Parent Perspectives of Co-Occupations in Neonatal Intensive Care: A Thematic Review of Barriers and Supports.

IF 1.5 4区医学 Q3 REHABILITATION Otjr-Occupation Participation and Health Pub Date : 2024-08-19 DOI:10.1177/15394492241271220

Sydnee G Stovall, Rylie G George, Madelyn T Lara, Kyra O Gainous, Riqiea F Kitchens, Claudia L Hilton

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Abstract

Background: Co-occupations within the neonatal intensive care unit (NICU), which include parenting activities, such as bathing, feeding, diapering, comfort care, and bonding for attachment, are consequential for optimal infant development.

Objectives: This thematic systematic review examines supports and barriers for facilitating co-occupations between parents and infants in the neonatal setting.

Methodology: A search of four databases (MEDLINE, CINAHL, PsycINFO, and PubMed) resulted in 20 studies that met inclusion criteria for data extraction.

Results: Family-centered NICU design, good communication between parents and NICU staff, increased physical contact, parent involvement in caregiving, psychological wellness, parent education, peer support, and established parental roles are identified as supports to co-occupational engagement. Identified barriers include physical separation, loss of parental role, restrictions of the NICU environment, medical technology, role strain, psychological burden, lack of knowledge, and poor communication.

Implications: Findings suggest that neonatal occupational therapy practitioners can facilitate parent-infant co-occupations by addressing barriers and augmenting existing supports.

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新生儿重症监护中家长对合作的看法：障碍与支持专题回顾》。

背景：新生儿重症监护室（NICU）内的共同活动包括育儿活动，如洗澡、喂养、换尿布、舒适护理和建立依恋关系等，这些活动对婴儿的最佳发育至关重要：本主题性系统综述研究了在新生儿环境中促进父母与婴儿共同承担责任的支持和障碍：方法：对四个数据库（MEDLINE、CINAHL、PsycINFO 和 PubMed）进行检索，结果有 20 项研究符合数据提取的纳入标准：结果：以家庭为中心的新生儿重症监护室设计、父母与新生儿重症监护室工作人员之间的良好沟通、更多的身体接触、父母参与护理、心理健康、父母教育、同伴支持以及父母角色的确立被认为是支持父母共同参与的因素。已确定的障碍包括身体分离、父母角色的丧失、新生儿重症监护室环境的限制、医疗技术、角色压力、心理负担、知识缺乏和沟通不畅：研究结果表明，新生儿职业治疗从业人员可以通过消除障碍和加强现有支持来促进父母与婴儿的共同职业。

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来源期刊

Otjr-Occupation Participation and Health REHABILITATION-

CiteScore

2.60

自引率

7.10%

发文量

期刊介绍： The aim of OTJR: Occupation, Participation and Health is to advance knowledge and science in occupational therapy and related fields, nationally and internationally, through the publication of scholarly literature and research. The journal publishes research that advances the understanding of occupation as it relates to participation and health.