Mothering in the NICU: A qualitative exploration of maternal engagement

doi:10.1080/00981389.2019.1629152

. 2019 Sep;58(8):746-763.

doi: 10.1080/00981389.2019.1629152. Epub 2019 Jun 20.

Mothering in the NICU: A qualitative exploration of maternal engagement

Susanne Klawetter¹, Madalynn Neu², Kristi L Roybal³, Jennifer C Greenfield³, Jessica Scott⁴, Sunah Hwang⁵

Affiliations

¹ School of Social Work, Portland State University , Portland , OR , USA.
² College of Nursing, University of Colorado , Aurora , CO , USA.
³ School of Social Work, University of Denver , Denver , CO , USA.
⁴ Department of Pediatrics/Neonatology, University of Colorado , Aurora , CO , USA.
⁵ Department of Pediatrics/Neonatology, University of Colorado and Children's Hospital Colorado , Aurora , CO , USA.

PMID: 31219407
PMCID: PMC10027385
DOI: 10.1080/00981389.2019.1629152

Mothering in the NICU: A qualitative exploration of maternal engagement

Susanne Klawetter et al. Soc Work Health Care. 2019 Sep.

. 2019 Sep;58(8):746-763.

doi: 10.1080/00981389.2019.1629152. Epub 2019 Jun 20.

Authors

Susanne Klawetter¹, Madalynn Neu², Kristi L Roybal³, Jennifer C Greenfield³, Jessica Scott⁴, Sunah Hwang⁵

Affiliations

¹ School of Social Work, Portland State University , Portland , OR , USA.
² College of Nursing, University of Colorado , Aurora , CO , USA.
³ School of Social Work, University of Denver , Denver , CO , USA.
⁴ Department of Pediatrics/Neonatology, University of Colorado , Aurora , CO , USA.
⁵ Department of Pediatrics/Neonatology, University of Colorado and Children's Hospital Colorado , Aurora , CO , USA.

PMID: 31219407
PMCID: PMC10027385
DOI: 10.1080/00981389.2019.1629152

Abstract

Research suggests maternal engagement in the neonatal intensive care unit (NICU) may positively impact maternal and infant health outcomes. However, the U.S. has lower rates of maternal engagement in the NICU compared to other developed countries. This qualitative study reflects a transdisciplinary research partnership between social work, nursing, and neonatology. Qualitative inquiry explores maternal experiences in the NICU from the perspectives of mothers of preterm infants hospitalized in 2 U.S. NICUs. Results support an ecological systems framework to understanding barriers and facilitators to maternal engagement in the NICU and the utilization of a trauma-informed health care approach in NICU settings.

Keywords: Maternal engagement; NICU; neonatal intensive care unit; parental paid leave; social work; transdisciplinary research; trauma-informed care.

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Conflict of interest statement

Conflicts of Interest

The authors have no conflicts of interest to disclose.

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References

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1. Bourque SL, Levek C, Melara DL, Grover TR, & Hwang SS (2019). Prevalence and Predictors of Back-Transport Closer to Maternal Residence After Acute Neonatal Care in a Regional NICU. Maternal and Child Health Journal 23(2): 212–219. doi:10.1007/s10995-018-2635-6 - DOI - PubMed
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[1] American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author.

[2] American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author.

[3] Bourque SL, Levek C, Melara DL, Grover TR, & Hwang SS (2019). Prevalence and Predictors of Back-Transport Closer to Maternal Residence After Acute Neonatal Care in a Regional NICU. Maternal and Child Health Journal 23(2): 212–219. doi:10.1007/s10995-018-2635-6 - DOI - PubMed

[4] Bourque SL, Levek C, Melara DL, Grover TR, & Hwang SS (2019). Prevalence and Predictors of Back-Transport Closer to Maternal Residence After Acute Neonatal Care in a Regional NICU. Maternal and Child Health Journal 23(2): 212–219. doi:10.1007/s10995-018-2635-6 - DOI - PubMed

[5] Braun V, & Clarke V (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. doi:10.1191/1478088706qp063oa - DOI

[6] Braun V, & Clarke V (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. doi:10.1191/1478088706qp063oa - DOI

[7] Bronfenbrenner U (1979). The ecology of human development. Cambridge, MA: Harvard University Press.

[8] Bronfenbrenner U (1979). The ecology of human development. Cambridge, MA: Harvard University Press.

[9] Chaiyachati KH, Hubbard RA, Yeager A, Mugo B, Lopez S, Asch E, … Grande D (2018). Association of rideshare-based transportation services and missed primary care appointments: A clinical trial. JAMA Internal Medicine, 178(3), 383–389. doi:10.1001/jamainternmed.2017.8336 - DOI - PubMed

[10] Chaiyachati KH, Hubbard RA, Yeager A, Mugo B, Lopez S, Asch E, … Grande D (2018). Association of rideshare-based transportation services and missed primary care appointments: A clinical trial. JAMA Internal Medicine, 178(3), 383–389. doi:10.1001/jamainternmed.2017.8336 - DOI - PubMed

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Mothering in the NICU: A qualitative exploration of maternal engagement

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Mothering in the NICU: A qualitative exploration of maternal engagement

Authors

Affiliations

Abstract

Conflict of interest statement

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References

MeSH terms

Grants and funding

LinkOut - more resources

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Medical