Correlation Coefficient Factor Analysis Goodness of Fit Chi Square Test ab: Objectives: Maternal attachment to promote role development in mothers of preterm infants is critical for babies' optimal growth and development. However, few models specify how neonatal intensive care units (NICUs) and their environments work to foster postpartum attachment (PPA) after preterm birth. We investigated relationships of quality of family-centered care and NICU environmental stressors with maternal PPA, to determine whether these are mediated by mothers' psycho-emotional response and whether pathways to PPA are moderated by developmental immaturity (gestation, birthweight). Methods: A cross-sectional study using structural equation modeling was conducted on 294 mothers of premature infants with experience in NICUs in over 49 tertiary hospitals in 12 cities or provinces of South Korea. Data were collected using Korean versions of instruments including the Quality of Family-centered Care, Parental Stressor Scale: NICU, and Maternal Postpartum Attachment Scale. Results: Maternal self-representation was a key predictor of PPA (β =.68), accounting for 42.2% of variance. Multi-group analysis indicated that NICU environmental stressor sensitivity (β =.26) and maternal self-representation (β =.67) were predictive of PPA in mothers of moderately preterm and low birthweight (32–36 weeks' gestation, 1500–2499 g birthweight) infants. Quality of family-centered developmental care (β =.11) and NICU environmental stressor sensitivity (β = −.16) had significant indirect effects on PPA through psycho-emotional responses. Conclusions for Practice: Healthcare professionals should be aware of the importance of family-centered interventions focusing on psychosocial support and family participation in baby care, based on their environmental role in promoting PPA. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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