1,721,101 research outputs found
The lived experience of fathers of preterm infants in the Neonatal Intensive Care Unit: A systematic review of qualitative studies
No full textAims and objectives: To systematically review the experience of fathers of preterm infants hospitalised in the Neonatal Intensive Care Unit. Background: Family-centred care is more and more acknowledged in Neonatal Intensive Care Units, advocating for active engagement of both parents in the care journey. Nonetheless, fathers' Neonatal Intensive Care Unit experience has received limited research attention. Design: Systematic review of qualitative studies. Methods: Four electronic databases (CINHAL, ISI Web of Science, PubMed, Scopus) were explored and studies published between 2000-2014 were included. Preferred Reporting Item for Systematic Reviews and Meta-analysis (PRISMA) and Joanna Briggs Institute (JBI) Critical Appraisal Tool for Qualitative Studies guidelines were adopted. Key themes were extracted and synthesised. Results: Five main themes resuming fathers' experience of preterm birth and Neonatal Intensive Care Unit stay were identified from 14 studies. Themes were: emotional roller-coaster, paternal needs, coping strategies, self-representation and caregiving engagement. These dimensions were found to be dynamically shaped across three critical turning points: preterm birth, Neonatal Intensive Care Unit stay and at home. Conclusions: Neonatal Intensive Care Unit fathers of preterm infants experience ambivalence, a set of different needs and coping strategies. They modify their self-representations along the Neonatal Intensive Care Unit journey and needs specific nursing support and intervention to sustain caregiving engagement and transition to parenthood. Relevance to clinical practice: A systematic and deepened understanding of preterms' fathers lived experience in Neonatal Intensive Care Unit would be helpful to inform nursing practice. Specific action priorities are suggested within the frame of family-centred care
Implications of epigenetics and stress regulation on research and developmental care of preterm infants
No full textEpigenetics refers to chemical modifications leading to changes in gene expression without any alteration of the DNA structure. We suggest ways through which epigenetic mechanisms might contribute to alter developmental trajectories in preterm infants. Although theoretical and methodological issues still need to be addressed, we discuss how epigenetics might be an emergent research field with potential innovative insights for researchers and clinicians involved in the neonatal care of preterm infants
The burden of Europe's immigration crisis on mother‐child healthcare services and opportunities for culturally sensitive family‐centred care
No full textAssessment and Intervention Potentials of the Face-to-Face Still-Face (FFSF) Paradigm in Developmental Clinical Settings
No full textThe Face-to-Face Still-Face (FFSF) paradigm is a well-acknowledged procedure to assess socio-emotional regulation in healthy and at-risk infants. Although it was developed mainly for research purposes, the FFSF paradigm has potential clinical implications for the assessment of socio-emotional regulation of infants with neurodevelopmental disabilities (NDs) and to suppor 1 parenting. The present chapter describes the application of the FFSF paradigm as an evaluation and intervention tool in clinical practice with infants with NDs and their parents. Theoretical and methodological insights for the use of the FFSF paradigm in the clinical setting are provided. Single-case vignettes from clinical practice further illustrate and provide exemplifications for the use of the FFSF with infants with ND and their parents. From a clinical point of view, the use of the FFSF paradigm (1) offers a unique observational perspective on socio-emotional regulation in infants with ND and to (2) enhances parents’ sensitivity to their infants’ behavior. The FFSF paradigm appears to be a useful tool for the clinical assessment of socio-emotional regulation in infants with ND and to promote the quality of parenting and early parent-infant interaction
Developmental Human Behavioral Epigenetics: Principles, Methods, Evidence, and Future Directions
No full textEpigenethics in the neonatal intensive care unit: Conveying complexity in health care for preterm children
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