Clinical relevance of activities meaningful to parents of preterm infants with very low birth weight: A focus group study

PLoS One. 2018 Aug 28;13(8):e0202189. doi: 10.1371/journal.pone.0202189. eCollection 2018.

Abstract

Introduction: Parents have a major impact on the outcome of health care of preterm infants. Parents' engagement in meaningful activities could have an impact on their own health and wellbeing and therefore be relevant in neonatal intensive care. The aim of this study was to explore meaningful activities of parents of very low birth weight (VLBW) preterm infants with the purpose to further the understanding of their clinical relevance and to foster their consideration in clinical practice and research of neonatal intensive care.

Methods: A total of 36 parents of preterm infants born prior to complete 37 weeks of gestation with VLBW (≤1.500 grams) were asked to participate in a focus group interview. Interview transcripts were used to analyse the content of the focus group interviews using meaning condensation method by Steinar Kvale.

Results: Thirty-six parents participated in a total of twelve focus groups. Parents reported that the meaning of certain activities changed due to preterm birth. Meaningful activities, like bathing the baby and gardening, could foster a transition from a feeling of parental immaturity to a feeling of maturity, following health care instructions to possessing health care skills, and a functioning-only state to a balance of activities.

Conclusions: In neonatal intensive care, nurses contribute to delivering parental education and thereby facilitate experiences of being a mature parent and of possessing health care skills. Occupational therapy could be used to help re-engage in meaningful activities and maintain a balance of activities in parents of VLBW preterm infants.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Behavior*
  • Education, Nonprofessional
  • Female
  • Focus Groups
  • Humans
  • Infant
  • Infant, Premature*
  • Infant, Very Low Birth Weight*
  • Intensive Care, Neonatal
  • Interviews as Topic
  • Male
  • Parenting / psychology
  • Parents / psychology*
  • Qualitative Research
  • Time Factors

Grants and funding

This work is supported by the Common Health Targets funds of the Rahmen-Pharmavertrag, a cooperation between the Association of Austrian Pharmaceutical Manufacturers and the Austrian Social Security; FP 1, (http://www.pharmig.at/uploads/gefrderte_Projekte_2014_Stand_Dezember_2015_13012_DE.pdf). The funder had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.