Document Type : Original Article
Authors
- . Morteza Mansourian
- . Arash Ziapour 1
- . Mohammad Kazemian 2
- . Zhilla Heydarpoor Damanabad 3
- . Babk Rastegarimehr 4
- . Amin Mirzaei 5
- . Omid Safari 6
- . Reza Pourmirza Kalhori 7
- . Mohammadreza Mansouri Arani 8
1 Ph.D. Candidate. Education and Health Promotion, School of Health, Iran University of Medical Sciences (IUMS), Tehran, Iran
2 NICU, Mofid Hospital, Shahid Beheshri University of Medical Sciences, Tehran, Iran
3 Department of Pediatric Nursing, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
4 Department Public of Health, Abadan Faculty of Medical Sciences, Abadan, Iran
5 Department of Public Health, Ilam University of Medical Sciences, Ilam, Iran
6 Departments of Pediatrics, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran
7 Department of Medical Emergencies, School of Paramedical, Kermanshah University of Medical Sciences, Kermanshah, Iran
8 Department of Pediatric Nursing, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran Neonatal Health Research Center, Research Institute for Children’s Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Abstract
INTRODUCTION: One of the key elements in family‑centered care is educating parents with
hospitalized infant at intensive care unit. Education is a fundamental role of nursing at intensive
care units to satisfy parents and accelerate disease progression that eventually reduces hospital
re‑admission.
MATERIALS AND METHODS: This was a cross‑sectional study conducted in 2018, and the study
population was admitted infants (n = 90) in the neonatal intensive care unit (NICU) of Shahid Beheshti
University of Medical Sciences hospitals. We used a questionnaire including sociodemographic
characteristics and performance of nurses in educating parents. Nurses’ performance was assessed
in five major areas composed of family‑centered care, delivering cares according to individualized
needs, education on equipment, basic needs of infants, and finally, nutritional education. All statistical
analyses were conducted using SPSS version 22. The data were analyzed using t‑test, ANOVA,
and nonparametric tests.
RESULTS: Findings from the current study indicated that nurses performed their educational role
weakly (37% of standard level). We also found that nurses who participated in neonatal educational
courses had better performance compared to their counterparts. The results showed that year of
experiences working as a clinical nurse was significantly associated (P < 0.05) with performing
standard education.
CONCLUSION: Our findings indicated that nurses performed their educational role weakly which
might be due to staff shortage, heavy workload, and lack of time for educating parents. Therefore,
it is necessary to improve the quality of education among nurses working at the NICUs and provide
the necessary standards and indicators to evaluate this important task.
Keywords
- Verklan MT, Walden M. Core Curriculum for Neonatal Intensive
Care Nursing‑E‑Book. 5th edition. English: Elsevier Health
Sciences; 2014.
2. Henderson J, Carson C, Redshaw M. Impact of preterm birth
on maternal well‑being and women’s perceptions of their baby:
A population‑based survey. BMJ Open 2016;6:e012676.
3. Abuidhail J, Al‑Motlaq M, Mrayan L, Salameh T. The lived
experience of Jordanian parents in a neonatal intensive care unit:
A phenomenological study. J Nurs Res 2017;25:156‑62.
4. Mansouri Arani M, Alaee Karehroudi F, Manochehri H,
Akbarzadeh Baghban A. Audit of neonatal discharge process in
neonatal intensive care unit of Mahdieh hospital in Tehran. Iran
J Pediatr Nurs 2015;2:28‑38.
5. Lowe JR, Rieger RE, Moss NC, Yeo RA, Winter S, Patel S, et al.
Impact of erythropoiesis‑stimulating agents on behavioral
measures in children born preterm. J Pediatr 2017;184:75‑800.
6. Mohammadi M, Ziapoor A, Mahboubi M, Faroukhi A, Amani N,
Hydarpour F, et al. Performance evaluation of hospitals under
supervision of Kermanshah medical sciences using pabonlasoty
diagram of a five‑year period (2008‑2012). Life Sci J 2014;11:77‑81. - 7. Purisch SE, Gyamfi‑Bannerman C. Epidemiology of preterm birth.
Semin Perinatol 2017;41:387‑91.
8. Ong SL, Abdullah KL, Danaee M, Soh KL, Soh KG, Japar S.
Stress and anxiety among mothers of premature infants in a
Malaysian neonatal intensive care unit. J Reprod Infant Psychol
2019;37:193‑205.
9. Valizadeh L, Hosseini MB, Heydarpoor Damanabad Z,
Rahkar Farshi M, Asgari Jafarabadi M, Ranjbar Kochaksaraie F.
Effect of NICU department orientation program on mother’s
anxiety: A randomized clinical trial. J Caring Sci 2016;5:205‑14.
10. Azizi‑Soleiman F, Motlagh ME, Qorbani M, Heshmat R,
Ardalan G, Mansourian M, et al. Dietary habits and health related
behaviors in Iranian children and adolescents: The CASPIAN‑IV
study. Int J Pediatr 2016;4:2087‑97.
11. Kawafha MM. Parental stress in the neonate intensive care unit
and its association with parental and infant characteristics.
J Neonatal Nurs 2018;24:266‑72.
12. Hockenberry MJ, Wilson D. Wong’s Nursing Care of Infants and
Children‑E‑Book. 10th edition. English: Elsevier Health Sciences;
2018.
