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Nurses’ strategies to provide emotional and practical support to the mothers of preterm infants in the neonatal intensive care unit: A systematic review and meta-analysis

Maryam Maleki, Abbas Mardani Orcid Logo, Celia Harding Orcid Logo, Mohammad Hasan Basirinezhad, Mojtaba Vaismoradi

Women's Health, Volume: 18, Start page: 174550572211046

Swansea University Author: Mojtaba Vaismoradi

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Abstract

Aim:To synthesize and integrate current international knowledge regarding nursing strategies for the provision of emotional and practical support to the mothers of preterm infants in the neonatal intensive care unit.Methods:A systematic review and meta-analysis was undertaken. Four English-language...

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Published in: Women's Health
ISSN: 1745-5057 1745-5065
Published: SAGE Publications 2022
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Four English-language databases including EMBASE, PubMed (including MEDLINE), Scopus, and Web of Science were searched from January 2010 to October 2021. Original quantitative studies that were written in English and focused on nursing strategies for the provision of emotional and practical support to the mothers of preterm infants in the neonatal intensive care unit were included. Eligibility assessment, data extraction, and methodological quality appraisal were conducted independently by the review authors. A narrative synthesis of the review results and a meta-analysis were performed.Results:Twenty studies that were published from 2010 to 2021 were included in the review. Three categories concerning the review aims were identified: &#x2018;nursing strategies related to mothers&#x2019; emotions and infant-mother attachment&#x2019;, &#x2018;nursing strategies related to mothers&#x2019; empowerment&#x2019;, and &#x2018;nursing strategies related to mothers&#x2019; participation in care process and support&#x2019;. Eight interventional studies that reported mothers&#x2019; stress as the study outcome were entered into the meta-analysis. Interventions consisted of the educational programme, spiritual care, telenursing, parent support programme, skin-to-skin care, and guided family centred care. Significantly lower maternal stress was found in the intervention group compared with that of the control group (g: &#x2212;1.06; 95% confidence interval: &#x2212;1.64, &#x2212;0.49; Z = 3.62, p &lt; 0.001).Conclusion:This review identified and highlighted key nursing strategies used to provide emotional and practical support to the mothers of preterm infants in the neonatal intensive care unit. 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spelling 2022-07-15T12:11:00.2190790 v2 60314 2022-06-24 Nurses’ strategies to provide emotional and practical support to the mothers of preterm infants in the neonatal intensive care unit: A systematic review and meta-analysis b865b33654e99f5cbccdb11350f7b069 Mojtaba Vaismoradi Mojtaba Vaismoradi true false 2022-06-24 FGMHL Aim:To synthesize and integrate current international knowledge regarding nursing strategies for the provision of emotional and practical support to the mothers of preterm infants in the neonatal intensive care unit.Methods:A systematic review and meta-analysis was undertaken. Four English-language databases including EMBASE, PubMed (including MEDLINE), Scopus, and Web of Science were searched from January 2010 to October 2021. Original quantitative studies that were written in English and focused on nursing strategies for the provision of emotional and practical support to the mothers of preterm infants in the neonatal intensive care unit were included. Eligibility assessment, data extraction, and methodological quality appraisal were conducted independently by the review authors. A narrative synthesis of the review results and a meta-analysis were performed.Results:Twenty studies that were published from 2010 to 2021 were included in the review. Three categories concerning the review aims were identified: ‘nursing strategies related to mothers’ emotions and infant-mother attachment’, ‘nursing strategies related to mothers’ empowerment’, and ‘nursing strategies related to mothers’ participation in care process and support’. Eight interventional studies that reported mothers’ stress as the study outcome were entered into the meta-analysis. Interventions consisted of the educational programme, spiritual care, telenursing, parent support programme, skin-to-skin care, and guided family centred care. Significantly lower maternal stress was found in the intervention group compared with that of the control group (g: −1.06; 95% confidence interval: −1.64, −0.49; Z = 3.62, p < 0.001).Conclusion:This review identified and highlighted key nursing strategies used to provide emotional and practical support to the mothers of preterm infants in the neonatal intensive care unit. They included family centred care, skin-to-skin care, parent support and education programmes, interpersonal psychotherapy, spiritual care, newborn individualized developmental care and assessment programme, and telenursing. Journal Article Women's Health 18 174550572211046 SAGE Publications 1745-5057 1745-5065 emotional support; infant, mother; neonatal intensive care unit; nursing; premature; systematic review 23 6 2022 2022-06-23 10.1177/17455057221104674 Availability of data and materials: All data related to this study are included in the article. COLLEGE NANME Medicine, Health and Life Science - Faculty COLLEGE CODE FGMHL Swansea University Another institution paid the OA fee Nord University, Bodø, Norway, has supported the publication of this manuscript through coverage of publication charges. 