Parental professional help-seeking for infant sleep

J Clin Nurs. 2017 Dec;26(23-24):5143-5150. doi: 10.1111/jocn.14061. Epub 2017 Oct 9.

Abstract

Aims and objectives: To explore the perceptions and experiences of parental professional help-seeking for infant sleep and sleep-related concerns.

Background: Infant sleep is a frequent concern for parents. However, very little is known about the reasons parents seek, do not seek or delay seeking professional attention about their concerns related to infant sleep.

Design and methods: A qualitative study design was used. Twenty audio-taped interviews with parents of healthy 12-month-old infants were conducted at a university-affiliated hospital or parents' homes depending on where parents felt more comfortable discussing their personal views and medical help-seeking experiences. Thematic content analysis was performed to determine specific patterns and similarities within and between interview data.

Findings: Three main themes developed from the interviews were as follows: (i) uncertainty about infant sleep; (ii) I can handle infant sleep; and (iii) I am not satisfied with the professional services provided for infant sleep. Overall, parents knew little about or misunderstood infant sleep behaviours. Lack of proper information and knowledge about infant sleep influenced parents' motivation for professional help-seeking and help-receiving. Parents who have consulted a healthcare professional but received unsatisfactory responses, such as an ambivalent attitude or insufficient assessment, reported being less motivated or unwilling to seek medical help again.

Conclusion: Our study demonstrates the complexity of parental professional help-seeking and receiving for infant sleep. Findings suggest that parents perceive a wide range of barriers that influence the likelihood that they will seek professional advice for infant sleep.

Relevance to clinical practice: Reducing knowledge barriers and providing adequate attention at all well-infant visits would facilitate parental use of healthcare services to manage problematic infant sleep behaviours.

Keywords: help-seeking; infant; qualitative analysis; sleep.

MeSH terms

  • Adult
  • Female
  • Health Knowledge, Attitudes, Practice*
  • Help-Seeking Behavior*
  • Humans
  • Infant
  • Infant Care / psychology*
  • Infant, Newborn
  • Male
  • Parents / psychology*
  • Qualitative Research
  • Sleep*