13. Te Pas AB. Improving neonatal care with technology. Front
Pediatr 2017;5:110.
14. Heydarpour S, Keshavarz Z, Bakhtiari M. Factors affecting
adaptation to the role of motherhood in mothers of preterm infants
admitted to the neonatal intensive care unit: A qualitative study.
J Adv Nurs 2017;73:138‑48.
15. Aydon L, Hauck Y, Murdoch J, Siu D, Sharp M. Transition from
hospital to home: Parents’ perception of their preparation and
readiness for discharge with their preterm infant. J Clin Nurs
2018;27:269‑77.
16. Vohr B, McGowan E, Keszler L, Alksninis B, O’Donnell M,
Hawes K, et al. Impact of a transition home program on
rehospitalization rates of preterm infants. JPediatr 2017;181:86‑920.
17. Masters K. Role Development In Professional Nursing Practice.
4th edition. American: Jones and Bartlett Learning; 2018.
18. Safiri S, Kelishadi R, Qorbani M, Lotfi R, Djalalinia S, Salehifar D,
et al. Association of dietary behaviors with physical activity in a
nationally representative sample of children and adolescents: The
CASPIAN‑IV study. Int J Pediatr 2016;4:1505‑17.
19. El Miedany Y. The Art of Patient Education. In Rheumatology
Teaching: Cham:Springer; 2019. p. 155-73.
20. Sheldon RE, Bissinger R, Kenner C, Staebler S. The status of us
neonatal nurse practitioner education in 2015–2016. NeoReviews
2017;18:e3‑21.
21. Mohalli F, Wagharseyedin A, Mahmmodirad GH. Nurses’
performance review of patients with clinical governance
approach. J Nurs Edu 2017;6:1‑7.
22. Seyedamini B. Fears, needs and nursing support of mothers
during their child’s hospitalization. Iran J Nurs 2011;24:57‑66.
23. Mok E, Leung SF. Nurses as providers of support for mothers of
premature infants. J Clin Nurs 2006;15:726‑34.
24. Valizadeh L, Akbarbegloo M, Asadollahi M. Supports provided
by nurses for mothers of premature newborns hospitalized in
NICU. Iran J Nurs 2009;22:89‑98.
25. Milan M, Nasimi F. The effect of family‑centered care educational
program on performance of mothers of premature infants
hospitalized in neonatal intensive care unit. Iran J Pediatr Nurs
2019;5:37‑43.
26. Rasti M, Aliabadi F, Shafarodi N, Rafiee F, Kalani MJ. Specification
of the educational needs of parents with premature infants
admitted to neonatal intensive care unit. J Modern Rehabil
2014;8:21‑9.
27. Jackson D, Clare J, Mannix J. Who would want to be a nurse?
Violence in the workplace–a factor in recruitment and retention.
J nurs manag 2002;10:13-20.
28. Hurst I. Vigilant watching over: Mothers’ actions to safeguard
their premature babies in the newborn intensive care nursery.
J Perinatal Neonatal Nurs 2001;15:39‑57.
29. Van Rooyen D, Nomgqokwana ZL, Kotzé WJ, Carlson SJ.
Guidelines to facilitate the nursing accompaniment of mothers
with infants in a neonatal intensive care unit. Health SA
Gesondheid 2006;11:3‑12.
30. Heshmati Nabavi F, Memarian R, Vanaki Z. Clinical supervision
system: A method for improving educational performance of
nursing personnel. Iran J Med Educ 2008;7:257‑66.
31. Hekmatpoor D, Anoosheh M, Alhani F. The pathology of patient
training: A qualitative study. Bim J Iran Nurs 2007;20:50‑60.
32. Moradi M, Jalali R, Miri A. The point of view of medical and
surgical patients in education hospitals of Kermanshah to
discharge nurse training performance and compare it with
standard in 2014‑2015 years. J Nurs Educ 2018;7:21‑6.
33. Klein‑Fedyshin M, Burda ML, Epstein BA, Lawrence B.
Collaborating to enhance patient education and recovery. J Med
Libr Assoc 2005;93:440‑5.
34. Adib‑Hajbaghery M, Zare M. The barriers to patient education
from the viewpoint of nurses in iran: A systematic review. The J
Urmia Nurs Mid Fac 2017;15:544‑58.
35. Kalisch BJ. Missed nursing care: A qualitative study. J Nurs Care
Qual 2006;21:306‑13.
36. Jaloo Z, Pazargadi M, Alaee Karahroudi F. Audit of the
Nursing Care Provided to Infants With Respiratory Distress
Syndrome Admitted to the Neonatal Intensive Care Units of the
Hospitals Affiliated to Shahid Beheshti and Tehran Universities
of Medical Sciences and Health Services in Master’s Thesis
in Nursing.Tehran: Nursing and Midwifery School, Shahid
Beheshti University of Medical Sciences and Health Services;
2008.
37. Saadati Z. Comparison of Audit in Nursing Care provided
to Patients with Coronary Artery Disease in Educational
Hospitals With That in Non‑Educational Hospitals Affiliated
to Mashahd University of Medical Sciences. Master’s Thesis
in Nursing. Tehran: Nursing and Midwifery School, Shahid
Beheshti University of Medical Sciences and Health Services;
2004.
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