2022-07-15T12:11:00.2190790 2022-06-24T07:39:58.7366023 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Nursing Maryam Maleki 1 Abbas Mardani 0000-0003-2861-6037 2 Celia Harding 0000-0002-5192-2027 3 Mohammad Hasan Basirinezhad 4 Mojtaba Vaismoradi 5 60314__24387__7ebb727482504d2583b3637185707ee1.pdf 17455057221104674.pdf 2022-06-24T07:43:00.7370379 Output 880445 application/pdf Version of Record true © The Author(s) 2022. This article is distributed under the terms of the Creative Commons Attribution 4.0 License true eng https://creativecommons.org/licenses/by/4.0/
title Nurses’ strategies to provide emotional and practical support to the mothers of preterm infants in the neonatal intensive care unit: A systematic review and meta-analysis
spellingShingle Nurses’ strategies to provide emotional and practical support to the mothers of preterm infants in the neonatal intensive care unit: A systematic review and meta-analysis
Mojtaba Vaismoradi
title_short Nurses’ strategies to provide emotional and practical support to the mothers of preterm infants in the neonatal intensive care unit: A systematic review and meta-analysis
title_full Nurses’ strategies to provide emotional and practical support to the mothers of preterm infants in the neonatal intensive care unit: A systematic review and meta-analysis
title_fullStr Nurses’ strategies to provide emotional and practical support to the mothers of preterm infants in the neonatal intensive care unit: A systematic review and meta-analysis
title_full_unstemmed Nurses’ strategies to provide emotional and practical support to the mothers of preterm infants in the neonatal intensive care unit: A systematic review and meta-analysis
title_sort Nurses’ strategies to provide emotional and practical support to the mothers of preterm infants in the neonatal intensive care unit: A systematic review and meta-analysis
author_id_str_mv b865b33654e99f5cbccdb11350f7b069
author_id_fullname_str_mv b865b33654e99f5cbccdb11350f7b069_***_Mojtaba Vaismoradi
author Mojtaba Vaismoradi
author2 Maryam Maleki
Abbas Mardani
Celia Harding
Mohammad Hasan Basirinezhad
Mojtaba Vaismoradi
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container_title Women's Health
container_volume 18
container_start_page 174550572211046
publishDate 2022
institution Swansea University
issn 1745-5057
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doi_str_mv 10.1177/17455057221104674
publisher SAGE Publications
college_str Faculty of Medicine, Health and Life Sciences
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hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Nursing{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Nursing
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description Aim:To synthesize and integrate current international knowledge regarding nursing strategies for the provision of emotional and practical support to the mothers of preterm infants in the neonatal intensive care unit.Methods:A systematic review and meta-analysis was undertaken. Four English-language databases including EMBASE, PubMed (including MEDLINE), Scopus, and Web of Science were searched from January 2010 to October 2021. Original quantitative studies that were written in English and focused on nursing strategies for the provision of emotional and practical support to the mothers of preterm infants in the neonatal intensive care unit were included. Eligibility assessment, data extraction, and methodological quality appraisal were conducted independently by the review authors. A narrative synthesis of the review results and a meta-analysis were performed.Results:Twenty studies that were published from 2010 to 2021 were included in the review. Three categories concerning the review aims were identified: ‘nursing strategies related to mothers’ emotions and infant-mother attachment’, ‘nursing strategies related to mothers’ empowerment’, and ‘nursing strategies related to mothers’ participation in care process and support’. Eight interventional studies that reported mothers’ stress as the study outcome were entered into the meta-analysis. Interventions consisted of the educational programme, spiritual care, telenursing, parent support programme, skin-to-skin care, and guided family centred care. Significantly lower maternal stress was found in the intervention group compared with that of the control group (g: −1.06; 95% confidence interval: −1.64, −0.49; Z = 3.62, p < 0.001).Conclusion:This review identified and highlighted key nursing strategies used to provide emotional and practical support to the mothers of preterm infants in the neonatal intensive care unit. They included family centred care, skin-to-skin care, parent support and education programmes, interpersonal psychotherapy, spiritual care, newborn individualized developmental care and assessment programme, and telenursing.
published_date 2022-06-23T04:18:19Z
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