Empowerment, Mothers, Premature
Conditions
Keywords
Empowerment, Neonatal, Premature, Mothers, Nursing
Brief summary
Family Integrated Care is designed to eliminate the barriers between parents and their infants in the NICU by involving parents of premature infants in their care. Parents are integrated into both the healthcare team and the care of their infant. Through this approach, parents are informed about how they can contribute to their infant's overall development, including neurological and sensory development, motor and behavioral progress, as well as practices such as touch, bonding, skin-to-skin contact, breastfeeding, and increasing breast milk production. They are also educated on general hygiene and care tasks such as diaper changing and body cleaning. This model places importance on the protection and enhancement of both the physical and psychological well-being of the parent and the infant. During this process, parents move beyond being mere "visitors" in the unit to becoming active "participants" and members of the care team. Family integrated care aims to support parents in becoming the primary caregivers for their infants, both during hospitalization and after discharge. This model not only provides education and counseling but also supports the family's comprehensive involvement in the infant's care.
Interventions
BEHAVIORALMother Integrated Care
In order to empower mothers whose premature infants have been hospitalized in the neonatal intensive care unit (NICU) for at least three days, a four-step neonatal care training program will be provided. Through the empowerment of the mother, the empowerment of the motherwill also be supported. The family will no longer be considered as visitors but will be involved in the infant's care in the NICU as parents. Data collection forms will be completed before the training begins, one day prior to discharge, and one week after discharge.
Sponsors
University of Yalova
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
This is a randomized controlled trial (RCT) designed to evaluate the effectiveness of an intervention.
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* The newborn must be premature (gestational age \>28 and \<34 weeks), * The infant must be admitted to the NICU and hospitalized for at least 3 days, * The mother must be open to communication and cooperation, * The mother must voluntarily agree to participate in the study, * The mother must be literate, * The mother must be able to speak and understand Turkish, * The mother must be primiparous and experiencing motherhood for the first time, * The mother must be over 18 years of age, * Mothers in the intervention group must be present in the hospital for an average of 6-8 hours per day.
Exclusion criteria
* The newborn has a congenital anomaly (e.g., craniofacial anomalies such as cleft palate, cleft lip, or facial muscle paralysis), * The newborn has a diagnosed gastrointestinal, neurological, or genetic disorder (e.g., necrotizing enterocolitis, hydrocephalus, Down syndrome, omphalocele, gastroschisis, short bowel syndrome, or other diseases), * The newborn has a congenital heart defect requiring surgical intervention, * The mother has a diagnosed psychiatric illness, * The mother and/or father do not wish to participate in the study. Withdrawal Criteria: * The mother does not attend the training sessions during the study period, * The mother fails to maintain cooperation throughout the study, * The newborn is transferred to another healthcare center for any reason, * The mother wishes to withdraw from the study, * The newborn is diagnosed with a chronic illness during the study process.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Parental Stress in the Neonatal Intensive Care Unit | First visit, before discharge | The Parental Stressor Scale: Neonatal Intensive Care Unit (PSS:NICU) will be used to assess the level of parental perception of stressors arising from the physical and psychosocial environment of the intensive care unit. The scale consists of 34 items across three dimensions: Sights and Sounds, Infant Appearance and Behavior, and Parental Role Alteration. Higher scores on the scale indicate higher levels of parental stress (minimum: 0, maximum: 170). |
| Maternal Attachment | First visit, before discharge, 1 month after discharge, 3 months after discharge | The Maternal Attachment Scale consists of 26 items. The total score can range from 26 to 104. A higher score indicates a higher level of maternal attachment. |
| The Mother's Perceived Parenting Self-Efficacy | First visit, before discharge, 1 month after discharge, 3 months after discharge | The scale was developed to assess the perceived self-efficacy of mothers of premature infants in caring for their babies and understanding their needs. The scale consists of a total of 20 items, and scores range from 20 to 80. A higher score indicates an increase in the mother's perceived parenting self-efficacy. |
| Breastfeeding Self-Efficacy Scale for Mothers of Preterm Infants | First visit, before discharge, 1 month after discharge, 3 months after discharge | The scale consists of 18 positive items that assess mothers of preterm infants' perceptions of self-efficacy regarding breastfeeding and milk expression. The total score ranges from 18 to 90, with a high score indicating high breastfeeding self-efficacy. |
| Newborn Comfort Behavior | First visit, before discharge | The scale consists of six behavioral parameters that assess alertness, calmness/agitation, respiratory response or crying, body movements, facial tension, and muscle tone. Each parameter is scored on a scale of 1 to 5, and the total score ranges from 6 to 30. A high score indicates a decreased level of comfort in the newborn. |
Countries
Turkey (Türkiye)
Contacts
PRINCIPAL_INVESTIGATOREMEL AVÇİN, Doctor
Adiyaman University
Outcome results
None listed