Author/Authors :
Hadian Shirazi، Zahra نويسنده Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran , , Sharif، Farkhondeh نويسنده Department of Mental Health & Psychiatric Nursing, Faculty of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran , , Rakhshan، Mahnaz نويسنده Department of Nursing, Community Based Psychiatric Research Center, Shiraz University of Medical Sciences, Shiraz, Iran , , Pishva، Narjes نويسنده Neonatology Center, Nemazee Hospital, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran; , , Jahanpour، Faezeh نويسنده School of Nursing and Midwifery, Bushehr University of Medical Sciences, Bushehr, Iran ,
Abstract :
Background In recent decades, family-centered care (FCC) has come
to be known, accepted, and reported as the best care strategy for
admitted children and their families. However, in spite of the
increasing application of this approach, the experiences of the
caregivers have not yet been studied. Objectives The present study aimed
at the description and interpretation of the FCC experience in two
neonatal intensive care units (NICU) at Shiraz University of Medical
Sciences. Methods This study was conducted through the hermeneutic
phenomenological approach. Semi-structured interviews were conducted
with 17 professional and familial caregivers, and their interactions
were observed in three work shifts. The interviews were audiotaped and
transcribed verbatim. After observations, field notes were also written.
Finally, the data were analyzed through van Manen’s methodology. Results
One of the essential themes that emerged in this study was the
“evocation of being at home” among familial and even professional
caregivers. This theme had three subthemes: i.e., “meta-family
interaction,” “comprehensive support,” and “reconstruction of a normal
family.” Accordingly, FCC eliminated borders between professional and
non-professional caregivers and built close relationships among them in
the NICU. It also provided for the needs of neonates, their families,
and even professional caregivers through perceived and received support.
Conclusions Parents of the neonates admitted to the NICU experience hard
moments. They not only play the role of primary caregivers, but they
also receive the care. Focusing on the different meanings of this care
from the caregivers’ points of view and having managers provide certain
requirements can guarantee the establishment of comprehensive care for
clients and proper support for the staff in this unit.