PubMed · 11904941
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T Myers. 1998. Scratching where it itches.. https://pubmed.ncbi.nlm.nih.gov/11904941/
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BACKGROUND: Infants exposed to intrauterine drugs present a number of challenging features with which the new mother is faced. They can be irritable, unresponsive, and unpredictable. Available treatments require specialised neonatal care for the first four to six weeks of life; a critical time for the parent-infant attachment relationship to develop. Neonatal nurses have the opportunity to promote this development and ameliorate the effect of other developmental risk factors the baby is likely to experience. OBJECTIVES: The aim of this study was to explore neonatal nurses' experiences of providing care to drug-exposed newborns and their parents throughout treatment for neonatal abstinence syndrome (NAS). DESIGN, SETTING AND PARTICIPANTS: This study used interpretive methods by conducting group interviews with eight neonatal nurses in each of four Special Care Nursery Units in South-East Queensland, Australia. RESULTS: Barriers to promoting the parent-infant attachment relationship were found to be both attitudinal and organisational. These barriers were significant, and were seen to impact negatively on optimal care delivery to this vulnerable population. CONCLUSIONS: Unfortunately, the results of this study indicated that management of these babies and their parents is compromised by a range of attitudinal and organisational factors. There is a need to address these barriers to optimise care delivery and improve the way in which neonatal nurses impact on parent-infant relationships.
The "Project design- and consensus phase for implementation of the Family Health Nurse in Germany" ordered by the German professional association for nurses (DBfK) was realized by the Institute of Nursing Science at the University of Witten/Herdecke. Aim of this study was to find out if there is a consensus between eleven stakeholders from ten different institutions of the German health care system before starting the real "pilot project for the feasibility of the Family Health Nurse in Germany", which should strengthen the prevention and the health promotion in Germany corresponding to the WHO's policy framework "Health 21". The investigation included also the identification of the need and the complexity of the new role for nurses and midwives. Furthermore, a statement should be made about the virtual feasibility. Methodically, multi-level analyses were used. First, the stakeholders were interviewed about the possible role of the Family Health Nurse in Germany. All their statements were determined by qualitative content analyses. From these results different areas of responsibilities for the Family Health Nurse in Germany were developed by using the scenario technique. These scenarios were discussed by the stakeholders in focus groups and revised several times until five consented scenarios could be developed. The contents of the scenarios were generalized and structured to according the variables target group, reason for care, need, access, skills, settlement and financing. Like that, the characteristic features of the new areas of responsibilities for the Family Health Nurse in Germany could be defined. Finally, all stakeholders formulated the consensus for the implementation of the planned pilot project with an integrated educational course for nurses and midwives, which immediately has started in autumn 2005 with an accompanying research evaluation.
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