Coparenting Patterns of Parents of an Infant With Complex Congenital Heart Disease: Qualitative Identification and Network Analysis of Effects of Infant Illness Severity and Guided Participation Intervention.

IF 0.8 4区 医学 Q4 NURSING Research and Theory for Nursing Practice Pub Date : 2024-09-20 DOI:10.1891/RTNP-2023-0128
Karen Pridham, Roger Brown, Dana Schardt, Tondi Kneeland, Raymond Fedderly
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Abstract

Introduction: The purpose of this secondary analysis, from a pilot randomized controlled trial of guided participation (GP), was to describe patterns of coparenting for mother and father dyads caring for an infant with complex congenital heart disease and to examine the influencing factors at infant age 6 months. Our theoretical framework included GP treatment, severity of neonatal illness (severity), coparenting pattern, and parent attention to infant weight gain (weight gain). Method: From transcribed interviews with 25 parent dyads at infant age 2 and 6 months, data relevant to coparenting were categorized for entry into a matrix table. These categories included family circumstances; infant health status, feeding, and sleeping; and how the parents worked in relation to each other for caregiving, the caregiving issues they were working on, and their caregiving goals. Results: The tabled data showed two coparenting patterns, collaborative and cooperative, with very little change from 2 to 6 months, and 6-month weight gain mention. We used Bayesian sensitivity network analysis to examine, at 6 months, GP effect in contrast to usual care (control group) effect and the effect of higher or lower severity on coparenting pattern and weight gain. The treatment group had greater percentage of collaborative coparenting pattern with higher severity. In contrast, the control group showed the percentage of dyads with a collaborative coparenting pattern was similar for higher and lower severity. Weight gain mention was higher with higher severity. Conclusion: Further coparenting pattern identification and study replication with a larger, diversified sample is planned.

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患有复杂先天性心脏病的婴儿父母的共同养育模式:婴儿疾病严重程度和引导参与干预效果的定性识别和网络分析。
导言:这项二次分析来自于一项引导式参与(GP)随机对照试验,目的是描述照顾患有复杂先天性心脏病的婴儿的母亲和父亲二人组的共同养育模式,并研究婴儿6个月大时的影响因素。我们的理论框架包括 GP 治疗、新生儿疾病的严重程度(严重程度)、共同养育模式以及父母对婴儿体重增加的关注(体重增加)。研究方法根据对婴儿 2 个月大和 6 个月大时 25 个父母二人组的访谈记录,对与共同养育相关的数据进行分类,并将其输入矩阵表中。这些类别包括:家庭环境;婴儿健康状况、喂养和睡眠;父母在照顾婴儿方面的工作关系、他们正在解决的照顾婴儿问题以及他们的照顾目标。结果:表列数据显示了两种共同养育模式,即协作和合作,从 2 个月到 6 个月的变化很小,6 个月的体重增长提到。我们使用贝叶斯敏感性网络分析来研究 6 个月时 GP 效果与常规护理(对照组)效果的对比,以及严重程度高或低对共育模式和体重增加的影响。严重程度越高,治疗组的协作共育模式比例越高。相反,对照组显示,严重程度较高和较低时,具有合作共育模式的双亲比例相似。严重程度越高,体重增加幅度越大。结论计划进一步确定共同养育模式,并使用更大、更多样化的样本进行重复研究。
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来源期刊
CiteScore
1.20
自引率
0.00%
发文量
32
审稿时长
>12 weeks
期刊介绍: Research and Theory for Nursing Practice focuses on issues relevant to improving nursing practice, education, and patient care. The articles strive to discuss knowledge development in its broadest sense, reflect research using a variety of methodological approaches, and combine several methods and strategies in a single study. Because of the journal''s international emphasis, article contributors address the implications of their studies for an international audience.
期刊最新文献
The Effect of Cosmetic Makeup on Body Imagery and Anxiety and Depression in Patients Undergoing Postoperative Chemotherapy for Breast Cancer: A Randomized Controlled Study. Coparenting Patterns of Parents of an Infant With Complex Congenital Heart Disease: Qualitative Identification and Network Analysis of Effects of Infant Illness Severity and Guided Participation Intervention. Caring for the Unvaccinated During a Pandemic: Connecting Swanson's Theory of Caring. Factors Influencing Nurses' Intentions to Protect Patient Privacy: A Survey-Based Study Using the Theory of Planned Behavior. Borderlands: A Place of Transformation for Nursing-Where Nepantleras Thrive.
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